Active NPI 1316360639 Individual Practitioner Male Practitioner

Brian Nelson

Surgery • Puyallup, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brian Nelson is a certified Surgery practicing in Puyallup, WA. With approximately 45 years of clinical experience since graduating from Saint Louis University School Of Medicine in 1981, Brian Nelson delivers high-quality medical care to the local community at 208 17TH AVE SE.

Brian Nelson is affiliated with Cascade Hernia And Surgical Solutions Ps and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established 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

208 17th Ave Se

Puyallup, WA 983724515

Telephone 2538401999

Associated Practice Facility / Clinic

🏢 Cascade Hernia And Surgical Solutions Ps Facility NPI 1477616936

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Puyallup, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +20.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

15 Specialists

Practicing in Puyallup, WA (818 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (45 Years) 45 Yrs

Puyallup Specialty Average (24.5 Years) 24.5 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$529.00	$161.82
99213 Established patient office or other outpatient visit, typically 15 minutes	26	18	$231.00	$90.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$340.00	$127.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$656.00	$218.17

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	46	46	$529.00	$165.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$656.00	$218.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	24	$458.00	$173.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$340.00	$123.19
99213 Established patient office or other outpatient visit, typically 15 minutes	21	15	$231.00	$89.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$706.89	$214.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$627.44	$167.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$418.50	$123.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$558.89	$180.10

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	43	43	$529.00	$168.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$656.00	$222.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	26	$458.00	$182.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$340.00	$130.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	35	$458.00	$147.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$529.00	$162.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	15	$340.00	$109.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$656.00	$209.49

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	35	35	$529.00	$162.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$656.00	$207.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$458.00	$146.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$340.00	$105.12

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	26	26	$529.00	$152.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$458.00	$141.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$656.00	$201.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$340.00	$104.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$656.00	$188.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$458.00	$132.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$529.00	$149.73

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD00020208

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.

Hospital & Practice Group Affiliations

Cascade Hernia And Surgical Solutions Ps

208 17th Ave Se, Puyallup, WA 983724515

Phone: 2538401999

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Robert Wright , MD FACS

Surgery

NPI 1649346347

MDFACS

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 22, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 22, 2014

Registered at 208 17TH AVE SE, PUYALLUP, WA 983724515 (Tel: 2538401999)

📍

Updated Business Mailing Address January 22, 2014

Registered at 208 17TH AVE SE, PUYALLUP, WA 983724515 (Tel: 2538401999)

👤

Provider Name / Credentials Updated January 22, 2014

Recorded as BRIAN NELSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2014

Surgery (License #MD00020208 in WA)

🟢

Initial NPI Registration & Enumeration January 22, 2014

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: 1316360639

Entity Type:

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

Enumeration Date: January 22, 2014

Last Update: January 22, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

208 17th Ave Se

Puyallup, WA 983724515

Phone: 2538401999

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.