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Active NPI 1558362475 Individual Practitioner Male Practitioner

Dr. John R Nelson , MD

Internal Medicine • Cadillac, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Nelson, MD is a certified Internal Medicine practicing in Cadillac, MI. With approximately 28 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1998, Dr. Nelson delivers high-quality medical care to the local community at 400 HOBART ST.

Dr. Nelson maintains professional affiliations with Sound Inpatient Physicians-Michigan Pllc, Apogee Medical Group Michigan Pc, Wexford Physician Services Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, hospital observation care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Hobart St

Cadillac, MI 496012331

Telephone 2318767200
Fax 2318766519
Associated Practice Facility / Clinic
🏢 Twin Lakes Anesthesia Facility NPI 1295773851

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cadillac, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +5.6 yrs vs City Avg
City Avg: 22.4 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Cadillac, MI (6010 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (28 Years) 28 Yrs
Cadillac Specialty Average (22.4 Years) 22.4 Yrs

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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
111 97 $1378.08 $164.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
31 31 $895.51 $125.18

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI 4301072309

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4410114 (MI)
Commercial Insurance / Payer ID Blue Cross Billing Number
110H310180 (MI)
Commercial Insurance / Payer ID Pref Choice Billing Numbe
133381 (MI)
Commercial Insurance / Payer ID Community Choice Billing
383552631103 (MI)
Commercial Insurance / Payer ID Molina
4410114 (MI)
Commercial Insurance / Payer ID Priority Health Billing
27544 (MI)

Hospital & Practice Group Affiliations

Sound Inpatient Physicians-Michigan Pllc

200 Hemlock St, Tawas City, MI 487639237

Phone: 9893623411

Apogee Medical Group Michigan Pc

850 W Baraga Ave, Marquette, MI 498554550

Phone: 9064493747

Wexford Physician Services Pc

400 Hobart St, Cadillac, MI 496012331

Phone: 2318767200

Practice Associates & Co-Workers

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

36 Associated Practitioners
Ann Cane , NP-C

Nurse Practitioner - Adult Health

NPI 1003096272

Nurse Practitioner (Certified)

NPI 1013876838
Stephen Knop , PA-C

Physician Assistant - Medical

NPI 1023018181

Physician Assistant (Certified)

Dr. Grant Crago , MD

Anesthesiology

NPI 1023068608

Doctor of Medicine (M.D.)

Martin Beatty , PA

Physician Assistant

NPI 1043266885

Physician Assistant

Dr. Gary Shintani , DO

Internal Medicine

NPI 1083615025

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2008

Registered at 400 HOBART ST, CADILLAC, MI 496012331 (Tel: 2318767200)

📍
Updated Business Mailing Address September 24, 2008

Registered at 400 HOBART ST, CADILLAC, MI 496012331 (Tel: 2318767200)

👤
Provider Name / Credentials Updated September 24, 2008

Recorded as JOHN NELSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2008

Internal Medicine (License #4301072309 in MI)

🟢
Initial NPI Registration & Enumeration August 02, 2005

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: 1558362475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2005
Last Update: September 24, 2008
Sole Proprietor: No

Mailing Address

400 Hobart St

Cadillac, MI 496012331

Phone: 2318767200

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.