PROVIDER PROFILE · NPI 1669589560

Kimberly NelsonM.D.

PRACTICEADULT & PEDIATRIC EAR NOSE & THROAT, P.C.See all providers at this practice →

OtolaryngologyAurora, COI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

480

Unique beneficiaries

—

Total services

601

Distinct HCPCS

Medicare payment

$52K

Peer benchmark

Total Medicare services vs. 162 Otolaryngology providers in CO — below median (cohort median 719).

PRESCRIBING · PART D · 2024

Total Rx claims

549

Beneficiaries

—

Total drug cost

$11K

Distinct drugs

Brand share

16.0%

Top prescribed drugs

Ipratropium Bromide131 claims

Prednisone90 claims

Omeprazole66 claims

Amoxicillin/Potassium Clav30 claims

Mupirocin28 claims

QUALITY · MIPS · 2024

Final MIPS score

89.1

Quality

89.5

Cost

74.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.59%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$371

Payment records

By payment type

Food and Beverage$371

REFERRAL NETWORK

Where Kimberly 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). 6 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NPI 1396781134	46	95
WELLS, NATHAN	29	38
Amy Umansky Audiologist · Aurora, CO	29	45
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY	29	87
Mauricio Waintrub Internal Medicine · Aurora, CO	19	42
Michael Lockwood Physician Assistant · Aurora, CO	12	38

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