PROVIDER PROFILE · NPI 1124289442

Nicole NelsonM.D.

Emergency MedicineNewport News, VAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

285

Unique beneficiaries

—

Total services

290

Distinct HCPCS

Medicare payment

$37K

Peer benchmark

Total Medicare services vs. 1,151 Emergency Medicine providers in VA — below median (cohort median 382).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$99

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Amlodipine Besylate12 claims

Cephalexin12 claims

QUALITY · MIPS · 2024

Final MIPS score

94.9

Quality

92.9

Cost

0.0

Improvement activities

40.0

Promoting interop.

94.9

Payment adjustment

0.84%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$17

Payment records

By payment type

Food and Beverage$17

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 490052

Hospital

REFERRAL NETWORK

Where Nicole 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). 25 inbound referrers · 85 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
RIVERSIDE HOSPITAL INC	203	588
SENTARA HOSPITALS	59	171
Dennie Bartol Diagnostic Radiology · Newport News, VA	51	94
City Of Newport News Ambulance Service Provider · Newport News, VA	46	110
Thomas Pincus Diagnostic Radiology · Newport News, VA	25	43
Richard Edwards Cardiology · Newport News, VA	24	48
James Baylous Interventional Radiology · Newport News, VA	23	46
MARY IMMACULATE HOSPITAL LLC	22	73
STOLDT, CURTIS	19	29
SENTARA HOSPITALS	19	60
GILLEN, WILLIAM	19	48
DEMEO, JONATHAN	18	33

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
RIVERSIDE HOSPITAL INC	439	1,408
City Of Newport News Ambulance Service Provider · Newport News, VA	129	287
James Grimson Diagnostic Radiology · Newport News, VA	97	161
Thomas Pincus Diagnostic Radiology · Newport News, VA	91	162
Timothy Farrell Diagnostic Radiology · Newport News, VA	84	134
American Medical Response Mid-Atlantic, Inc. Ambulance Service Provider · Hampton, VA	68	149
DEMEO, JONATHAN	66	93
James Baylous Interventional Radiology · Newport News, VA	66	110
GILLEN, WILLIAM	60	113
Valentine Curran Diagnostic Radiology · Newport News, VA	60	90
Paul Micale Cardiology · Newport News, VA	58	110
Jon Elliott Diagnostic Radiology · Newport News, VA	56	93

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