Active NPI 1083727986 Individual Practitioner Male Practitioner

Michael Scott Nelson , PA-C

Physician Assistant • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Nelson, PA-C is a certified Physician Assistant practicing in Houston, TX. With approximately 22 years of clinical experience since completing medical education in 2004, Michael Nelson delivers high-quality medical care to the local community at 412 TELEPHONE RD.

Michael Nelson is affiliated with Aic Urgent Care. Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, 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

412 Telephone Rd

Houston, TX 770231840

Telephone 7139266229

Fax 7139269292

Associated Practice Facility / Clinic

🏢 El Centro De Corazon Facility NPI 1932171667

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +10.9 yrs vs City Avg

City Avg: 11.1 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

1817 Specialists

Practicing in Houston, TX (11140 Statewide)

Telehealth Adoption Rate

17.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (22 Years) 22 Yrs

Houston Specialty Average (11.1 Years) 11.1 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
J1100 Injection, dexamethasone sodium phosphate, 1 mg	432	45	$2.97	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	69	$201.90	$106.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$285.86	$140.16
87430 Detection test by immunoassay technique for streptococcus, group a (strep)	61	60	$29.45	$15.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	49	$45.00	$11.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$186.95	$91.75
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	42	41	$285.26	$139.78
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$180.93	$76.15
81003 Automated urinalysis test	29	26	$4.00	$2.20
71046 X-ray of chest, 2 views	12	12	$65.00	$25.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	221	21	$2.97	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	86	76	$180.93	$76.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$186.24	$93.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	44	$199.92	$108.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$285.86	$139.54
81003 Automated urinalysis test	35	34	$4.00	$2.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	31	$45.00	$11.35
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	23	23	$220.00	$34.62
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	21	19	$250.00	$139.78
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	20	$49.08	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	301	28	$2.97	$0.12
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	107	95	$220.00	$43.20
99213 Established patient office or other outpatient visit, typically 15 minutes	102	83	$180.53	$78.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$186.95	$96.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	41	$155.43	$48.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	36	$45.00	$12.43
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$57.50	$16.29
81003 Automated urinalysis test	28	26	$4.00	$2.22
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$162.93	$62.95
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$49.08	$16.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$201.90	$110.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	301	29	$2.97	$0.14
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	153	139	$220.00	$45.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$186.95	$97.37
99213 Established patient office or other outpatient visit, typically 15 minutes	80	69	$180.93	$79.46
99202 New patient office or other outpatient visit, typically 20 minutes	79	79	$162.93	$63.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	49	$155.43	$49.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	48	$45.00	$12.37
J1885 Injection, ketorolac tromethamine, per 15 mg	45	12	$4.00	$0.56
81003 Automated urinalysis test	23	22	$4.00	$2.25
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	20	19	$267.00	$73.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$285.86	$145.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$201.90	$112.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	141	14	$2.97	$0.12
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	68	62	$220.00	$45.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$285.86	$142.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	49	$201.90	$91.98
99202 New patient office or other outpatient visit, typically 20 minutes	48	47	$162.93	$66.16
87804 Detection test by immunoassay with direct visual observation for influenza virus	36	18	$57.50	$16.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	29	$45.00	$12.39
99213 Established patient office or other outpatient visit, typically 15 minutes	29	23	$180.93	$65.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$285.50	$126.54
81003 Automated urinalysis test	14	13	$4.00	$2.24
94640 Inhalation treatment for airway obstruction or sputum production	12	11	$34.94	$15.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$186.95	$93.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	12	$45.00	$14.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	16	16	$1029.60	$149.01
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$71.28	$7.31
93042 Interpretation and report of electrical activity of heart using 1-3 leads	13	13	$99.79	$6.09
99291 Critical care, first 30-74 minutes	12	12	$1457.28	$192.17

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA04398

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

187788801 (TX)

Medicaid State Provider ID

187788802 (TX)

Commercial Insurance / Payer ID Tricare South

1083727986 (TX)

Commercial Insurance / Payer ID Bcbstx Provider No

8Y0711 (TX)

Hospital & Practice Group Affiliations

Aic Urgent Care. Pllc

2600 Fm 1764 Rd, La Marque, TX 775682826

Phone: 2818868964

Aic Urgent Care. Pllc

3128 S Hwy 35, Alvin, TX 775114737

Phone: 28188689649189

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Kavon Young , MD

Family Medicine

NPI 1295977130

Doctor of Medicine (M.D.)

Renee Pettis , PA-C

Physician Assistant

NPI 1568504827

Physician Assistant (Certified)

Onelia De La Cruz , RDH

Dental Hygienist

NPI 1699986232

Registered Dental Hygienist

Dr. Heather Dent , DDS

Dentist - General Practice

NPI 1992811616

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address October 23, 2018

Registered at 2600 FM 1764 RD, STE 190, LA MARQUE, TX 775682826 (Tel: 7139266229)

✅

NPI Profile Active November 25, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 25, 2015

Registered at 412 TELEPHONE RD, HOUSTON, TX 770231840 (Tel: 7139266229)

📍

Updated Business Mailing Address November 25, 2015

Registered at 412 TELEPHONE RD, HOUSTON, TX 770231840 (Tel: 7139266229)

👤

Provider Name / Credentials Updated November 25, 2015

Recorded as MICHAEL NELSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2015

Physician Assistant (License #PA04398 in TX)

🟢

Initial NPI Registration & Enumeration August 16, 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: 1083727986

Entity Type:

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

Enumeration Date: August 16, 2006

Last Update: October 23, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2600 Fm 1764 Rd, Ste 190

La Marque, TX 775682826

Phone: 7139266229

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.