Active NPI 1760710610 Individual Practitioner Male Practitioner

Dr. David Beck Nelles , MD

Orthopaedic Surgery • Edmonds, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Nelles, MD is a certified Orthopaedic Surgery practicing in Edmonds, WA. With approximately 17 years of clinical experience since graduating from Saint Louis University School Of Medicine in 2009, Dr. Nelles delivers high-quality medical care to the local community at 7320 216TH ST SW STE 320.

Dr. Nelles is affiliated with Proliance Surgeons Inc P S and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7320 216th St Sw Ste 320

Edmonds, WA 980268006

Telephone 4256733900

Fax 4256733910

Associated Practice Facility / Clinic

🏢 Proliance Surgeons Inc., P.s. Facility NPI 1386687747

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Edmonds, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -5.1 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

18 Specialists

Practicing in Edmonds, WA (707 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelles (17 Years) 17 Yrs

Edmonds Specialty Average (22.1 Years) 22.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$250.00	$153.66
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$220.00	$109.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$350.00	$193.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	278	196	$172.00	$107.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	159	$251.00	$152.20
72110 X-ray of lower and sacral spine, minimum of 4 views	116	115	$122.00	$65.23
72100 X-ray of lower and sacral spine, 2-3 views	111	63	$97.00	$50.21
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	54	31	$654.76	$255.74
72148 MRI scan of lower spinal canal	40	40	$1501.00	$190.29
72050 X-ray of upper spine, 4 or 5 views	31	31	$112.00	$68.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$377.00	$195.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$251.00	$132.55
72040 X-ray of upper spine, 2-3 views	22	14	$82.00	$48.68
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	15	$1556.32	$772.62
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$3828.94	$1877.97
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	12	12	$3394.00	$868.51
72141 MRI scan of upper spinal canal	12	12	$1382.00	$166.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	518	317	$172.00	$88.68
72110 X-ray of lower and sacral spine, minimum of 4 views	133	130	$122.00	$61.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	122	19	$3.00	$1.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$251.00	$128.40
72100 X-ray of lower and sacral spine, 2-3 views	72	37	$97.00	$48.75
72148 MRI scan of lower spinal canal	46	46	$1501.00	$185.90
72050 X-ray of upper spine, 4 or 5 views	44	44	$112.00	$64.92
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	40	24	$668.16	$250.88
20552 Injections of trigger points in 1 or 2 muscles	18	15	$131.00	$67.52
72070 X-ray of middle spine, 2 views	15	14	$85.00	$40.24
73502 X-ray of hip, 2-3 views	13	11	$104.00	$54.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$251.00	$129.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	625	373	$172.00	$87.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$251.00	$127.74
72110 X-ray of lower and sacral spine, minimum of 4 views	117	112	$122.00	$64.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	96	12	$3.00	$1.35
J1030 Injection, methylprednisolone acetate, 40 mg	65	28	$5.00	$4.79
72148 MRI scan of lower spinal canal	59	59	$1501.00	$188.42
72100 X-ray of lower and sacral spine, 2-3 views	53	25	$97.00	$45.71
72050 X-ray of upper spine, 4 or 5 views	38	38	$112.00	$62.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$251.00	$128.81
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	30	15	$696.00	$263.43
73502 X-ray of hip, 2-3 views	29	20	$104.00	$52.02
72040 X-ray of upper spine, 2-3 views	26	16	$82.00	$42.18
20552 Injections of trigger points in 1 or 2 muscles	24	20	$131.00	$63.95
22614 Fusion of additional segment of spine	23	11	$696.39	$345.62
20610 Aspiration and/or injection of fluid from large joint	21	18	$166.67	$74.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$452.00	$227.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$377.00	$191.58
72070 X-ray of middle spine, 2 views	16	13	$85.00	$38.73
72141 MRI scan of upper spinal canal	12	12	$1382.00	$172.18
72114 X-ray lower and sacral spine, minimum of 6 views	11	11	$156.00	$63.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	494	322	$172.00	$82.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$251.00	$121.51
72110 X-ray of lower and sacral spine, minimum of 4 views	96	96	$122.00	$58.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	65	$251.00	$118.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$377.00	$181.09
72148 MRI scan of lower spinal canal	50	50	$1501.00	$188.55
72100 X-ray of lower and sacral spine, 2-3 views	49	31	$97.00	$41.20
72050 X-ray of upper spine, 4 or 5 views	38	38	$112.00	$54.51
J1030 Injection, methylprednisolone acetate, 40 mg	29	17	$5.00	$4.92
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	12	$696.00	$264.34
72141 MRI scan of upper spinal canal	20	20	$1382.00	$182.56
20610 Aspiration and/or injection of fluid from large joint	20	17	$140.00	$67.52
73502 X-ray of hip, 2-3 views	19	16	$104.00	$40.60
72070 X-ray of middle spine, 2 views	17	17	$85.00	$41.12
73564 X-ray of knee, 4 or more views	16	14	$100.00	$43.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$452.00	$217.90
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	13	12	$1084.00	$519.45
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	12	12	$1163.00	$557.19
72114 X-ray lower and sacral spine, minimum of 6 views	12	12	$156.00	$75.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	485	302	$169.68	$81.53
72110 X-ray of lower and sacral spine, minimum of 4 views	110	108	$123.60	$57.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$369.06	$179.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$247.17	$120.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	88	$242.69	$120.01
J1030 Injection, methylprednisolone acetate, 40 mg	72	43	$5.00	$4.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	66	$101.75	$49.74
20610 Aspiration and/or injection of fluid from large joint	64	48	$143.38	$62.31
72148 MRI scan of lower spinal canal	63	62	$1501.00	$175.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$445.55	$215.14
72050 X-ray of upper spine, 4 or 5 views	26	26	$114.19	$53.36
72100 X-ray of lower and sacral spine, 2-3 views	26	21	$93.88	$41.49
73110 X-ray of wrist, minimum of 3 views	25	12	$86.92	$37.06
73502 X-ray of hip, 2-3 views	22	17	$103.27	$42.66
73030 X-ray of shoulder, minimum of 2 views	20	14	$73.00	$34.28
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	18	11	$688.33	$237.70
72141 MRI scan of upper spinal canal	16	16	$1382.00	$181.34
73564 X-ray of knee, 4 or more views	12	12	$99.33	$47.23

Medical Specialties & State Licenses

CMS Verified: 2026-02-03

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WA MD70063954

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License CA A138113

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License WA MD70063954

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2361633 (WA)

Hospital & Practice Group Affiliations

Proliance Surgeons Inc P S

7320 216th St Sw, Edmonds, WA 980268006

Phone: 4256733900

Secondary Practice Locations

6808 220th St Sw Ste 200

Mountlake Terrace, WA 980432187

Phone: 4259676480

Practice Associates & Co-Workers

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

27 Associated Practitioners

Tracy Gramer , OTR, L, CHT

Occupational Therapist

NPI 1144340688

Occupational Therapist Registered, L, Certified Hand Therapist

Erin Whitehall , PA-C

Physician Assistant - Surgical

NPI 1174888283

Physician Assistant (Certified)

Dr. Brian Cameron , MD

Orthopaedic Surgery

NPI 1194771998

Doctor of Medicine (M.D.)

Melissa Marie Ramirez , PA-C

Physician Assistant - Surgical

NPI 1215711189

Physician Assistant (Certified)

Janet Determan , OT

Occupational Therapist - Hand

NPI 1295990380

Occupational Therapist

Kathleen Hunter , PT

Physical Therapist

NPI 1336158922

Physical Therapist

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location February 03, 2026

Registered at 7320 216TH ST SW STE 320, EDMONDS, WA 980268006 (Tel: 4256733900)

📍

Updated Business Mailing Address February 03, 2026

Registered at 7320 216TH ST SW STE 320, EDMONDS, WA 980268006 (Tel: 4256733900)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2026

Orthopaedic Surgery (License #A138113 in CA)

✅

NPI Profile Active October 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2016

Registered at 1800 SUTTER ST, SUITE 100, CONCORD, CA 945202563 (Tel: 9259398585)

📍

Updated Business Mailing Address October 21, 2016

Registered at PO BOX 31396, WALNUT CREEK, CA 945988396 (Tel: 9259398585)

👤

Provider Name / Credentials Updated October 21, 2016

Recorded as DAVID NELLES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2016

Orthopaedic Surgery (License #57016636 in OH)

🟢

Initial NPI Registration & Enumeration December 03, 2009

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: 1760710610

Entity Type:

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

Enumeration Date: December 03, 2009

Last Update: February 03, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7320 216th St Sw Ste 320

Edmonds, WA 980268006

Phone: 4256733900

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.