Active NPI 1164443875 Individual Practitioner Male Practitioner

Dr. Eric R Nelson , MD

Orthopaedic Surgery • Waupun, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eric Nelson, MD is a certified Orthopaedic Surgery practicing in Waupun, WI. With approximately 25 years of clinical experience since graduating from Medical College Of Wisconsin in 2001, Dr. Nelson delivers high-quality medical care to the local community at 608 W BROWN ST.

Dr. Nelson is affiliated with Agnesian Healthcare Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

608 W Brown St

Waupun, WI 539631788

Telephone 9203246802

Associated Practice Facility / Clinic

🏢 Agnesian Healthcare Inc Facility NPI 1750326203

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Waupun, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -7.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Waupun, WI (688 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (25 Years) 25 Yrs

Waupun Specialty Average (32.0 Years) 32.0 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	180	26	$5.11	$0.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$361.00	$116.59
20610 Aspiration and/or injection of fluid from large joint	29	22	$706.21	$71.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$543.00	$155.96
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$249.00	$85.28
73560 X-ray of knee, 1-2 views	14	11	$120.86	$9.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	128	23	$5.00	$1.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$516.87	$158.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$344.09	$118.22
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$237.35	$86.31
20610 Aspiration and/or injection of fluid from large joint	22	20	$609.95	$67.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	112	20	$5.00	$1.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$497.00	$159.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	26	$323.00	$121.19
99213 Established patient office or other outpatient visit, typically 15 minutes	23	15	$227.00	$77.45
20610 Aspiration and/or injection of fluid from large joint	21	17	$555.95	$67.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	13	$6.00	$1.28
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$219.30	$88.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$314.00	$125.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$477.00	$156.08
20610 Aspiration and/or injection of fluid from large joint	14	12	$554.93	$65.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	11	$7.35	$1.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	27	$152.00	$43.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$332.00	$104.30
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$212.00	$72.80
20610 Aspiration and/or injection of fluid from large joint	13	11	$516.92	$64.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	140	21	$15.90	$1.60
20610 Aspiration and/or injection of fluid from large joint	35	19	$433.57	$51.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	27	$147.58	$43.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$322.24	$104.15
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$206.88	$71.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	172	26	$15.55	$1.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	48	$141.49	$42.02
20610 Aspiration and/or injection of fluid from large joint	45	25	$418.40	$50.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$308.08	$102.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	176	26	$15.13	$1.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	41	$135.84	$41.31
20610 Aspiration and/or injection of fluid from large joint	46	24	$399.61	$51.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$293.68	$100.54
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$186.50	$69.88
27447 Replacement of knee joint, both sides of knee	13	11	$11975.85	$1281.06

Medical Specialties & State Licenses

CMS Verified: 2020-10-21

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 53439-020

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.

Hospital & Practice Group Affiliations

Agnesian Healthcare Inc

608 W Brown St, Waupun, WI 539631702

Phone: 9203246800

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Thomas Grossman , MD

Orthopaedic Surgery

NPI 1699749689

Doctor of Medicine (M.D.)

Dr. Bert Callahan , MD

Orthopaedic Surgery

NPI 1760573927

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 02, 2016

Registered at 608 W BROWN ST, WAUPUN, WI 539631788 (Tel: 9203246802)

📍

Updated Business Mailing Address March 02, 2016

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209268340)

👤

Provider Name / Credentials Updated March 02, 2016

Recorded as ERIC NELSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2016

Orthopaedic Surgery (License #53439-020 in WI)

🟢

Initial NPI Registration & Enumeration July 21, 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: 1164443875

Entity Type:

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

Enumeration Date: July 21, 2006

Last Update: October 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

420 E Division St

Fond Du Lac, WI 549354560

Phone: 9209268340

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.