Active NPI 1033120100 Individual Practitioner Male Practitioner

Dr. Thomas Nelius , MD

Urology • Abilene, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Nelius, MD is a certified Urology practicing in Abilene, TX. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Nelius delivers high-quality medical care to the local community at 1904 PINE ST STE 3A.

Dr. Nelius is affiliated with Hendrick Provider Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, leuprolide acetate (for depot suspension), 7.5 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1904 Pine St Ste 3a

Abilene, TX 796012450

Telephone 3256706180

Fax 8334371278

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Abilene, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +13.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

9 Specialists

Practicing in Abilene, TX (1027 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelius (31 Years) 31 Yrs

Abilene 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
99213 Established patient office or other outpatient visit, typically 15 minutes	527	362	$257.00	$85.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	226	87	$226.00	$75.18
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	195	28	$499.00	$178.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	125	$364.00	$120.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	165	165	$486.00	$158.36
51798 Ultrasound measurement of bladder capacity after voiding	140	133	$30.00	$10.37
52000 Diagnostic exam of bladder and urethra using an endoscope	128	109	$700.00	$221.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	63	$496.00	$165.48
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	55	28	$96.00	$33.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	37	$371.00	$124.76
51700 Simple bladder irrigation and/or instillation	33	30	$216.00	$72.06
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	26	$1164.15	$120.91
76872 Ultrasound scan of pelvic region through rectum	25	25	$93.00	$29.83
55700 Biopsy of prostate gland	25	25	$686.00	$119.70
50590 Shock wave crushing of kidney stones	19	19	$2102.00	$546.11
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$907.00	$301.37
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1744.00	$374.54
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2109.00	$628.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	364	251	$256.95	$86.07
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	285	36	$526.62	$171.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	175	$364.68	$121.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	154	63	$227.69	$76.03
51798 Ultrasound measurement of bladder capacity after voiding	110	95	$30.83	$10.10
52000 Diagnostic exam of bladder and urethra using an endoscope	102	82	$675.02	$226.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$483.86	$158.46
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	83	36	$96.65	$32.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$500.53	$164.03
50590 Shock wave crushing of kidney stones	28	23	$2118.14	$540.24
55700 Biopsy of prostate gland	27	27	$705.11	$123.13
76872 Ultrasound scan of pelvic region through rectum	24	24	$94.13	$31.15
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	20	$1140.50	$124.41
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	14	$907.00	$304.98
51700 Simple bladder irrigation and/or instillation	11	11	$216.00	$72.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	336	260	$256.00	$87.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	274	195	$373.00	$124.19
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	270	41	$874.60	$175.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$564.00	$161.41
52000 Diagnostic exam of bladder and urethra using an endoscope	107	94	$318.16	$240.24
J0696 Injection, ceftriaxone sodium, per 250 mg	104	26	$3.00	$0.50
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	72	39	$105.00	$32.34
51798 Ultrasound measurement of bladder capacity after voiding	63	56	$43.41	$10.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	33	$252.00	$68.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$700.00	$189.63
55700 Biopsy of prostate gland	32	32	$858.00	$231.17
81003 Automated urinalysis test	30	26	$18.90	$2.22
76872 Ultrasound scan of pelvic region through rectum	28	28	$435.64	$137.95
76872 Ultrasound scan of pelvic region through rectum	18	18	$100.67	$32.19
50590 Shock wave crushing of kidney stones	15	14	$2269.33	$553.19
55700 Biopsy of prostate gland	14	14	$858.00	$124.63
55874 Injection of biodegradable material next to prostate	12	12	$558.00	$145.61

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	236	176	$360.29	$126.65
99213 Established patient office or other outpatient visit, typically 15 minutes	218	170	$246.11	$88.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$564.00	$162.01
52000 Diagnostic exam of bladder and urethra using an endoscope	99	91	$721.00	$223.16
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	87	12	$827.00	$172.98
51798 Ultrasound measurement of bladder capacity after voiding	62	56	$43.00	$9.88
J0696 Injection, ceftriaxone sodium, per 250 mg	52	13	$3.00	$0.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	22	$360.00	$99.35
81003 Automated urinalysis test	29	27	$17.00	$2.25
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	12	$104.00	$31.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$489.30	$131.50
50590 Shock wave crushing of kidney stones	19	15	$2069.37	$550.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$252.00	$69.62
55700 Biopsy of prostate gland	14	14	$858.00	$245.53
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	12	$77.00	$22.18
76872 Ultrasound scan of pelvic region through rectum	14	14	$489.00	$136.82
76872 Ultrasound scan of pelvic region through rectum	11	11	$489.00	$30.16
55700 Biopsy of prostate gland	11	11	$531.55	$118.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	260	223	$17.00	$2.21
99213 Established patient office or other outpatient visit, typically 15 minutes	199	176	$165.78	$73.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	134	$264.95	$107.21
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	103	18	$584.78	$224.68
51798 Ultrasound measurement of bladder capacity after voiding	46	43	$53.04	$9.74
52000 Diagnostic exam of bladder and urethra using an endoscope	41	35	$632.95	$202.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$525.45	$158.46
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	18	$89.53	$30.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$700.00	$202.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$230.00	$130.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	13	$323.47	$103.99
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	12	$65.46	$22.59
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$145.00	$100.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	344	259	$17.00	$2.41
99213 Established patient office or other outpatient visit, typically 15 minutes	234	201	$142.59	$71.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	134	$249.19	$102.58
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	83	13	$470.47	$224.93
51798 Ultrasound measurement of bladder capacity after voiding	79	71	$65.62	$12.02
52000 Diagnostic exam of bladder and urethra using an endoscope	47	39	$494.94	$176.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	25	$313.55	$102.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$574.71	$199.63
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	23	13	$81.04	$29.74
76770 Complete ultrasound scan behind abdominal cavity	21	19	$299.62	$103.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$167.00	$105.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$235.11	$135.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$408.47	$160.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	17	$57.71	$21.97
51702 Simple insertion of temporary bladder tube	15	13	$200.80	$60.29
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$145.00	$99.87
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	14	$717.21	$147.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	393	295	$17.00	$2.66
99213 Established patient office or other outpatient visit, typically 15 minutes	269	239	$132.62	$68.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	123	$202.99	$99.96
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	98	14	$455.92	$214.07
51798 Ultrasound measurement of bladder capacity after voiding	93	85	$68.23	$14.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	25	$77.28	$37.10
52000 Diagnostic exam of bladder and urethra using an endoscope	44	39	$482.07	$153.16
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	27	14	$77.11	$28.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$230.00	$129.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	13	$243.00	$98.66
76770 Complete ultrasound scan behind abdominal cavity	22	21	$301.00	$100.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$358.14	$154.11
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	17	$592.44	$106.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$461.41	$191.81
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$145.00	$95.66
76856 Complete ultrasound scan of pelvis	13	12	$292.00	$82.81
76775 Limited ultrasound scan behind abdominal cavity	12	12	$222.00	$53.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$167.00	$101.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	476	331	$17.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	325	278	$139.00	$69.24
51798 Ultrasound measurement of bladder capacity after voiding	136	113	$67.65	$17.79
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	110	15	$433.77	$209.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	86	$196.13	$102.17
52000 Diagnostic exam of bladder and urethra using an endoscope	54	49	$483.17	$152.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$367.53	$153.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	19	$77.00	$38.07
51702 Simple insertion of temporary bladder tube	27	18	$181.48	$59.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	19	$243.00	$101.20
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	11	$76.00	$30.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$472.00	$196.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$230.00	$132.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$78.00	$41.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$167.00	$99.57
55700 Biopsy of prostate gland	12	12	$469.67	$236.70
50590 Shock wave crushing of kidney stones	11	11	$1733.09	$557.63
76770 Complete ultrasound scan behind abdominal cavity	11	11	$301.00	$107.39

Medical Specialties & State Licenses

CMS Verified: 2025-04-10

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License TX N6530

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

45456283 (NM)

Medicaid State Provider ID

182602601 (TX)

Medicaid State Provider ID

200092680A (OK)

Commercial Insurance / Payer ID Tx Medicare

8G8023 (TX)

Commercial Insurance / Payer ID Bc/bs

8G7987 (TX)

Commercial Insurance / Payer ID Cshcn

182602602 (TX)

Hospital & Practice Group Affiliations

Hendrick Provider Network

1904 Pine St, Abilene, TX 796012450

Phone: 3256704220

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Trey Durdin , MD

Urology

NPI 1003295320

Doctor of Medicine (M.D.)

Dr. Katherine Holden Rinard , MD

Urology

NPI 1225299795

Doctor of Medicine (M.D.)

Shannon Richardson , FNP-C

Nurse Practitioner - Family

NPI 1346902525

Family Nurse Practitioner (Certified)

Rebecca Smith , FNP-C

Nurse Practitioner

NPI 1497268023

Family Nurse Practitioner (Certified)

Dustie Price , FNP-C

Nurse Practitioner - Family

NPI 1689338188

Family Nurse Practitioner (Certified)

Seth Olcese

Urology

NPI 1750644860

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 10, 2025

Registered at 1904 PINE ST STE 3A, ABILENE, TX 796012450 (Tel: 3256706180)

📍

Updated Business Mailing Address April 10, 2025

Registered at 1904 PINE ST STE 3A, ABILENE, TX 796012450 (Tel: 3256706180)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2025

Urology (License #N6530 in TX)

✅

NPI Profile Active July 19, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2007

Registered at 3502 9TH ST, SUITE 260, LUBBOCK, TX 794153300 (Tel: 8067431810)

📍

Updated Business Mailing Address July 19, 2007

Registered at PO BOX 5865, LUBBOCK, TX 794085865 (Tel: 8067432898)

👤

Provider Name / Credentials Updated July 19, 2007

Recorded as THOMAS NELIUS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2007

Urology (License #41473 in TX)

🟢

Initial NPI Registration & Enumeration August 11, 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: 1033120100

Entity Type:

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

Enumeration Date: August 11, 2006

Last Update: April 10, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1904 Pine St Ste 3a

Abilene, TX 796012450

Phone: 3256706180

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.