DAVID NELSON MD, PHD
NPI 1750461166
Pediatrics - Pediatric Critical Care Medicine in Memphis, TN


Quality Rating: 100 out of 100 score

NPI Status: Active since October 17, 2006

Contact Information

848 ADAMS AVE
MEMPHIS, TN
ZIP 38103
Phone: (901) 287-7337
Fax: (901) 287-4646

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  • Individual
  • Male
  • Pediatrics
  • Pediatric Critical Care Medicine
  • Accepts Insurance
  • PECOS Enrolled

About DAVID NELSON

This page provides the complete NPI Profile along with additional information for David Nelson, a pediatrician established in Memphis, Tennessee with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1750461166 assigned on October 2006. The practitioner's primary taxonomy code is 2080P0203X with license number 68409 (TN). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1750461166
Provider Name
DAVID NELSON MD, PHD
Gender
Male
Entity Type
Individual
Location Address
848 ADAMS AVE MEMPHIS, TN 38103
Location Phone
(901) 287-7337
Location Fax
(901) 287-4646
Mailing Address
49 N DUNLAP ST RM 345 MEMPHIS, TN 38103
Mailing Phone
(901) 287-7337
Mailing Fax
(901) 287-4646
Is Sole Proprietor?
No
Enumeration Date
10-17-2006
Last Update Date
08-17-2023
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A pediatrician like David Nelson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Critical Care Medicine

Taxonomy Code
2080P0203X
Type
Allopathic & Osteopathic Physicians
License No.
68409
License State
TN
Taxonomy Description
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080P0202XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Cardiology

68409 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
177125501MEDICAID (05)TX 

Medicare Participation & PECOS Enrollment Status

David Nelson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for DAVID NELSON MD, PHD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750461166
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100862112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 6 + 2 + 1 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1750461166 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619977964MS. TRACY J TIDWELL APRN,FNP
Individual
Nurse Practitioner (Family)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1962402305DR. JAMPANA RAJU MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1871593897DR. JAMES A ODONNELL MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1083728331MS. ASHLEY M PIPER NP
Individual
Nurse Practitioner (Pediatrics)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1942287610MS. DAVONNA S LEDET RN NP
Individual
Nurse Practitioner (Family)848 ADAMS AVE NEUROSCIENCE CLINIC - LOBBY LEVEL
MEMPHIS, TN 38103
(901) 287-5060
1659372613DR. JOHN K ESHUN MD
Individual
Pediatrics (Pediatric Gastroenterology)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-5235
1386064913MRS. LINDSAY HAND BURGESS NNP-BC
Individual
Nurse Practitioner (Neonatal)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-4800
1144508854 PREET KIRAN SANDHU MD
Individual
Radiology (Diagnostic Radiology)848 ADAMS AVE RADIOLOGY G216
MEMPHIS, TN 38103
(901) 287-6938
1760482434PEDIATRIC EMERGENCY SPECIALISTS, PC
Organization
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1942461983DR. LAPRECIOUS LIBERTY NADARAH HARROLD MD
Individual
Pediatrics848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-7337
1891893020 MICHAEL A REBOLLEDO M.D.
Individual
Pediatrics (Pediatric Cardiology)848 ADAMS AVE L400
MEMPHIS, TN 38103
(901) 287-7337
1528429180MRS. CATHERINE PARKER APN, NNP-BC
Individual
Nurse Practitioner (Neonatal, Critical Care)848 ADAMS AVE NICU, 4TH FLOOR
MEMPHIS, TN 38103
(901) 287-8400
1437159126DR. BARRY G GILMORE MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1881694255DR. MARY P MCGINTY MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1528068962DR. JOSEPH V POLLACK MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1649270919DR. AMY L HERTZ MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1962402982DR. TIMOTHY J OCONNOR MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-6112
1760830061 MICHELLE RICKARD APN
Individual
Nurse Practitioner (Pediatrics)848 ADAMS AVE
MEMPHIS, TN 38103
(901) 287-7337
1982870119DR. JASON NATHANIEL JOHNSON M.D.
Individual
Pediatrics848 ADAMS AVE L400
MEMPHIS, TN 38103
(919) 684-8111
1831423607DR. MARIANNA RIVAS-COPPOLA M.D
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)848 ADAMS AVE SUITE L400
MEMPHIS, TN 38103
(901) 287-7337

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750461166, enumerated in the NPI registry as an "individual" on October 17, 2006

The provider is located at 848 Adams Ave Memphis, Tn 38103 and the phone number is (901) 287-7337

The provider's speciality is Pediatrics with taxonomy code 2080P0203X with a focus in Pediatric Critical Care Medicine

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

This NPI record was last updated on October 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.