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2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1801259205 M.D.
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Brian Nelson, M.D.

Student in an Organized Health Care Education/Training Program in Durham, North Carolina.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 331,274 in Student in an Organized Health Care Education/Training Program, 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
164
Medicare Part D claims · 115 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
MIPS score
28.6/100
▼ 55 pts below national avg 83.5 · Below average
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Compiled from official public sources by the editorial process.

What the federal data shows

Brian Nelson, M.D. reported a CMS MIPS final score of 28.6/100 - below the 83.5 national average - and filed 164 Medicare Part D claims in 2023.

28.6/100
MIPS score · -55 vs avg
164
Part D claims, 2023
≥3rd
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.

CMS NPPES provider registry desk

NPI 1801259205 · Student in an Organized Health Care Education/Training Program

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · RX-LIGHT · BOOK-MID · PHOTO-FINISH

  • NPI-10 1801259205
  • ENUM-MID 2016
  • TAX-MEGA 331K Student in
  • MIPS-LOW 28.6/100
  • RX-LIGHT 164
  • BOOK-MID 8,660 in North Carolina
  • PHOTO-FINISH Ebrahim Alqadasi · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Brian Nelson, M.D.'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.

29 ≥ 3rd percentile 3% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). This entry sits in this band. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Brian Nelson, M.D. sits

This provider among student in an organized health care education/training program peers

Across the 12,177 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, Brian Nelson, M.D. writes more Part D claims than 38% of them and scores higher on MIPS quality than 1% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 17Brian Nelson, M.D., Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 1
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one student in an organized health care education/training program peer from a representative sample of 60; the gold marker is Brian Nelson, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Brian Nelson, M.D.?

Below national average

NPI registry status

Active

Issued 04/01/2016

NPI 1801259205

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,274 US NPIs in this specialty

Medicare Part D claims

164 64% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

28.6/100 54.9 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in North Carolina

How Student in an Organized Health Care Education/Training Program compares to other specialties among North Carolina providers

North Carolina providers
Clinical Social Worker7.1%Behavior Technician6.4%Pharmacist5%Student in an Organized Heal…4.5%Physical Therapist4.3%Physician Assistant4.2%
Largest specialties in North Carolina (% of in-state providers)

Medicare quality performance, MIPS

Brian Nelson, M.D.'s 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

Below national average
MIPS Final Score
28.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%28.6%
MIPS final score (Student in an Organized Health Care Education/Training Program) - 28.6/100 vs national avg 83.5
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

2301 ERWIN RD
Durham, NC 27705
(919) 684-8111

Provider Details

NPI 1801259205
Specialty Student in an Organized Health Care Education/Training Program
Credentials M.D.
Gender Male
NPI Issued 04/01/2016

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

28.5566
Final Score
Measured-score avg: 83.5
21.3884
Quality
55.9766
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Brian Nelson, M.D. 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.

Island Emergency Medical Services PC
Halfmoon, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

164
Total Claims
$4K
Total Drug Cost
115
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
164
Total Day Supply
2,041
Generic Drug Cost
$2K
Opioid Claims
11 (6.7% rate)
Antibiotic Claims
46

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.91
Gender Split
53% female / 47% male
Age Distribution
<65: 34, 65-74: 37, 75-84: 29, 85+: 15

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Brian Nelson, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ondansetron Odt
Ondansetron
22
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
12
Famotidine
 11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Student in an Organized Health Care Education/Training Program in NC → All providers in North Carolina → Compare specialties →

Student in an Organized Health Care Education/Training Program Overview

How Brian Nelson, M.D. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,274
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

Brian Nelson, M.D.'s 164 claims are below the specialty average of 459.

Nationwide Student in an Organized Health Care Education/Training Program peers with similar MIPS or enrollment year

Two federal-record peer sets for Nelson, both outside North Carolina so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (28.6 here).

Ebrahim Alqadasi 28.6 IL Ashley Borden 28.6 IA Arpit Trivedi 28.6 TX Allyson Winter 28.6 IA

Same NPPES enumeration year (2016)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Peter Ebeling Oklahoma City, OK Abigail Nelson Hershey, PA Paige Stephens Highlands Ranch, CO Thomas Jasterzbski Johnson City, NY

Nearby Student in an Organized Health Care Education/Training Program Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Nelson.

One of 8,660 Student in an Organized Health Care Education/Training Program providers enrolled in North Carolina, 5 are shown here.

Dr. Alison Aadahl
DMD
Charlotte, NC
Emily Aarons
Durham, NC
Dr. Yasmina Abajas
MD
Chapel Hill, NC
Bijan Abar
Durham, NC
Dr. Grant Abass
MD
Chapel Hill, NC

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is Brian Nelson, M.D.'s specialty? ▼
Brian Nelson, M.D. specializes in Student in an Organized Health Care Education/Training Program and practices in Durham, North Carolina. Credentials: M.D..
How much does Brian Nelson, M.D. prescribe under Medicare Part D? ▼
In 2023, Brian Nelson, M.D. wrote 164 Medicare Part D claims totaling $4K in drug costs for 115 beneficiaries.
What is Brian Nelson, M.D.'s Medicare quality score? ▼
Brian Nelson, M.D. has a CMS MIPS Final Score of 28.6/100 (Quality: 21.4, Cost: 56). 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 Brian Nelson, M.D. located? ▼
Brian Nelson, M.D. is located at 2301 ERWIN RD, Durham, NC, 27705. Phone: (919) 684-8111.
What is Brian Nelson, M.D.'s NPI number? ▼
Brian Nelson, M.D.'s National Provider Identifier (NPI) is 1801259205, issued on 04/01/2016.
Does Brian Nelson, M.D. prescribe opioids? ▼
Yes, Brian Nelson, M.D. had 11 opioid claims in 2023 with an opioid prescribing rate of 6.7%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 331,274 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Brian Nelson, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Brian Nelson, M.D.'s most frequently prescribed drugs include Ondansetron Odt, Amoxicillin-Clavulanate Potass, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Brian Nelson, M.D. accept Medicare? ▼
Brian Nelson, M.D. appears in CMS Medicare data with 164 Part D claims and 115 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Brian Nelson, M.D.'s credentials? ▼
Brian Nelson, M.D.'s NPI is 1801259205 with credentials M.D.. 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 (2023). 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 April 2026 (NPPES) / 2023 (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

Compiled from official public sources by the editorial process.

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 May 2026.