What is David Nelson's specialty?

David Nelson (NPI 1538164066) is a Medicare-billing provider whose primary specialty is Internal Medicine in Sioux Falls, SD.

Where does David Nelson practice?

David Nelson practices in Sioux Falls, SD, based on the location reported in the CMS Medicare provider datasets for NPI 1538164066.

How much does Medicare pay David Nelson?

David Nelson (NPI 1538164066) received approximately $84K in total Medicare Part B payments, serving 1,459 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1538164066

David NelsonM.D.

PRACTICESANFORD CLINICSee all providers at this practice →

Internal MedicineSioux Falls, SDI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,778

Unique beneficiaries

—

Total services

2,598

Distinct HCPCS

Medicare payment

$83K

Peer benchmark

Total Medicare services vs. 150 Internal Medicine providers in SD — top quintile (cohort median 731).

PRESCRIBING · PART D · 2024

Total Rx claims

15,552

Beneficiaries

—

Total drug cost

$845K

Distinct drugs

170

Brand share

20.8%

Top prescribed drugs

Levothyroxine Sodium886 claims

Omeprazole653 claims

Amlodipine Besylate565 claims

Atorvastatin Calcium542 claims

Metoprolol Succinate488 claims

QUALITY · MIPS · 2024

Final MIPS score

84.8

Quality

78.8

Cost

70.5

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.41%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where David 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). 93 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Charles Flohr Diagnostic Radiology · Sioux Falls, SD	131	359
Bryan Barness Diagnostic Radiology · Sioux Falls, SD	121	337
Adam Stys Interventional Cardiology · Sioux Falls, SD	96	361
Meredith Hayes Diagnostic Radiology · Sioux Falls, SD	66	160
SIOUX FALLS AMBULANCE INC	64	165
Edward Czarnecki Diagnostic Radiology · Sioux Falls, SD	60	116
Aaron Berg Diagnostic Radiology · Sioux Falls, SD	60	103
David Bean Diagnostic Radiology · Sioux Falls, SD	59	105
John Reinschmidt Diagnostic Radiology · Sioux Falls, SD	55	119
Christopher Stanton Clinical Cardiac Electrophysiology · Sioux Falls, SD	50	194
Richard Clark Cardiology · Sioux Falls, SD	48	126
Patrick Kelly Vascular Surgery · Sioux Falls, SD	47	142

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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