2026 NPPES data Surgery Physician NPI 1093789703 M.D.
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DAVID NELSON, M.D.

Surgery Physician in BELLEVUE, Washington. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
15
Medicare Part D claims · Surgery Physician avg: 169
MIPS score
79.168/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$235.53
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DAVID NELSON, M.D. reported a CMS MIPS final score of 79.168/100 — below the 83.1 national average — and filed 15 Medicare Part D claims in 2023.

79.168/100
MIPS score · -4 vs avg
15
Part D claims, 2023
Likely
board-certified (heuristic)

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.

DAVID NELSON, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

79 30th percentile higher than 30% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

DAVID NELSON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 DAVID NELSON, M.D.?

Near national average

NPI registry status

Active

Issued 02/17/2006

NPI 1093789703

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

15 91% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

79.168/100 3.931999999999988% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Surgery Physician compares to other specialties among Washington providers

Washington providers

Surgery Physician share within Washington

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Washington

Medicare quality performance — MIPS

DAVID NELSON, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

Near national average
MIPS Final Score
79.168/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 79.168/100 vs national avg 83.1

0%100%National avg83%79.2%
MIPS final score (Surgery Physician) — 79.168/100 vs national avg 83.1

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).

DAVID NELSON, M.D. is a Surgery Physician provider practicing in BELLEVUE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1093789703. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DAVID NELSON, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 1135-116TH AVENUE NE, BELLEVUE, WA, 98004, with a listed phone of (425) 454-8161. NPI 1093789703 was issued on 02/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NELSON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 15 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $92 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.168/100 for the 2023 performance year (Quality 74.5323, Cost 56.0276), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1135-116TH AVENUE NE
BELLEVUE, WA 98004

Provider Details

NPI 1093789703
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 02/17/2006

CMS Quality Score (MIPS)

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

79.168
Final Score
Avg: 83.1
74.5323
Quality
56.0276
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DAVID 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.

OVERLAKE MEDICAL CLINICS LLC
BELLEVUE, WA

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 DAVID NELSON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$236

Largest payer

ABIOMED

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.

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to DAVID NELSON, M.D.. To verify DAVID NELSON, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

15
Total Claims
$92
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
17
Total Day Supply
216
Generic Drug Cost
$77

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
0.92

Surgery Physician Overview

How DAVID NELSON, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

DAVID NELSON, M.D.'s 15 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as NELSON.

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DAVID NELSON, M.D.'s specialty?
DAVID NELSON, M.D. specializes in Surgery Physician and practices in BELLEVUE, Washington. Credentials: M.D..
How much does DAVID NELSON, M.D. prescribe under Medicare Part D?
In 2023, DAVID NELSON, M.D. wrote 15 Medicare Part D claims totaling $92 in drug costs for N/A beneficiaries.
What is DAVID NELSON, M.D.'s Medicare quality score?
DAVID NELSON, M.D. has a CMS MIPS Final Score of 79.168/100 (Quality: 74.5323, Cost: 56.0276). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID NELSON, M.D. located?
DAVID NELSON, M.D. is located at 1135-116TH AVENUE NE, BELLEVUE, WA, 98004. Phone: (425) 454-8161.
What is DAVID NELSON, M.D.'s NPI number?
DAVID NELSON, M.D.'s National Provider Identifier (NPI) is 1093789703, issued on 02/17/2006.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
Does DAVID NELSON, M.D. accept Medicare?
DAVID NELSON, M.D. appears in CMS Medicare data with 15 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID NELSON, M.D.'s credentials?
DAVID NELSON, M.D.'s NPI is 1093789703 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

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