What is John Nelson's specialty?

John Nelson (NPI 1376540005) is a Medicare-billing provider whose primary specialty is Internal Medicine in Mystic, CT.

Where does John Nelson practice?

John Nelson practices in Mystic, CT, based on the location reported in the CMS Medicare provider datasets for NPI 1376540005.

How much does Medicare pay John Nelson?

John Nelson (NPI 1376540005) received approximately $42K in total Medicare Part B payments, serving 130 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1376540005

John NelsonM.D.

Internal MedicineMystic, CTI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

330

Unique beneficiaries

—

Total services

426

Distinct HCPCS

Medicare payment

$35K

Peer benchmark

Total Medicare services vs. 1,650 Internal Medicine providers in CT — above median (cohort median 549).

PRESCRIBING · PART D · 2024

Total Rx claims

2,232

Beneficiaries

—

Total drug cost

$212K

Distinct drugs

Brand share

19.0%

Top prescribed drugs

Atorvastatin Calcium219 claims

Amlodipine Besylate129 claims

Losartan Potassium95 claims

Lisinopril85 claims

Levothyroxine Sodium82 claims

QUALITY · MIPS · 2024

Final MIPS score

94.5

Quality

83.4

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.82%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$199

Payment records

By payment type

Food and Beverage$199

Top paying entities

Food and Beverage$199

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). 66 inbound referrers · 147 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
LAWRENCE AND MEMORIAL HOSPITAL, INC.	476	1,628
Tibor Kereshi Interventional Radiology · Colorado Springs, CO	129	279
Louis Mazzarelli Diagnostic Radiology · New York, NY	121	261
Valerie Popkin Cardiology · Waterford, CT	103	236
Sheldon Robbins Diagnostic Radiology · New London, CT	99	193
SORRENTINO, JOHN	99	211
Mark Fiengo Cardiology · Waterford, CT	93	249
Mirela Wolff Internal Medicine · New London, CT	93	190
Mark Somers Cardiology · Waterford, CT	88	251
Roshanak Bagheri Cardiology · Philadelphia, PA	82	180
MANNING, THOMAS	81	217
MILSTEIN, PETER	81	215

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
LAWRENCE AND MEMORIAL HOSPITAL, INC.	211	807
American Ambulance Service, Inc. Ambulance Service Provider · Norwich, CT	163	425
SORRENTINO, JOHN	137	247
Arun Basu Diagnostic Radiology · Rochester, NY	105	206
CROSS, ROBERT	93	158
Valerie Popkin Cardiology · Waterford, CT	91	167
Brian Ehrlich Cardiology · Waterford, CT	86	181
VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT	86	135
Mirela Wolff Internal Medicine · New London, CT	84	138
Tibor Kereshi Interventional Radiology · Colorado Springs, CO	81	162
Louis Mazzarelli Diagnostic Radiology · New York, NY	77	136
Neer Zeevi Neurology · New London, CT	77	239

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