What is John Nelson's specialty?

John Nelson (NPI 1003908591) is a Medicare-billing provider whose primary specialty is Cardiology in Fresno, CA.

Where does John Nelson practice?

John Nelson practices in Fresno, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1003908591.

How much does Medicare pay John Nelson?

John Nelson (NPI 1003908591) received approximately $229K in total Medicare Part B payments, serving 426 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1003908591

John NelsonMD

CardiologyFresno, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,273

Unique beneficiaries

—

Total services

3,465

Distinct HCPCS

Medicare payment

$228K

Peer benchmark

Total Medicare services vs. 1,869 Cardiology providers in CA — above median (cohort median 2,371).

PRESCRIBING · PART D · 2024

Total Rx claims

5,612

Beneficiaries

—

Total drug cost

$1.7M

Distinct drugs

Brand share

32.9%

Top prescribed drugs

Ezetimibe932 claims

Evolocumab511 claims

Icosapent Ethyl429 claims

Atorvastatin Calcium414 claims

Metoprolol Succinate393 claims

QUALITY · MIPS · 2024

Final MIPS score

39.0

Quality

41.7

Cost

74.5

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-4.32%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$4K

Payment records

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$3K

Food and Beverage$2K

Top paying entities

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$3K

Food and Beverage$2K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 050093

Hospital

CCN 050121

Hospital

CCN 050192

Hospital

REFERRAL NETWORK

Where John Nelson's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 11 inbound referrers · 37 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Unilab Corporation Clinical Laboratory · West Hills, CA	148	552
SAINT AGNES MEDICAL CENTER	79	176
Steve Su Nephrology · Fresno, CA	52	91
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	36	110
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	32	73
Thampi John Cardiology · Fresno, CA	19	41
Mitchell Jelen Family Practice · Reedley, CA	18	61
Charles Sohn Cardiology · Fresno, CA	17	33
Bipin Joshi Cardiology · Fresno, CA	16	31
REEDLEY COMMUNITY HOSPITAL	14	48
Hipolito Mariano Family Practice · Fresno, CA	13	94

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
ATHEROTECH, INC.	209	658
Unilab Corporation Clinical Laboratory · West Hills, CA	117	418
SAINT AGNES MEDICAL CENTER	70	164
Steve Su Nephrology · Fresno, CA	51	92
Kevin Boran Interventional Cardiology · Fresno, CA	48	286
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	39	114
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	38	80
NPI 1699872978	33	73
Patrick Golden Internal Medicine · Fresno, CA	28	85
Lakhjit Sandhu Cardiology · Fresno, CA	26	131
Mark Godiksen Internal Medicine · Clovis, CA	23	122
Khoi Le Cardiology · Fresno, CA	22	55

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history