Active NPI 1841296498 Individual Practitioner Male Practitioner

Dr. Duane James Nelson , MD

Specialist • Provo, UT

Professional Overview & Biography Verified Profile Summary

Dr. Duane Nelson, MD is a registered healthcare professional specializing in Specialist in Provo, UT. Practice services are available at 1055 N 300 W under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1055 N 300 W
Ste 204

Provo, UT 846043374

Telephone 8013577373

Fax 8013577217

Associated Practice Facility / Clinic

🏢 Intermountain Healthcare Facility NPI 1326096728

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Provo, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.0 Yrs

State Avg: 33.4 Yrs

Regional Practice Density

20 Specialists

Practicing in Provo, UT (427 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.3% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	139	137	$170.00	$121.39
92012 Established patient problem focused exam of visual system	38	35	$120.00	$86.15
92134 Imaging of retina	18	17	$85.00	$38.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	403	396	$170.00	$122.07
92012 Established patient problem focused exam of visual system	170	130	$120.00	$86.00
92136 Measurement of corneal curvature and depth of eye	90	50	$145.00	$38.53
92134 Imaging of retina	68	63	$85.00	$38.55
92004 New patient complete exam of visual system	66	66	$200.00	$144.80
66984 Removal of cataract with insertion of lens	55	34	$1200.00	$521.94
92250 Photography of the retina	27	26	$125.00	$35.74
66821 Removal of recurring cataract in lens capsule using a laser	25	23	$600.00	$319.96
92133 Imaging of optic nerve	24	23	$85.00	$35.43
92083 Exam of visual field with extended testing	23	22	$140.00	$60.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	460	456	$170.00	$123.04
92012 Established patient problem focused exam of visual system	181	153	$120.00	$86.75
92136 Measurement of corneal curvature and depth of eye	107	58	$145.00	$42.49
92004 New patient complete exam of visual system	90	90	$200.00	$146.29
66984 Removal of cataract with insertion of lens	85	53	$1200.00	$529.07
92134 Imaging of retina	64	62	$85.00	$39.40
66821 Removal of recurring cataract in lens capsule using a laser	39	33	$600.00	$324.72
92133 Imaging of optic nerve	26	24	$85.00	$35.52
92083 Exam of visual field with extended testing	23	23	$140.00	$61.02
92250 Photography of the retina	19	19	$125.00	$37.98
92002 New patient problem focused exam of visual system	13	13	$130.00	$83.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	473	466	$170.06	$122.57
92012 Established patient problem focused exam of visual system	191	156	$120.00	$86.02
92136 Measurement of corneal curvature and depth of eye	128	70	$145.00	$40.30
66984 Removal of cataract with insertion of lens	102	64	$1200.00	$526.39
92004 New patient complete exam of visual system	71	71	$200.00	$147.23
92134 Imaging of retina	55	52	$85.00	$39.82
66821 Removal of recurring cataract in lens capsule using a laser	37	32	$616.22	$330.25
92133 Imaging of optic nerve	35	33	$85.00	$36.12
92083 Exam of visual field with extended testing	21	21	$140.00	$61.27
92250 Photography of the retina	19	18	$125.00	$43.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	533	521	$170.00	$123.20
92012 Established patient problem focused exam of visual system	208	158	$120.00	$85.86
92136 Measurement of corneal curvature and depth of eye	106	58	$145.00	$45.42
66984 Removal of cataract with insertion of lens	90	53	$1200.00	$633.46
92004 New patient complete exam of visual system	68	68	$200.00	$147.57
92134 Imaging of retina	57	57	$85.00	$39.92
66821 Removal of recurring cataract in lens capsule using a laser	40	34	$600.00	$325.45
92083 Exam of visual field with extended testing	24	24	$140.00	$61.31
92133 Imaging of optic nerve	20	20	$85.00	$35.98
92250 Photography of the retina	18	17	$125.00	$48.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	556	548	$170.00	$121.83
92012 Established patient problem focused exam of visual system	250	194	$120.00	$83.46
92136 Measurement of corneal curvature and depth of eye	115	63	$145.00	$53.99
66984 Removal of cataract with insertion of lens	95	63	$1200.00	$620.73
92134 Imaging of retina	59	57	$85.00	$40.06
92004 New patient complete exam of visual system	55	55	$200.00	$146.30
66821 Removal of recurring cataract in lens capsule using a laser	44	38	$600.00	$314.12
92133 Imaging of optic nerve	30	29	$85.00	$36.39
92250 Photography of the retina	29	29	$125.00	$52.74
92083 Exam of visual field with extended testing	20	19	$140.00	$56.00
92002 New patient problem focused exam of visual system	16	16	$130.00	$80.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	599	580	$170.00	$118.48
92012 Established patient problem focused exam of visual system	202	154	$120.00	$81.26
92136 Measurement of corneal curvature and depth of eye	162	89	$145.00	$58.45
66984 Removal of cataract with insertion of lens	118	79	$1200.00	$616.57
92004 New patient complete exam of visual system	108	108	$200.00	$142.13
92134 Imaging of retina	82	79	$85.00	$39.03
66821 Removal of recurring cataract in lens capsule using a laser	51	44	$611.76	$313.62
92133 Imaging of optic nerve	37	34	$85.00	$35.62
92083 Exam of visual field with extended testing	30	28	$140.00	$59.37
92250 Photography of the retina	19	18	$125.00	$61.68
92002 New patient problem focused exam of visual system	13	13	$130.00	$77.78

Medical Specialties & State Licenses

CMS Verified: 2020-06-10

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License UT 1827901205

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

D2726 (UT)

Practice Associates & Co-Workers

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

14 Associated Practitioners

David Edmunds

Optometrist

NPI 1114206034

Dr. Michael Lloyd , MD

Ophthalmology

NPI 1124239009

Doctor of Medicine (M.D.)

Dr. Jeffrey Gardiner , DO

Ophthalmology

NPI 1336465566

Doctor of Osteopathic Medicine (D.O.)

Dr. Loran Cook , MD

Specialist

NPI 1396741948

Doctor of Medicine (M.D.)

Dr. David Jones , OD

Optometrist

NPI 1427087741

Doctor of Optometry

Dr. Joe Haggard , OD

Optometrist

NPI 1508863978

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 19, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 19, 2008

Registered at 1055 N 300 W, STE 204, PROVO, UT 846043374 (Tel: 8013577373)

📍

Updated Business Mailing Address May 19, 2008

Registered at 92 E 1960 N, OREM, UT 840577226

👤

Provider Name / Credentials Updated May 19, 2008

Recorded as DUANE NELSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2008

Specialist (License #1827901205 in UT)

🟢

Initial NPI Registration & Enumeration June 27, 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. Duane 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: 1841296498

Entity Type:

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

Enumeration Date: June 27, 2005

Last Update: June 10, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

92 E 1960 N

Orem, UT 840577226

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.