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2026 NPPES data Specialist NPI 1841296498 M.D.
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Duane Nelson, M.D.

Specialist in Provo, Utah.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,567 in Specialist, 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
26
Medicare Part D claims · 15 beneficiaries · Specialist avg: 2K
MIPS score
89.8/100
▲ 6 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Duane Nelson, M.D. reported a CMS MIPS final score of 89.8/100 - above the 83.5 national average - and filed 26 Medicare Part D claims in 2024.

89.8/100
MIPS score · +6 vs avg
26
Part D claims, 2024
≥56th
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 Duane Nelson, M.D.

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 1841296498), first enumerated 06/27/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 26 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 89.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • 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 1841296498 · Specialist

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ABOVE · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1841296498
  • ENUM-LEGACY 2005
  • TAX-MEGA 70K Specialist
  • MIPS-ABOVE 89.8/100
  • RX-TRACE 26
  • BOOK-THIN 441 in Utah
  • PHOTO-FINISH Jack Long, MD · ±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

Duane 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.

90 ≥ 56th percentile 56% 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%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 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 Duane Nelson, M.D. sits

This provider among specialist peers

Across the 4,261 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Duane Nelson, M.D. writes more Part D claims than 4% of them and scores higher on MIPS quality than 63% - placing this provider in the lower-volume, high-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 quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Duane Nelson, M.D., Part D claim volume, percentile in specialty: 4 · MIPS quality, percentile: 63
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Duane 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 Duane Nelson, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/27/2005

NPI 1841296498

Primary specialty

Specialist

High-volume

69,567 US NPIs in this specialty

Medicare Part D claims

26 98% vs specialty avg

2024 prescription claims

Specialty avg: 1,524

MIPS final score

89.8/100 6.3 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Utah

How Specialist compares to other specialties among Utah providers

Utah providers
Behavior Technician13%Clinical Social Worker6.3%Community Health Worker5.9%Case Manager/Care Coordinator5.7%Counselor4.7%Student in an Organized Heal…4.5%Specialist0.6%
Largest specialties in Utah (% of in-state providers)

Medicare quality performance, MIPS

Duane Nelson, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
89.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%89.8%
MIPS final score (Specialist) - 89.8/100 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

1055 N 300 W
Provo, UT 84604
(801) 357-7373

Provider Details

NPI 1841296498
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 06/27/2005

CMS Quality Score (MIPS)

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

89.7858
Final Score
Measured-score avg: 83.5
95.2486
Quality
70.7042
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

26
Total Claims
$5K
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
60.3
Total Day Supply
1,777
Generic Drug Cost
$450

Patient Demographics

Average Patient Age
78.1 years
Avg HCC Risk Score
1.17
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 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.

Drug Claims
Latanoprost
 11

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

More Specialist in UT → All providers in Utah → Compare specialties →

Specialist Overview

How Duane Nelson, M.D. fits within the Specialist landscape nationally.

69,567
Specialist Providers in US
55
States with Specialist
1,524
Avg Claims per Provider

Duane Nelson, M.D.'s 26 claims are below the specialty average of 1,524.

Nationwide Specialist peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (89.8 here).

Mason Weiss 89.8 CA Jack Long 89.8 TX Timothy Gannon 89.8 AL Steven Harris 89.8 AL

Same NPPES enumeration year (2005)

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

John Burge Scottsdale, AZ Joseph Hawkins Fresno, CA Lawrence Gensler Covington, LA Farasat Ashraf Zebulon, NC

Nearby Specialist Providers in Utah

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

One of 441 Specialist providers enrolled in Utah, 5 are shown here.

Dr. Josephine Abraham
M.D.
Salt Lake City, UT
Alyssa Adams
Riverton, UT
Krystal Ahlstrom
Salt Lake City, UT
Dr. Afshin Ahmadiyan
DPT
Salt Lake City, UT
Dr. David Allen
M.D.
Ogden, UT

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Duane Nelson, M.D.'s specialty? ▼
Duane Nelson, M.D. specializes in Specialist and practices in Provo, Utah. Credentials: M.D..
How much does Duane Nelson, M.D. prescribe under Medicare Part D? ▼
In 2024, Duane Nelson, M.D. wrote 26 Medicare Part D claims totaling $5K in drug costs for 15 beneficiaries.
What is Duane Nelson, M.D.'s Medicare quality score? ▼
Duane Nelson, M.D. has a CMS MIPS Final Score of 89.8/100 (Quality: 95.2, Cost: 70.7). 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 Duane Nelson, M.D. located? ▼
Duane Nelson, M.D. is located at 1055 N 300 W, Provo, UT, 84604. Phone: (801) 357-7373.
What is Duane Nelson, M.D.'s NPI number? ▼
Duane Nelson, M.D.'s National Provider Identifier (NPI) is 1841296498, issued on 06/27/2005.
How many Specialist providers are there in the US? ▼
There are 69,567 Specialist providers across 55 states in the US. The average Specialist provider writes 1,524 Medicare Part D claims per year.
What drugs does Duane Nelson, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Duane Nelson, M.D.'s most frequently prescribed drugs include Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Duane Nelson, M.D. accept Medicare? ▼
Duane Nelson, M.D. appears in CMS Medicare data with 26 Part D claims and 15 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Duane Nelson, M.D.'s credentials? ▼
Duane Nelson, M.D.'s NPI is 1841296498 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 (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

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 August 2026.