Active NPI 1841209178 Individual Practitioner Male Practitioner

Dr. Ralph Bradley Nelson , DO

Internal Medicine • Algoma, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Nelson, DO is a certified Internal Medicine practicing in Algoma, WI. With approximately 25 years of clinical experience since graduating from Midwestern University, Chicago College Of Osteopathic Med in 2001, Dr. Nelson delivers high-quality medical care to the local community at 815 JEFFERSON ST.

Dr. Nelson maintains professional affiliations with Howard Young Medical Center Inc Of Woodruff Wisconsin, Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

815 Jefferson St

Algoma, WI 542011733

Telephone 9204873496

Associated Practice Facility / Clinic

🏢 Door County Memorial Hospital Facility NPI 1952639833

Medicare Profile & Education

Medical School

Midwestern University, Chicago College Of Osteopathic Med

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Algoma, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs Matches City Avg

City Avg: 25.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Algoma, WI (2181 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (25 Years) 25 Yrs

Algoma Specialty Average (25.0 Years) 25.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	214	67	$242.37	$73.37
99239 Hospital discharge day management, more than 30 minutes	39	39	$428.67	$107.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$448.28	$121.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	181	59	$230.49	$74.05
99239 Hospital discharge day management, more than 30 minutes	47	46	$406.53	$105.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$425.73	$123.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	26	$228.00	$66.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$474.31	$127.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	23	$791.48	$191.35
99239 Hospital discharge day management, more than 30 minutes	15	14	$401.00	$98.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	58	49	$34.00	$8.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	43	$804.77	$194.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	42	$542.16	$131.83
99219 Hospital observation care, typically 50 minutes	17	16	$535.41	$130.30
99220 Hospital observation care, typically 70 minutes	13	13	$735.77	$176.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	47	$763.66	$199.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$520.00	$135.04
99220 Hospital observation care, typically 70 minutes	14	14	$713.07	$182.96
99219 Hospital observation care, typically 50 minutes	13	13	$505.75	$133.64
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$34.00	$8.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	30	$197.58	$70.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$472.59	$132.40
99239 Hospital discharge day management, more than 30 minutes	15	15	$280.47	$104.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	200	97	$179.78	$70.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	93	50	$97.82	$38.08
99239 Hospital discharge day management, more than 30 minutes	80	76	$268.30	$105.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	54	$342.57	$131.40
99217 Hospital observation care on day of discharge	18	18	$181.22	$71.58
99238 Hospital discharge day management, 30 minutes or less	18	18	$179.39	$68.77
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$253.18	$97.67
99219 Hospital observation care, typically 50 minutes	11	11	$338.09	$132.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	137	75	$185.31	$70.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	68	36	$98.96	$37.97
99239 Hospital discharge day management, more than 30 minutes	43	40	$274.95	$105.14
99217 Hospital observation care on day of discharge	29	28	$195.55	$71.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$338.59	$132.38
99238 Hospital discharge day management, 30 minutes or less	24	23	$188.21	$71.04

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WI 44848

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

43513500 (WI)

Hospital & Practice Group Affiliations

Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc.

2251 N Shore Dr, Rhinelander, WI 545016710

Phone: 7153612000

Howard Young Medical Center Inc Of Woodruff Wisconsin

240 Maple St, Woodruff, WI 545689190

Phone: 7153568000

Practice Associates & Co-Workers

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

4 Associated Practitioners

Cynthia Laluzerne , APNP

Nurse Practitioner - Family

NPI 1063091171

Advanced Practice Nurse Prescriber

Dr. Nathan Hayes , DO

Family Medicine

NPI 1104949387

Doctor of Osteopathic Medicine (D.O.)

Ellen Knipfer , MSN, RN, FNP-BC

Nurse Practitioner - Family

NPI 1144629114

Master of Science in Nursing, Registered Nurse, Family Nurse Practitioner (Board Certified)

Allycia Bretl , LCSW, SAC-IT

Social Worker - Clinical

NPI 1871106492

Licensed Clinical Social Worker, SACIT

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 815 JEFFERSON ST, ALGOMA, WI 542011733 (Tel: 9204873496)

📍

Updated Business Mailing Address July 08, 2007

Registered at 323 S 18TH AVE, STURGEON BAY, WI 542351401 (Tel: 9207460510)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as RALPH NELSON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #44848 in WI)

🟢

Initial NPI Registration & Enumeration August 05, 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: 1841209178

Entity Type:

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

Enumeration Date: August 05, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

323 S 18th Ave

Sturgeon Bay, WI 542351401

Phone: 9207460510

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.