Active NPI 1760647366 Individual Practitioner Male Practitioner

Dr. James Nels , DO

Internal Medicine • Lancaster, PA

Professional Overview & Biography Verified Profile Summary

Dr. James Nels, DO is a registered healthcare professional specializing in Internal Medicine in Lancaster, PA. Practice services are available at 250 COLLEGE AVE under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

250 College Ave

Lancaster, PA 176033363

Telephone 7179880000

Fax 7177825716

Associated Practice Facility / Clinic

🏢 William Wiest Dba Red Rose Pharmacy Facility NPI 1942295456

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lancaster, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

93 Specialists

Practicing in Lancaster, PA (7609 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.6% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$163.21	$77.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	41	$145.00	$78.07
99238 Hospital discharge day management, 30 minutes or less	13	13	$145.00	$79.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	42	$116.00	$78.94
99239 Hospital discharge day management, more than 30 minutes	17	17	$174.00	$118.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	283	280	$1012.78	$176.89
99284 Emergency department visit with moderate level of medical decision making	88	88	$731.99	$120.79
99283 Emergency department visit with low level of medical decision making	33	33	$418.96	$63.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	11	$865.97	$95.61
99291 Critical care, first 30-74 minutes	24	24	$1485.88	$221.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	135	130	$1348.49	$173.27
99284 Emergency department visit with moderate level of medical decision making	78	74	$916.18	$116.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	69	37	$840.75	$100.79
99283 Emergency department visit with low level of medical decision making	52	50	$471.56	$61.56
99239 Hospital discharge day management, more than 30 minutes	19	19	$866.40	$96.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$1633.05	$200.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	147	140	$603.39	$116.37
99285 Emergency department visit for life threatening or functioning severity	60	60	$952.92	$172.14
99283 Emergency department visit with low level of medical decision making	29	29	$402.28	$61.31
99282 Emergency department visit with straightforward medical decision making	27	27	$264.30	$41.06

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA OS015283

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License PA OSO15283

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License PA OS015283

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

102563313 (PA)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Joseph Benaknin , DO

Emergency Medicine

NPI 1003024936

Doctor of Osteopathic Medicine (D.O.)

Ahna Fulmer , CRNP

Nurse Practitioner

NPI 1003244252

Certified Registered Nurse Practitioner

Jonelle Derk , CRNP

Nurse Practitioner - Family

NPI 1003487992

Certified Registered Nurse Practitioner

Dr. Joanne Gordon , MD

Internal Medicine

NPI 1003869389

Doctor of Medicine (M.D.)

Dr. Richard Birrer , MD

Emergency Medicine

NPI 1013050202

Doctor of Medicine (M.D.)

Dr. Katie Miller , MD

Emergency Medicine

NPI 1023050028

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location April 10, 2018

Registered at 250 COLLEGE AVE, LANCASTER, PA 176033363 (Tel: 7179880000)

📍

Updated Business Mailing Address April 10, 2018

Registered at 409 S 2ND ST STE 2F, HARRISBURG, PA 171041612

✅

NPI Profile Active February 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 12, 2013

Registered at 325 S BELMONT ST, YORK, PA 174032608 (Tel: 7178438623)

📍

Updated Business Mailing Address February 12, 2013

Registered at 325 S BELMONT ST, YORK, PA 174032608

👤

Provider Name / Credentials Updated February 12, 2013

Recorded as JAMES NELS, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2013

Emergency Medicine (License #OSO15283 in PA)

🟢

Initial NPI Registration & Enumeration July 23, 2008

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: 1760647366

Entity Type:

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

Enumeration Date: July 23, 2008

Last Update: April 10, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

409 S 2nd St Ste 2f

Harrisburg, PA 171041612

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.