NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1457844912 MD
Verify on CMS → Avery Nelson, MD
Otolaryngology Physician in Keene, New Hampshire.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,060 in Otolaryngology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
262
Medicare Part D claims · 108 beneficiaries · Otolaryngology Physician avg: 536
MIPS score
76/100
▼ 7 pts below national avg 83.5 · Above neutral
Industry payments
$17.66
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Avery Nelson, MD reported a CMS MIPS final score of 76/100 - below the 83.5 national average - and filed 262 Medicare Part D claims in 2024.
- 76/100
- MIPS score · -7 vs avg
- 262
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥17th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Avery Nelson, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1457844912), first enumerated 06/10/2018.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 262 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 76/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
4 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$17.66 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1457844912 · Otolaryngology Physician
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1457844912
- ENUM-RECENT 2018
- TAX-MID 11K Otolaryngology Physician
- MIPS-BELOW 76/100
- RX-LIGHT 262
- BOOK-THIN 50 in New Hampshire
- PHOTO-FINISH Steven Ranzenberger,… · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Nelson · this pr…
Nelson · this provider
76 MIPS pts
- Steven Ranzenber…
Steven Ranzenberger, D.O.
76 MIPS pts
- Navdeep Sayal, D…
Navdeep Sayal, D.O.
76.1 MIPS pts
- George Shahade, …
George Shahade, D.O.
76.1 MIPS pts
- Sylvester Ramire…
Sylvester Ramirez, MD
76.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Avery Nelson, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
76 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Avery Nelson, MD sits
This provider among otolaryngology physician peers
Across the 3,290 otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Avery Nelson, MD writes more Part D claims than 36% of them and scores higher on MIPS quality than 22% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one otolaryngology physician peer from a representative sample of 60; the gold marker is Avery Nelson, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Avery Nelson, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Avery Nelson, MD?
Below national averagePrimary specialty
Otolaryngology Physician
Medicare Part D claims
262 51% vs specialty avg
MIPS final score
76/100 7.5 pts vs avg
Specialty distribution in New Hampshire
How Otolaryngology Physician compares to other specialties among New Hampshire providers
Medicare quality performance, MIPS
Avery Nelson, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average
- MIPS Final Score
- 76/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1457844912 |
|---|---|
| Specialty | Otolaryngology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 06/10/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.0183
Final Score
Measured-score avg: 83.5
65.3198
Quality
54.7412
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Avery Nelson, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
According to CMS billing records, Avery Nelson, MD is affiliated with 4 Medicare-billing facilities across 2 states, 1 of which carry a CMS Hospital overall star rating.
Cheshire Medical Center
★★★★☆ 4/5
Keene, NH
Acute Care Hospitals
CMS CCN: 300019
Central Dupage Physician Group
Geneva, IL
Dartmouth-Hitchcock Clinic
Keene, NH
Northwestern Medical Faculty Foundation
St Charles, IL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Avery Nelson, MD. Source: openpaymentsdata.cms.gov.
Total received
$18
Largest payer
Checkpoint Surgical, Inc
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
262
Total Claims
$3K
Total Drug Cost
108
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 359.633
- Total Day Supply
- 8,139
- Generic Drug Cost
- $3K
- Opioid Claims
- 23 (8.8% rate)
- Antibiotic Claims
- 32
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 1.31
- Gender Split
- 46% female / 54% male
- Age Distribution
- <65: 20, 65-74: N/A, 75-84: 41, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Avery Nelson, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Fluticasone Propio…
Fluticasone Propionate
44 claims
- Famotidine
Famotidine
39 claims
- Pantoprazole Sodium
Pantoprazole Sodium
26 claims
- Oxycodone Hcl
Oxycodone Hcl
22 claims
- Prednisone 15
Prednisone
15 claims
- Cephalexin 14
Cephalexin
14 claims
- Ipratropium Bromide 12
Ipratropium Bromide
12 claims
- Omeprazole 11
Omeprazole
11 claims
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 44 |
| Famotidine | 39 |
| Pantoprazole Sodium | 26 |
| Oxycodone Hcl | 22 |
| Prednisone | 15 |
| Cephalexin | 14 |
| Ipratropium Bromide | 12 |
| Omeprazole | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Otolaryngology Physician Overview
How Avery Nelson, MD fits within the Otolaryngology Physician landscape nationally.
11,060
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
536
Avg Claims per Provider
Avery Nelson, MD's 262 claims are below the specialty average of 536.
Nationwide Otolaryngology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Nelson, both outside New Hampshire so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (76 here).
Same NPPES enumeration year (2018)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Otolaryngology Physician Providers in New Hampshire
Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as Nelson.
One of 50 Otolaryngology Physician providers enrolled in New Hampshire, 5 are shown here.
Dr. Eric Anderson
MD
Exeter, NH
Dr. Taraneh Azar
MD
Portsmouth, NH
Dr. James Bartels
MD
Manchester, NH
Dr. Judson Belmont
MD
Manchester, NH
Dr. Mark Carwell
MD
Concord, NH
Compare Otolaryngology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Avery Nelson, MD's specialty? ▼
Avery Nelson, MD specializes in Otolaryngology Physician and practices in Keene, New Hampshire. Credentials: MD.
How much does Avery Nelson, MD prescribe under Medicare Part D? ▼
In 2024, Avery Nelson, MD wrote 262 Medicare Part D claims totaling $3K in drug costs for 108 beneficiaries.
What is Avery Nelson, MD's Medicare quality score? ▼
Avery Nelson, MD has a CMS MIPS Final Score of 76/100 (Quality: 65.3, Cost: 54.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Avery Nelson, MD located? ▼
Avery Nelson, MD is located at 580 COURT ST, Keene, NH, 03431. Phone: (603) 354-5496.
What is Avery Nelson, MD's NPI number? ▼
Avery Nelson, MD's National Provider Identifier (NPI) is 1457844912, issued on 06/10/2018.
Does Avery Nelson, MD prescribe opioids? ▼
Yes, Avery Nelson, MD had 23 opioid claims in 2024 with an opioid prescribing rate of 8.8%.
How many Otolaryngology Physician providers are there in the US? ▼
There are 11,060 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 536 Medicare Part D claims per year.
What drugs does Avery Nelson, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Avery Nelson, MD's most frequently prescribed drugs include Fluticasone Propionate, Famotidine, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Avery Nelson, MD accept Medicare? ▼
Avery Nelson, MD appears in CMS Medicare data with 262 Part D claims and 108 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Avery Nelson, MD's credentials? ▼
Avery Nelson, MD's NPI is 1457844912 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.