Active NPI 1841287620 Individual Practitioner Male Practitioner

Dr. Richard O Nelson , MD

Internal Medicine • Warren, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Richard Nelson, MD is a certified Internal Medicine practicing in Warren, NJ. With approximately 41 years of clinical experience since graduating from New York Medical College in 1985, Dr. Nelson delivers high-quality medical care to the local community at 34 MOUNTAIN BLVD.

Dr. Nelson is affiliated with Summit Medical Group Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

34 Mountain Blvd
Summit Medical Group

Warren, NJ 070592640

Telephone 9087690100

Fax 9087692512

Associated Practice Facility / Clinic

🏢 Warren Pediatric Associates Facility NPI 1821369422

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Warren, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +10.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

29 Specialists

Practicing in Warren, NJ (4957 Statewide)

Telehealth Adoption Rate

44.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (41 Years) 41 Yrs

Warren Specialty Average (30.3 Years) 30.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	600	349	$274.00	$139.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	364	364	$236.00	$141.68
99213 Established patient office or other outpatient visit, typically 15 minutes	326	252	$188.00	$99.47
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	317	242	$39.00	$17.55
36415 Insertion of needle into vein for collection of blood sample	305	242	$15.00	$8.65
80053 Blood test, comprehensive group of blood chemicals	242	224	$40.00	$10.35
82570 Creatinine level to test for kidney function or muscle injury	184	156	$22.00	$5.05
83036 Hemoglobin A1C level	178	161	$40.00	$9.47
81001 Manual urinalysis test with examination using microscope, automated	171	160	$13.00	$3.09
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	170	161	$32.00	$7.61
82043 Urine microalbumin (protein) level	167	148	$24.00	$5.63
80061 Blood test, lipids (cholesterol and triglycerides)	153	152	$55.00	$13.03
84443 Blood test, thyroid stimulating hormone (TSH)	146	144	$69.00	$16.46
G0008 Administration of influenza virus vaccine	128	128	$50.00	$35.50
90662 Influenza vaccine split virus, preservative free	120	120	$118.00	$80.67
82784 Gammaglobulin (immune system protein) measurement	55	18	$38.00	$9.11
84153 Psa (prostate specific antigen) measurement, total	49	49	$76.00	$18.02
99495 Transitional care management services for problem of at least moderate complexity	41	40	$416.00	$227.47
G0009 Administration of pneumococcal vaccine	39	38	$50.00	$35.50
83521 Measurement of immunoglobulin light chains	30	16	$52.00	$16.92
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	27	27	$335.00	$173.35
82306 Vitamin d-3 level	26	24	$121.00	$29.01
87088 Bacterial urine culture	25	22	$34.00	$7.93
87086 Bacterial colony count, urine	25	22	$33.00	$7.91
90471 Administration of 1 vaccine	24	22	$50.00	$23.09
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	24	24	$511.00	$292.08
84156 Total protein level, urine	20	19	$15.00	$3.60
84165 Protein measurement, serum	19	17	$36.00	$10.53
82607 Cyanocobalamin (vitamin B-12) level	18	13	$62.00	$14.78
84166 Protein measurement, body fluid	18	17	$71.67	$17.59
86334 Immunologic analysis technique on serum (immunofixation)	18	17	$75.00	$21.89
80048 Blood test, basic group of blood chemicals (calcium, total)	17	17	$35.00	$8.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$346.00	$168.96
82728 Ferritin (blood protein) level	13	13	$56.00	$13.36
85044 Red blood count, manual test	13	12	$18.00	$4.22
83550 Iron binding capacity	13	13	$36.00	$8.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$366.00	$196.40
83540 Iron level	12	12	$27.00	$6.34
84155 Total protein level, blood	12	12	$15.00	$3.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	722	393	$15.00	$8.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	587	345	$274.00	$140.14
80053 Blood test, comprehensive group of blood chemicals	569	373	$40.00	$10.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	411	346	$32.00	$7.59
81001 Manual urinalysis test with examination using microscope, automated	408	346	$13.00	$3.10
84443 Blood test, thyroid stimulating hormone (TSH)	364	344	$69.00	$16.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	362	362	$236.00	$142.20
80061 Blood test, lipids (cholesterol and triglycerides)	352	338	$55.00	$13.11
99213 Established patient office or other outpatient visit, typically 15 minutes	340	259	$188.00	$99.62
82570 Creatinine level to test for kidney function or muscle injury	325	207	$22.00	$5.06
82043 Urine microalbumin (protein) level	320	206	$24.00	$5.64
83036 Hemoglobin A1C level	280	213	$40.00	$9.45
G0008 Administration of influenza virus vaccine	126	122	$50.00	$33.97
90662 Influenza vaccine split virus, preservative free	114	113	$118.00	$71.84
84153 Psa (prostate specific antigen) measurement, total	111	103	$76.00	$18.02
87088 Bacterial urine culture	66	52	$34.00	$7.93
87086 Bacterial colony count, urine	66	51	$33.00	$7.91
82784 Gammaglobulin (immune system protein) measurement	52	19	$38.00	$9.11
G0009 Administration of pneumococcal vaccine	52	52	$50.00	$33.97
90671 Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use	41	41	$444.00	$241.28
90471 Administration of 1 vaccine	29	28	$50.00	$22.97
80048 Blood test, basic group of blood chemicals (calcium, total)	29	25	$35.00	$8.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	25	$366.00	$195.06
99495 Transitional care management services for problem of at least moderate complexity	28	27	$416.00	$223.74
82306 Vitamin d-3 level	25	23	$121.00	$29.01
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$335.00	$181.42
83540 Iron level	24	18	$27.00	$6.34
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	24	18	$13.00	$8.48
85652 Red blood cell sedimentation rate, to detect inflammation, automated	24	20	$12.00	$2.65
83550 Iron binding capacity	24	18	$36.00	$8.57
82728 Ferritin (blood protein) level	24	18	$56.00	$13.36
87077 Bacterial culture for aerobic isolates	23	18	$33.00	$7.92
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	22	12	$70.00	$16.69
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	21	21	$65.00	$17.69
85044 Red blood count, manual test	18	15	$18.00	$4.22
86140 Measurement C-reactive protein for detection of infection or inflammation	17	14	$22.00	$5.08
82607 Cyanocobalamin (vitamin B-12) level	17	16	$62.00	$14.78
83690 Lipase (fat enzyme) level	15	14	$29.00	$6.75
82150 Amylase (enzyme) level	15	14	$27.00	$6.35
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b	12	12	$198.00	$139.78
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$30.00	$21.63
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$188.64	$130.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	703	393	$15.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	671	366	$274.00	$142.58
80053 Blood test, comprehensive group of blood chemicals	513	363	$40.00	$10.38
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	427	352	$32.00	$7.63
84443 Blood test, thyroid stimulating hormone (TSH)	370	335	$69.00	$16.58
80061 Blood test, lipids (cholesterol and triglycerides)	356	328	$55.00	$13.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	343	343	$236.00	$145.80
81001 Manual urinalysis test with examination using microscope, automated	341	293	$13.00	$3.12
83036 Hemoglobin A1C level	332	221	$40.00	$9.53
99213 Established patient office or other outpatient visit, typically 15 minutes	262	213	$188.00	$100.86
82043 Urine microalbumin (protein) level	165	140	$24.00	$5.67
82570 Creatinine level to test for kidney function or muscle injury	165	139	$22.00	$5.08
82784 Gammaglobulin (immune system protein) measurement	131	39	$38.00	$8.84
G0008 Administration of influenza virus vaccine	116	113	$50.00	$33.73
84153 Psa (prostate specific antigen) measurement, total	109	104	$76.00	$18.14
90662 Influenza vaccine split virus, preservative free	104	103	$118.00	$68.38
87088 Bacterial urine culture	75	55	$34.00	$7.99
87086 Bacterial colony count, urine	65	50	$33.00	$7.96
90471 Administration of 1 vaccine	63	60	$50.00	$19.23
80048 Blood test, basic group of blood chemicals (calcium, total)	51	42	$35.00	$8.37
G0009 Administration of pneumococcal vaccine	46	45	$50.00	$33.94
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	42	20	$100.00	$41.68
83540 Iron level	37	30	$27.00	$6.21
82728 Ferritin (blood protein) level	37	30	$56.00	$13.09
83550 Iron binding capacity	36	29	$36.00	$8.39
85044 Red blood count, manual test	36	30	$18.00	$4.25
84165 Protein measurement, serum	33	31	$36.00	$10.31
86334 Immunologic analysis technique on serum (immunofixation)	31	30	$75.00	$21.41
82607 Cyanocobalamin (vitamin B-12) level	30	27	$62.00	$14.88
90671 Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use	28	27	$444.00	$242.07
84155 Total protein level, blood	26	24	$15.00	$3.40
99495 Transitional care management services for problem of at least moderate complexity	26	24	$416.00	$232.23
85652 Red blood cell sedimentation rate, to detect inflammation, automated	24	22	$12.00	$2.56
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$335.00	$186.20
84439 Thyroxine (thyroid chemical), free	23	22	$37.00	$8.99
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	23	17	$13.00	$8.53
87077 Bacterial culture for aerobic isolates	21	17	$33.00	$7.97
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$108.00	$107.20
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b	18	16	$198.00	$140.89
83880 Natriuretic peptide (heart and blood vessel protein) level	17	17	$139.00	$39.03
82306 Vitamin d-3 level	16	15	$121.00	$29.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$346.00	$186.24
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$30.00	$21.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$366.00	$201.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	640	370	$274.00	$146.08
36415 Insertion of needle into vein for collection of blood sample	635	384	$15.00	$3.00
80053 Blood test, comprehensive group of blood chemicals	460	348	$40.00	$10.54
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	396	332	$32.00	$7.75
81001 Manual urinalysis test with examination using microscope, automated	382	313	$13.00	$3.17
84443 Blood test, thyroid stimulating hormone (TSH)	353	325	$69.00	$16.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	339	339	$236.00	$149.10
80061 Blood test, lipids (cholesterol and triglycerides)	320	298	$55.00	$13.39
99213 Established patient office or other outpatient visit, typically 15 minutes	281	223	$188.00	$103.23
83036 Hemoglobin A1C level	278	204	$40.00	$9.68
G0008 Administration of influenza virus vaccine	139	139	$50.00	$19.51
90662 Influenza vaccine split virus, preservative free	132	132	$116.33	$65.13
82784 Gammaglobulin (immune system protein) measurement	119	35	$38.00	$9.07
84153 Psa (prostate specific antigen) measurement, total	101	95	$76.00	$18.39
87088 Bacterial urine culture	77	57	$34.00	$8.09
82570 Creatinine level to test for kidney function or muscle injury	56	51	$22.00	$5.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	45	$366.00	$203.23
82043 Urine microalbumin (protein) level	53	49	$24.00	$5.78
84439 Thyroxine (thyroid chemical), free	46	42	$37.00	$9.02
80048 Blood test, basic group of blood chemicals (calcium, total)	45	39	$35.00	$8.46
84165 Protein measurement, serum	37	33	$36.00	$10.74
84155 Total protein level, blood	36	32	$15.00	$3.57
83550 Iron binding capacity	35	27	$36.00	$8.49
83540 Iron level	35	27	$27.00	$6.29
86334 Immunologic analysis technique on serum (immunofixation)	34	30	$75.00	$22.34
82728 Ferritin (blood protein) level	34	27	$56.00	$13.23
87086 Bacterial colony count, urine	31	25	$33.00	$8.07
G0009 Administration of pneumococcal vaccine	29	29	$50.00	$19.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$108.00	$108.00
85044 Red blood count, manual test	25	21	$18.00	$4.14
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	23	19	$100.00	$42.13
83880 Natriuretic peptide (heart and blood vessel protein) level	23	19	$139.00	$39.26
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	23	15	$70.00	$17.03
82607 Cyanocobalamin (vitamin B-12) level	22	21	$62.00	$15.08
85652 Red blood cell sedimentation rate, to detect inflammation, automated	22	21	$12.00	$2.70
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$335.00	$188.46
99495 Transitional care management services for problem of at least moderate complexity	21	20	$416.00	$233.37
83690 Lipase (fat enzyme) level	21	20	$29.00	$6.89
82150 Amylase (enzyme) level	21	20	$27.00	$6.48
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$76.00	$19.31
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	19	16	$13.00	$8.65
87077 Bacterial culture for aerobic isolates	17	16	$33.00	$8.08
90471 Administration of 1 vaccine	15	15	$50.00	$19.53
82306 Vitamin d-3 level	14	13	$121.00	$29.60
90472 Administration of vaccine, each additional vaccine	12	12	$25.00	$14.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	538	359	$15.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	531	343	$274.00	$122.17
80053 Blood test, comprehensive group of blood chemicals	412	332	$40.00	$10.42
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	364	318	$32.00	$7.67
81001 Manual urinalysis test with examination using microscope, automated	358	313	$13.00	$3.11
84443 Blood test, thyroid stimulating hormone (TSH)	317	303	$69.00	$16.61
80061 Blood test, lipids (cholesterol and triglycerides)	305	294	$55.00	$13.24
99213 Established patient office or other outpatient visit, typically 15 minutes	296	217	$188.00	$84.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	285	285	$236.00	$130.36
83036 Hemoglobin A1C level	222	167	$40.00	$9.54
82784 Gammaglobulin (immune system protein) measurement	102	33	$38.00	$9.24
G0008 Administration of influenza virus vaccine	82	80	$50.00	$19.01
84153 Psa (prostate specific antigen) measurement, total	68	67	$76.00	$18.28
87088 Bacterial urine culture	47	40	$34.00	$8.05
99442 Telephone medical discussion with physician, 11-20 minutes	46	40	$122.24	$74.65
84439 Thyroxine (thyroid chemical), free	44	43	$37.00	$8.97
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	44	44	$30.00	$19.39
90662 Influenza vaccine split virus, preservative free	38	38	$63.00	$60.98
84165 Protein measurement, serum	35	34	$36.00	$10.67
G0103 Prostate cancer screening; prostate specific antigen test (psa)	34	34	$76.00	$19.16
86334 Immunologic analysis technique on serum (immunofixation)	34	33	$75.00	$22.19
99441 Telephone medical discussion with physician, 5-10 minutes	32	27	$65.38	$41.10
G0009 Administration of pneumococcal vaccine	31	31	$63.48	$18.36
80048 Blood test, basic group of blood chemicals (calcium, total)	30	17	$35.00	$8.39
84155 Total protein level, blood	28	27	$15.00	$3.65
87086 Bacterial colony count, urine	27	23	$33.00	$8.04
85044 Red blood count, manual test	26	25	$18.00	$4.29
99495 Transitional care management services for problem of at least moderate complexity	25	25	$416.00	$208.87
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$335.00	$177.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$366.00	$163.80
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	22	18	$70.00	$16.94
85652 Red blood cell sedimentation rate, to detect inflammation, automated	21	20	$12.00	$2.69
82607 Cyanocobalamin (vitamin B-12) level	21	19	$62.00	$14.99
82728 Ferritin (blood protein) level	20	19	$56.00	$13.56
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	20	20	$100.00	$42.13
82570 Creatinine level to test for kidney function or muscle injury	20	20	$22.00	$5.17
83550 Iron binding capacity	20	19	$36.00	$8.70
83690 Lipase (fat enzyme) level	19	16	$29.00	$6.88
83540 Iron level	19	18	$27.00	$6.44
82150 Amylase (enzyme) level	19	16	$27.00	$6.47
82043 Urine microalbumin (protein) level	18	18	$24.00	$5.77
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$346.00	$190.74
90670 Pneumococcal vaccine for injection into muscle	16	16	$212.00	$184.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$108.00	$107.59
87077 Bacterial culture for aerobic isolates	14	12	$33.00	$8.06
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	14	12	$13.00	$8.63
86140 Measurement C-reactive protein for detection of infection or inflammation	13	13	$22.00	$5.16
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	11	11	$100.00	$45.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	722	420	$15.00	$2.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	616	338	$246.61	$118.27
99213 Established patient office or other outpatient visit, typically 15 minutes	600	372	$162.17	$81.71
80053 Blood test, comprehensive group of blood chemicals	504	370	$40.00	$11.44
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	445	354	$32.00	$8.42
81001 Manual urinalysis test with examination using microscope, automated	416	355	$13.00	$3.45
84443 Blood test, thyroid stimulating hormone (TSH)	373	344	$69.00	$18.30
80061 Blood test, lipids (cholesterol and triglycerides)	326	306	$55.00	$14.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	313	313	$236.00	$128.48
83036 Hemoglobin A1C level	270	193	$40.00	$10.40
G0008 Administration of influenza virus vaccine	162	159	$50.00	$18.67
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	140	138	$30.00	$18.38
84153 Psa (prostate specific antigen) measurement, total	75	69	$76.00	$20.03
87088 Bacterial urine culture	71	55	$34.00	$8.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	67	67	$346.00	$188.41
G0009 Administration of pneumococcal vaccine	55	55	$88.00	$18.67
84439 Thyroxine (thyroid chemical), free	53	52	$37.00	$9.82
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	51	11	$5.00	$1.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	11	$72.00	$18.76
80048 Blood test, basic group of blood chemicals (calcium, total)	50	41	$35.00	$8.84
82728 Ferritin (blood protein) level	43	35	$56.00	$14.50
83540 Iron level	42	34	$27.00	$6.88
83550 Iron binding capacity	42	34	$36.00	$9.29
87086 Bacterial colony count, urine	41	29	$33.00	$8.79
85044 Red blood count, manual test	39	34	$18.00	$4.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	36	36	$108.00	$102.82
82607 Cyanocobalamin (vitamin B-12) level	34	33	$62.00	$16.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	28	$333.19	$150.55
G0103 Prostate cancer screening; prostate specific antigen test (psa)	30	30	$76.00	$20.03
85652 Red blood cell sedimentation rate, to detect inflammation, automated	29	26	$12.00	$2.90
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	28	21	$70.00	$18.32
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$335.00	$182.25
82570 Creatinine level to test for kidney function or muscle injury	25	21	$22.00	$5.41
90662 Influenza vaccine split virus, preservative free	24	24	$63.00	$54.78
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	23	15	$14.00	$9.42
87077 Bacterial culture for aerobic isolates	23	15	$33.00	$8.79
99495 Transitional care management services for problem of at least moderate complexity	23	23	$372.70	$174.54
90670 Pneumococcal vaccine for injection into muscle	21	21	$212.00	$206.47
82043 Urine microalbumin (protein) level	20	18	$24.00	$5.98
83880 Natriuretic peptide (heart and blood vessel protein) level	19	18	$139.00	$38.47
82150 Amylase (enzyme) level	16	14	$27.00	$6.18
83690 Lipase (fat enzyme) level	16	15	$29.00	$7.03
82550 Creatine kinase (cardiac enzyme) level, total	16	11	$27.00	$6.65
83735 Magnesium level	14	12	$28.00	$6.77
82306 Vitamin d-3 level	12	12	$121.00	$29.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	862	490	$146.00	$80.18
36415 Insertion of needle into vein for collection of blood sample	660	390	$15.00	$2.91
80053 Blood test, comprehensive group of blood chemicals	480	340	$40.00	$12.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	455	272	$217.00	$118.17
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	389	315	$32.00	$9.39
81001 Manual urinalysis test with examination using microscope, automated	343	299	$13.00	$3.83
84443 Blood test, thyroid stimulating hormone (TSH)	305	287	$69.00	$20.33
83036 Hemoglobin A1C level	296	213	$40.00	$11.61
80061 Blood test, lipids (cholesterol and triglycerides)	272	261	$55.00	$16.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	232	232	$346.00	$188.63
G0008 Administration of influenza virus vaccine	182	176	$50.00	$23.23
87088 Bacterial urine culture	134	58	$34.00	$9.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$236.00	$129.59
90662 Influenza vaccine split virus, preservative free	94	94	$63.00	$51.74
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	91	87	$30.00	$18.24
G0009 Administration of pneumococcal vaccine	62	62	$88.00	$23.23
87086 Bacterial colony count, urine	53	36	$33.00	$9.76
84153 Psa (prostate specific antigen) measurement, total	50	46	$76.00	$22.26
84439 Thyroxine (thyroid chemical), free	49	44	$37.00	$10.91
83540 Iron level	48	40	$27.00	$7.74
82728 Ferritin (blood protein) level	48	40	$56.00	$16.29
83550 Iron binding capacity	47	39	$36.00	$10.44
80048 Blood test, basic group of blood chemicals (calcium, total)	41	32	$35.00	$9.73
87077 Bacterial culture for aerobic isolates	40	31	$33.00	$9.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	13	$61.60	$22.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	40	13	$5.00	$1.91
85652 Red blood cell sedimentation rate, to detect inflammation, automated	38	31	$12.00	$3.26
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	38	31	$36.00	$10.46
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	36	36	$105.00	$102.90
85044 Red blood count, manual test	34	32	$18.00	$5.12
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	30	26	$70.00	$20.60
90670 Pneumococcal vaccine for injection into muscle	27	27	$212.00	$198.75
82607 Cyanocobalamin (vitamin B-12) level	24	22	$62.00	$16.72
G0103 Prostate cancer screening; prostate specific antigen test (psa)	23	23	$76.00	$22.26
99495 Transitional care management services for problem of at least moderate complexity	21	19	$333.00	$182.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$335.00	$183.30
82306 Vitamin d-3 level	15	14	$121.00	$35.82
83880 Natriuretic peptide (heart and blood vessel protein) level	15	14	$139.00	$41.06
86431 Rheumatoid factor level	15	14	$24.00	$6.86
87070 Bacterial culture	14	14	$36.00	$10.43
82570 Creatinine level to test for kidney function or muscle injury	12	12	$22.00	$6.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	863	491	$146.00	$80.65
36415 Insertion of needle into vein for collection of blood sample	682	394	$15.00	$2.90
80053 Blood test, comprehensive group of blood chemicals	518	336	$40.00	$11.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	415	264	$217.00	$117.09
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	384	311	$32.00	$10.45
81001 Manual urinalysis test with examination using microscope, automated	334	271	$13.00	$4.25
83036 Hemoglobin A1C level	302	195	$40.00	$13.01
84443 Blood test, thyroid stimulating hormone (TSH)	288	265	$69.00	$22.59
80061 Blood test, lipids (cholesterol and triglycerides)	245	228	$55.00	$13.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	165	165	$346.00	$188.19
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	145	141	$29.63	$18.26
G0008 Administration of influenza virus vaccine	144	140	$53.17	$28.81
87088 Bacterial urine culture	90	59	$34.00	$10.88
87086 Bacterial colony count, urine	75	50	$33.00	$10.85
G0009 Administration of pneumococcal vaccine	68	68	$88.00	$29.01
84439 Thyroxine (thyroid chemical), free	62	55	$37.00	$12.12
84153 Psa (prostate specific antigen) measurement, total	50	48	$76.00	$24.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	16	$59.00	$29.16
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	48	14	$5.00	$2.98
90670 Pneumococcal vaccine for injection into muscle	43	43	$212.00	$185.36
82728 Ferritin (blood protein) level	41	32	$56.00	$18.33
83550 Iron binding capacity	41	32	$36.00	$11.75
87077 Bacterial culture for aerobic isolates	39	28	$33.00	$10.86
83540 Iron level	36	29	$27.00	$8.70
80048 Blood test, basic group of blood chemicals (calcium, total)	33	28	$35.00	$10.98
85044 Red blood count, manual test	31	25	$18.00	$5.79
85652 Red blood cell sedimentation rate, to detect inflammation, automated	28	25	$12.00	$3.63
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	27	27	$335.00	$182.38
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	26	19	$70.00	$22.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$236.00	$128.27
G0103 Prostate cancer screening; prostate specific antigen test (psa)	24	24	$76.00	$24.73
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$105.00	$94.60
82607 Cyanocobalamin (vitamin B-12) level	22	22	$62.00	$20.27
82570 Creatinine level to test for kidney function or muscle injury	19	19	$22.00	$6.59
82043 Urine microalbumin (protein) level	16	16	$24.00	$7.28
87070 Bacterial culture	15	15	$36.00	$11.58
82150 Amylase (enzyme) level	14	13	$27.00	$8.71
82306 Vitamin d-3 level	14	14	$121.00	$39.80
83690 Lipase (fat enzyme) level	14	14	$29.00	$9.26
86431 Rheumatoid factor level	14	13	$24.00	$7.62
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	11	11	$100.00	$19.18
83880 Natriuretic peptide (heart and blood vessel protein) level	11	11	$139.00	$45.63

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ MA48833

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.

Hospital & Practice Group Affiliations

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Elisabeth Rogers , DO

Pediatrics

NPI 1033157508

Doctor of Osteopathic Medicine (D.O.)

Dr. Beth Singer , MD

Pediatrics

NPI 1033182514

Doctor of Medicine (M.D.)

Dr. Jyoti Sinha , MD

Pediatrics - Pediatric Gastroenterology

NPI 1205164134

Doctor of Medicine (M.D.)

Dr. Carole Lytle , MD

Internal Medicine

NPI 1205879814

Doctor of Medicine (M.D.)

Dr. James Levey , MD

Obstetrics & Gynecology

NPI 1316936669

Doctor of Medicine (M.D.)

Dr. Monib Zirvi , MD

Dermatology

NPI 1457307464

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2017

Registered at 34 MOUNTAIN BLVD, SUMMIT MEDICAL GROUP, WARREN, NJ 070592640 (Tel: 9082734300)

📍

Updated Business Mailing Address February 27, 2017

Registered at 1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082734300)

👤

Provider Name / Credentials Updated February 27, 2017

Recorded as RICHARD NELSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2017

Internal Medicine (License #MA48833 in NJ)

✅

NPI Profile Active April 18, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 18, 2008

Registered at 1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082734300)

📍

Updated Business Mailing Address April 18, 2008

Registered at 1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082734300)

👤

Provider Name / Credentials Updated April 18, 2008

Recorded as RICHARD NELSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2008

Internal Medicine (License #MA48833 in NJ)

🟢

Initial NPI Registration & Enumeration October 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Richard Nelson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1841287620

Entity Type:

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

Enumeration Date: October 05, 2005

Last Update: July 10, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Diamond Hill Rd, Summit Medical Group

Berkeley Heights, NJ 079222104

Phone: 9082734300

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.