Active NPI 1104076579 Individual Practitioner Male Practitioner

Dr. William Henry Nelson , MD

Surgery • Pittsburgh, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Nelson, MD is a certified Surgery practicing in Pittsburgh, PA. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Nelson delivers high-quality medical care to the local community at 420 E NORTH AVE STE 304.

Dr. Nelson is affiliated with Allegheny Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital inpatient care per day, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

420 E North Ave Ste 304

Pittsburgh, PA 152124746

Telephone 4123594068

Fax 4123596732

Associated Practice Facility / Clinic

🏢 Allegheny Clinic Facility NPI 1598169229

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Pittsburgh, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +0.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

208 Specialists

Practicing in Pittsburgh, PA (1976 Statewide)

Telehealth Adoption Rate

14.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (18 Years) 18 Yrs

Pittsburgh Specialty Average (17.8 Years) 17.8 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	32	$226.04	$76.97
99221 Initial hospital inpatient care per day, typically 30 minutes	29	28	$239.59	$80.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$480.20	$162.80
49650 Repair of groin hernia using an endoscope	18	18	$1338.83	$422.67
47562 Removal of gallbladder using an endoscope	17	17	$1909.88	$646.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$162.06	$53.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$321.00	$107.81

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	68	44	$226.71	$77.61
99221 Initial hospital inpatient care per day, typically 30 minutes	28	27	$258.00	$81.45
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$264.06	$83.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$330.47	$105.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$487.41	$162.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$372.67	$124.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$529.73	$174.29
47562 Removal of gallbladder using an endoscope	11	11	$1968.45	$647.29

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	39	25	$206.56	$69.92
99221 Initial hospital inpatient care per day, typically 30 minutes	29	28	$290.34	$98.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$479.00	$164.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$327.67	$105.81

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	30	19	$201.00	$71.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$479.00	$166.43
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$282.00	$99.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$518.00	$179.51

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	33	24	$200.00	$72.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$447.00	$163.40
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$279.00	$103.00

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	63	42	$181.00	$68.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$405.00	$154.06
99221 Initial hospital inpatient care per day, typically 30 minutes	25	24	$253.00	$100.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$264.00	$106.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$341.00	$126.16

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	65	42	$179.52	$71.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$259.50	$105.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$340.56	$134.96
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$252.00	$100.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	67	16	$131.00	$61.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	32	$149.72	$68.81
97597 Removal of tissue from wound, 20.0 sq cm or less	31	18	$90.00	$23.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$177.00	$104.51
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$109.15	$70.52
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$102.00	$49.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$237.00	$134.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$312.58	$198.72

Medical Specialties & State Licenses

CMS Verified: 2020-10-05

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD442050

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

102883822 (PA)

Commercial Insurance / Payer ID Caqh

12570367

Hospital & Practice Group Affiliations

Allegheny Clinic

701 Broad St, Sewickley, PA 151431652

Phone: 4127410966

Allegheny Clinic

420 E N Ave, Pittsburgh, PA 152124746

Allegheny Clinic

12311 Perry Hwy, Wexford, PA 150908344

Phone: 8783324149

Allegheny Clinic

12351 Perry Hwy, Wexford, PA 150908344

Phone: 4123596581

Allegheny Clinic

12311 Perry Hwy, Wexford, PA 150908344

Phone: 4123593457

Allegheny Clinic

320 E N Ave, Pittsburgh, PA 152124756

Allegheny Clinic

4800 Friendship Ave, Pittsburgh, PA 152241722

Secondary Practice Locations

4815 Liberty Ave Ste M58

Pittsburgh, PA 152242156

Phone: 4125781448

Practice Associates & Co-Workers

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

11 Associated Practitioners

Milissa Miller , CRNP

Nurse Practitioner - Adult Health

NPI 1043681695

Certified Registered Nurse Practitioner

Dr. Charles Cobb , MD

Surgery

NPI 1326048745

Doctor of Medicine (M.D.)

Dr. Joseph Young , MD

Surgery

NPI 1619979390

Doctor of Medicine (M.D.)

Dr. John Raves , MD

Surgery

NPI 1639170913

Doctor of Medicine (M.D.)

Jessica Evola

Physician Assistant - Surgical

NPI 1649845314

Dr. Harry Williams , MD

Surgery

NPI 1750349981

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

👤

Provider Name / Credentials Updated October 05, 2020

Recorded as WILLIAM NELSON, MD

✅

NPI Profile Active June 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2017

Registered at 420 E NORTH AVE STE 304, PITTSBURGH, PA 152124746 (Tel: (412) 359-4068)

📍

Updated Business Mailing Address June 08, 2017

Registered at 420 E NORTH AVE STE 304, PITTSBURGH, PA 152124746 (Tel: (412) 359-4068)

👤

Provider Name / Credentials Updated June 08, 2017

Recorded as WILLIAM NELSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2017

Surgery (License #MD442050 in PA)

✅

NPI Profile Active October 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 14, 2016

Registered at 765 LIBERTY ST, STE. 105, MEADVILLE, PA 163352566 (Tel: 8143733434)

📍

Updated Business Mailing Address October 14, 2016

Registered at 1034 GROVE ST, CBO, MEADVILLE, PA 163352945 (Tel: 8143732923)

👤

Provider Name / Credentials Updated October 14, 2016

Recorded as WILLIAM NELSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2016

Surgery (License #MT193030 in PA)

🟢

Initial NPI Registration & Enumeration September 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: 1104076579

Entity Type:

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

Enumeration Date: September 23, 2008

Last Update: October 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

420 E North Ave Ste 304

Pittsburgh, PA 152124746

Phone: 4123594068

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.