What is Mark Nelson's specialty?

Mark Nelson (NPI 1134111743) is a Medicare-billing provider whose primary specialty is Cardiac Surgery in Cumberland, MD.

Where does Mark Nelson practice?

Mark Nelson practices in Cumberland, MD, based on the location reported in the CMS Medicare provider datasets for NPI 1134111743.

How much does Medicare pay Mark Nelson?

Mark Nelson (NPI 1134111743) received approximately $224K in total Medicare Part B payments, serving 302 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1134111743

Mark NelsonM.D.

Cardiac SurgeryCumberland, MDI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

379

Unique beneficiaries

—

Total services

380

Distinct HCPCS

Medicare payment

$145K

Peer benchmark

Total Medicare services vs. 14 Cardiac Surgery providers in MD — top quintile (cohort median 264).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$28

Distinct drugs

Brand share

100.0%

Top prescribed drugs

Clopidogrel Bisulfate12 claims

QUALITY · MIPS · 2024

Final MIPS score

95.3

Quality

79.9

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.86%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$42

Payment records

By payment type

Food and Beverage$42

Top paying entities

Food and Beverage$42

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

Home health agency

Home health agency

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Mark 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). 32 inbound referrers · 65 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Marcos Roffe Diagnostic Radiology · Cumberland, MD	120	619
NPI 1225077860	99	687
Charles Magal Diagnostic Radiology · Cumberland, MD	96	414
CHO, IK	90	383
REARICK, LEAH	75	316
James Benjamin Diagnostic Radiology · Cumberland, MD	72	276
Andrea Marshall Physician Assistant · Cumberland, MD	66	227
Heidi Race Physician Assistant · Cumberland, MD	63	179
DAVIS, ALVIN	52	177
SAHETA, NARAYAN	47	197
Baljeet Mahal Cardiology · Cumberland, MD	41	174
Richard Schmitt Pulmonary Disease · Cumberland, MD	38	128

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
UPMC WESTERN MARYLAND CORPORATION	274	2,839
John Pappas Diagnostic Radiology · Cumberland, MD	152	816
Marcos Roffe Diagnostic Radiology · Cumberland, MD	126	620
Charles Magal Diagnostic Radiology · Cumberland, MD	112	494
NPI 1225077860	112	777
Herbert Lambert Diagnostic Radiology · Cumberland, MD	93	377
James Benjamin Diagnostic Radiology · Cumberland, MD	91	275
UPMC WESTERN MARYLAND CORPORATION	91	281
CHO, IK	91	347
Andrea Marshall Physician Assistant · Cumberland, MD	85	280
Heidi Race Physician Assistant · Cumberland, MD	72	219
Upmc Western Maryland Corporation Independent Diagnostic Testing Facility (IDTF) · Cumberland, MD	70	223

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events