ALAN J NELSON M.D.
NPI 1841479458
Family Medicine in East Norwich, NY
NPI Status: Active since October 31, 2007
Contact Information
898 OYSTER BAY RD
EAST NORWICH, NY
ZIP 11732
Phone: (516) 922-6546
Fax: (516) 922-6811
- Individual
- Male
- Family Medicine
- Medicare Quality Reporting
About ALAN NELSON
This page provides the complete NPI Profile along with additional information for Alan Nelson, a primary care provider established in East Norwich, New York with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1841479458 assigned on October 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 125202 (NY). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1841479458
- Provider Name
- ALAN J NELSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 898 OYSTER BAY RD EAST NORWICH, NY 11732
- Location Phone
- (516) 922-6546
- Location Fax
- (516) 922-6811
- Mailing Address
- 898 OYSTER BAY RD EAST NORWICH, NY 11732
- Mailing Phone
- (516) 922-6546
- Mailing Fax
- (516) 922-6811
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-31-2007
- Last Update Date
- 04-23-2014
- Code Navigator
A primary care provider (PCP) like Alan Nelson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 125202
- License State
- NY
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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 |
|---|---|---|---|
| 294041 | MEDICARE PIN (08) | NY | |
| 29404YPYR1 | MEDICARE PIN (08) | ||
| C07955 | MEDICARE UPIN (02) | NY | |
| 00425416 | MEDICAID (05) | NY |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Influenza vaccine split virus, preservative free
Initial nursing facility visit per day, typically 45 minutes
Insertion of needle into vein for collection of blood sample
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 50 times for 50 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 380 times for 91 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 100 times for 54 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 78 times for 12 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 44 times for 44 patientsAn initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
This service was performed 50 times for 16 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 21 times for 18 patientsThis service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 34 times for 28 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 15% | 53 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Colorectal Cancer Screening | 5% | 135 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Diabetes: Eye Exam | 23% | 30 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| Documentation of Current Medications in the Medical Record | 81% | 1075 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 99% | 2730 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 85% | 46 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 4% | 320 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Influenza Immunization | 60% | 237 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
| Provide Patient Access | 99% | 320 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 0% | 320 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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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. | |||||||||
| 1 | 8 | 4 | 1 | 4 | 7 | 9 | 4 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 8 | 7 | 18 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 8 + 7 + 1 + 8 + 4 + 1 + 0 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1841479458 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1568579001 | DR. JOSEPH DENNIS GIARDINA MD Individual | Ophthalmology | 898 OYSTER BAY RD SUITE D EAST NORWICH, NY 11732 (516) 922-1252 |
| 1336226828 | GRACE YUN HUA HSU DDS Individual | Dentist | 898 OYSTER BAY RD E NORWICH, NY 11732 (516) 922-5740 |
| 1720147606 | BERRY HILL MEDICAL ASSOCIATES, MD PC Organization | Clinic/Center (Primary Care) | 898 OYSTER BAY RD A EAST NORWICH, NY 11732 (516) 922-6546 |
| 1720128697 | PATRICIA ANNE GALLO P.T. Individual | Physical Therapist | 898 OYSTER BAY RD EAST NORWICH, NY 11732 (516) 624-2602 |
| 1447391099 | MS. ROSALIE MENDUNI M.A. OTRL Individual | Occupational Therapist | 898 OYSTER BAY RD EAST NORWICH, NY 11732 (516) 677-1994 |
| 1922141720 | PAMELA O'BRIEN Individual | Occupational Therapist | 898 OYSTER BAY RD EAST NORWICH, NY 11732 (516) 677-1994 |
| 1356656052 | ROSALIE MENDUNI, DBA, EAST NORWICH THERAPEUTIC SERVICES Organization | Early Intervention Provider Agency | 898 OYSTER BAY RD EAST NORWICH, NY 11732 (516) 677-1994 |
| 1194130740 | SANDRA LOSEE-WOODS LMHC Individual | Counselor (Mental Health) | 898 OYSTER BAY RD EAST NORWICH, NY 11732 (516) 220-7041 |
| 1316266620 | MS. ELIZABETH ANNE KAHL LMHC Individual | Counselor (Mental Health) | 898 OYSTER BAY RD EAST NORWICH, NY 11732 (631) 697-5562 |
| 1720644404 | K.B. OCCUPATIONAL THERAPY P.C. Organization | Occupational Therapist (Pediatrics) | 898 OYSTER BAY RD EAST NORWICH, NY 11732 (516) 581-6499 |
| 1720186612 | DR MICHAEL KLEIN & DR GIDEON TARRASH Organization | Podiatrist (Foot & Ankle Surgery) | 898 OYSTER BAY RD D EAST NORWICH, NY 11732 (516) 624-2101 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841479458, enumerated in the NPI registry as an "individual" on October 31, 2007
The provider is located at 898 Oyster Bay Rd East Norwich, Ny 11732 and the phone number is (516) 922-6546
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Follow-up nursing facility visit per day, typically 25 minutes, Influenza vaccine split virus, preservative free, Initial nursing facility visit per day, typically 45 minutes, Insertion of needle into vein for collection of blood sample and Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional.
This NPI record was last updated on October 31, 2007. 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].
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