Active NPI 1386753895 Individual Practitioner Male Practitioner

Dr. Thomas Erl Nelson , MD

Orthopaedic Surgery • Tucson, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Nelson, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Tucson, AZ. Practice services are available at 6567 E CARONDELET DR STE 415 under active NPI credentials.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, aspiration and/or injection of fluid from large joint, x-ray of knee, 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6567 E Carondelet Dr Ste 415

Tucson, AZ 857106157

Telephone 5208877700

Fax 5208495735

Associated Practice Facility / Clinic

🏢 Infinite Health Collaborative, Pa Facility NPI 1902988728

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tucson, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.3 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

80 Specialists

Practicing in Tucson, AZ (501 Statewide)

Telehealth Adoption Rate

3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	5,988	55	$0.37	$0.13
20610 Aspiration and/or injection of fluid from large joint	120	85	$191.00	$67.11
73562 X-ray of knee, 3 views	113	78	$100.00	$39.49
J1030 Injection, methylprednisolone acetate, 40 mg	110	44	$19.00	$6.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	72	$122.00	$54.17
73502 X-ray of hip, 2-3 views	89	55	$116.00	$45.95
99213 Established patient office or other outpatient visit, typically 15 minutes	56	49	$202.00	$87.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$299.00	$107.70
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$208.00	$69.09
27130 Replacement of thigh bone and hip joint with prosthesis	24	23	$3829.00	$1237.54
27447 Replacement of knee joint, both sides of knee	13	13	$3941.00	$1233.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$456.00	$161.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	336	94	$18.83	$7.61
20610 Aspiration and/or injection of fluid from large joint	147	97	$191.00	$69.51
73562 X-ray of knee, 3 views	124	84	$100.00	$40.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	88	$122.00	$55.08
99213 Established patient office or other outpatient visit, typically 15 minutes	105	84	$202.00	$88.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$299.00	$110.27
73502 X-ray of hip, 2-3 views	59	44	$116.00	$46.32
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$208.00	$71.18
27447 Replacement of knee joint, both sides of knee	30	27	$3941.00	$1251.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$456.00	$164.01
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$3829.00	$1265.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	976	79	$5.20	$1.15
20610 Aspiration and/or injection of fluid from large joint	177	101	$179.61	$70.49
99213 Established patient office or other outpatient visit, typically 15 minutes	162	116	$191.04	$88.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	140	108	$115.36	$54.78
J1030 Injection, methylprednisolone acetate, 40 mg	129	33	$18.41	$6.83
73562 X-ray of knee, 3 views	128	90	$94.44	$40.23
73502 X-ray of hip, 2-3 views	120	71	$108.83	$46.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$283.49	$110.15
27447 Replacement of knee joint, both sides of knee	33	32	$3703.88	$1288.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$427.22	$164.53
27130 Replacement of thigh bone and hip joint with prosthesis	21	20	$3626.33	$1238.95
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$194.00	$71.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$276.00	$126.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	327	50	$5.00	$1.16
J1030 Injection, methylprednisolone acetate, 40 mg	145	56	$17.00	$5.39
20610 Aspiration and/or injection of fluid from large joint	140	91	$175.00	$67.78
99213 Established patient office or other outpatient visit, typically 15 minutes	111	93	$186.00	$89.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	84	$112.00	$55.67
73502 X-ray of hip, 2-3 views	101	68	$105.24	$45.67
73562 X-ray of knee, 3 views	94	71	$92.00	$39.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$275.00	$111.66
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$191.00	$72.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$419.00	$163.40
27130 Replacement of thigh bone and hip joint with prosthesis	28	26	$3525.00	$1295.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$274.00	$129.24
27447 Replacement of knee joint, both sides of knee	20	18	$3628.00	$1274.26
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$259.00	$100.20
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$3197.00	$1235.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	188	17	$5.00	$0.12
73562 X-ray of knee, 3 views	107	74	$92.52	$38.80
J1030 Injection, methylprednisolone acetate, 40 mg	105	41	$17.00	$5.90
73502 X-ray of hip, 2-3 views	88	64	$109.07	$44.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$422.00	$163.15
20610 Aspiration and/or injection of fluid from large joint	68	57	$185.56	$68.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$284.97	$105.71
99213 Established patient office or other outpatient visit, typically 15 minutes	45	42	$194.80	$74.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	37	$116.89	$45.16
73564 X-ray of knee, 4 or more views	24	19	$110.79	$42.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$281.50	$105.22
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$3591.00	$1386.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	143	21	$5.00	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	56	46	$204.00	$73.72
73502 X-ray of hip, 2-3 views	52	29	$116.00	$38.84
20610 Aspiration and/or injection of fluid from large joint	32	26	$195.94	$66.56
73564 X-ray of knee, 4 or more views	28	24	$111.00	$41.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$301.00	$108.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$302.00	$107.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$123.00	$44.69
73562 X-ray of knee, 3 views	15	12	$100.00	$33.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$210.08	$72.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$461.00	$163.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	94	55	$151.21	$46.51
99213 Established patient office or other outpatient visit, typically 15 minutes	94	75	$154.00	$49.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	47	$82.00	$24.69
73562 X-ray of knee, 3 views	46	27	$22.00	$9.37
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$160.32	$49.14
73030 X-ray of shoulder, minimum of 2 views	34	22	$22.00	$9.38
73501 X-ray of hip with pelvis, 1 view	31	24	$22.00	$9.38
73564 X-ray of knee, 4 or more views	25	21	$26.00	$11.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	89	$148.85	$49.51
20610 Aspiration and/or injection of fluid from large joint	91	55	$160.22	$47.63
73501 X-ray of hip with pelvis, 1 view	59	36	$22.00	$9.37
73564 X-ray of knee, 4 or more views	36	32	$33.94	$14.53
73562 X-ray of knee, 3 views	32	23	$24.06	$10.24
73030 X-ray of shoulder, minimum of 2 views	30	19	$24.20	$10.29
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$154.00	$48.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	24	$80.00	$24.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$234.00	$73.62

Medical Specialties & State Licenses

CMS Verified: 2020-05-29

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MN 32898

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License AZ 56958

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

751197300 (MN)

Commercial Insurance / Payer ID Bluecross Blueshield

190J2NE

Commercial Insurance / Payer ID Ucare

140144E948

Commercial Insurance / Payer ID Medica

900625

Commercial Insurance / Payer ID Wisc Medicaid

82707400

Commercial Insurance / Payer ID Healthpartners

HP31501

Commercial Insurance / Payer ID Preferredone

96999102573

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Maryclare Mccarthy , MD

Orthopaedic Surgery - Hand Surgery

NPI 1124076096

Doctor of Medicine (M.D.)

Dr. Robert Kersey , MD

Orthopaedic Surgery - Sports Medicine

NPI 1356304190

Doctor of Medicine (M.D.)

Holly Mcchesney , PA

Physician Assistant

NPI 1457141145

Physician Assistant

Kristen Finley , FNP-C

Nurse Practitioner

NPI 1730712373

Family Nurse Practitioner (Certified)

Roianne Bandimere , PA-C

Physician Assistant - Surgical

NPI 1801511647

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location May 29, 2020

Registered at 6567 E CARONDELET DR STE 415, TUCSON, AZ 857106157 (Tel: 5208877700)

✅

NPI Profile Active July 11, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2007

Registered at 7373 FRANCE AVE S, SUITE 312, EDINA, MN 554354534 (Tel: 9528320076)

📍

Updated Business Mailing Address July 11, 2007

Registered at 6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 554261728 (Tel: 9525125600)

👤

Provider Name / Credentials Updated July 11, 2007

Recorded as THOMAS NELSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2007

Orthopaedic Surgery (License #32898 in MN)

🟢

Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386753895

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 29, 2006

Last Update: May 29, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6465 Wayzata Blvd, Suite 900

St Louis Park, MN 554261728

Phone: 9525125600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.