What is Melody Nelsen's specialty?

Melody Nelsen (NPI 1669519930) is a Medicare-billing provider whose primary specialty is Rheumatology in Missoula, MT.

Where does Melody Nelsen practice?

Melody Nelsen practices in Missoula, MT, based on the location reported in the CMS Medicare provider datasets for NPI 1669519930.

How much does Medicare pay Melody Nelsen?

Melody Nelsen (NPI 1669519930) received approximately $2.4M in total Medicare Part B payments, serving 656 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1669519930

Melody NelsenM.D.

PRACTICEPROVIDENCE HEALTH & SERVICES MTSee all providers at this practice →

RheumatologyMissoula, MTI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,972

Unique beneficiaries

—

Total services

221,492

Distinct HCPCS

Medicare payment

$2.1M

Peer benchmark

Total Medicare services vs. 12 Rheumatology providers in MT — top quintile (cohort median 1,058).

PRESCRIBING · PART D · 2024

Total Rx claims

5,775

Beneficiaries

—

Total drug cost

$5.5M

Distinct drugs

Brand share

35.7%

Top prescribed drugs

Prednisone961 claims

Methotrexate Sodium862 claims

Hydroxychloroquine Sulfate472 claims

Hydrocodone/Acetaminophen295 claims

Pregabalin220 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$545

Payment records

By payment type

Food and Beverage$526

Education$19

Top paying entities

Food and Beverage$526

Education$19

REFERRAL NETWORK

Where Melody Nelsen'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). 10 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PROVIDENCE HEALTH & SERVICES MT	124	374
Mayo Collaborative Services, Inc Clinical Laboratory · Rochester, MN	48	103
COMMUNITY MEDICAL CENTER INC	41	142
RCHP BILLINGS - MISSOULA LLC	32	93
Kyle Dale Diagnostic Radiology · Missoula, MT	19	26
HOLLE, ROLF	15	38
NPI 1396781134	15	33
Joel Brake Diagnostic Radiology · Missoula, MT	11	16
DOUGHERTY, SARSFIELD	11	25
Mark Elliott Diagnostic Radiology · Missoula, MT	11	33

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