MARK NELSON MD
NPI 1942277942
Family Medicine in Wheaton, IL
NPI Status: Active since March 08, 2006
Contact Information
150 E WILLOW AVE STE 300
WHEATON, IL
ZIP 60187
Phone: (630) 510-6900
Fax: (630) 871-6706
- Individual
- Male
- Family Medicine
- Medicare Quality Reporting
About MARK NELSON
This page provides the complete NPI Profile along with additional information for Mark Nelson, a primary care provider established in Wheaton, Illinois with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1942277942 assigned on March 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 036072356 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1942277942
- Provider Name
- MARK NELSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 150 E WILLOW AVE STE 300 WHEATON, IL 60187
- Location Phone
- (630) 510-6900
- Location Fax
- (630) 871-6706
- Mailing Address
- 1860 PAYSPHERE CIR CHICAGO, IL 60674
- Mailing Phone
- (630) 469-9200
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-08-2006
- Last Update Date
- 02-24-2021
- Code Navigator
A primary care provider (PCP) like Mark 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.
- 036072356
- License State
- IL
- 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 |
|---|---|---|---|
| 036072356 | MEDICAID (05) | IL |
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.
Blood test, basic group of blood chemicals (calcium, total)
Blood test, lipids (cholesterol and triglycerides)
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hemoglobin a1c level
Insertion of needle into vein for collection of blood sample
Liver enzyme (sgot), level
Liver enzyme (sgpt), level
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
This service was performed 22 times for 21 patientsA lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
This service was performed 21 times for 20 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 36 times for 32 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 50 times for 36 patientsHemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
This service was performed 17 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 48 times for 38 patientsA Liver Enzyme (SGOT) Level test is a simple blood test used to measure the amount of certain enzymes in your blood. These enzymes are normally found in liver cells. If the liver is damaged or diseased, these enzymes can leak into your bloodstream, indicating potential liver issues.
This service was performed 20 times for 19 patientsA liver enzyme (SGPT) level test is a blood test that checks the health of your liver. SGPT is an enzyme found in your liver cells. If your liver is damaged or inflamed, SGPT can leak into your bloodstream, raising the enzyme level. This test helps identify liver diseases early.
This service was performed 20 times for 19 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 |
|---|
Reviews for MARK NELSON MD
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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 | 9 | 4 | 2 | 2 | 7 | 7 | 9 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 4 | 7 | 14 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 8 + 2 + 4 + 7 + 1 + 4 + 9 + 8 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1942277942 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184870131 | DEJAN RIKERT D.O. Individual | Family Medicine | 150 E WILLOW AVE STE 300 WHEATON, IL 60187 (630) 510-6900 |
| 1245235100 | ROBERT KEMP MD Individual | Family Medicine | 150 E WILLOW AVE STE 300 WHEATON, IL 60187 (630) 510-6900 |
| 1285950287 | TESSIE THOMAS MATHEW D.O. Individual | Family Medicine | 150 E WILLOW AVE STE 300 WHEATON, IL 60187 (630) 510-6900 |
| 1316151848 | PATRICK MICHAEL MACKEY M.D. Individual | Internal Medicine | 150 E WILLOW AVE STE 300 WHEATON, IL 60187 (630) 469-7700 |
| 1366609323 | ANITA KINGA BEDNARZ MD Individual | Family Medicine | 150 E WILLOW AVE STE 300 WHEATON, IL 60187 (630) 510-6900 |
| 1528027398 | ELIZABETH ANN GIESE M.D. Individual | Family Medicine | 150 E WILLOW AVE STE 300 WHEATON, IL 60187 (630) 510-6900 |
| 1598049645 | ROSANNE J BROWNE MD Individual | Family Medicine | 150 E WILLOW AVE STE 300 WHEATON, IL 60187 (630) 510-6900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942277942, enumerated in the NPI registry as an "individual" on March 08, 2006
The provider is located at 150 E Willow Ave Ste 300 Wheaton, Il 60187 and the phone number is (630) 510-6900
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: Blood test, basic group of blood chemicals (calcium, total), Blood test, lipids (cholesterol and triglycerides), Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hemoglobin a1c level, Insertion of needle into vein for collection of blood sample, Liver enzyme (sgot), level and Liver enzyme (sgpt), level.
This NPI record was last updated on March 08, 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].
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