2026 NPPES data Specialist NPI 1841296498 M.D.
Verify on CMS →

DUANE NELSON, M.D.

Specialist in PROVO, Utah. 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
211
Medicare Part D claims · 86 beneficiaries · Specialist avg: 1K
Generic prescribing
56%
generic claims · 44% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.7858/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

DUANE NELSON, M.D. reported a CMS MIPS final score of 89.7858/100 — above the 83.1 national average — and filed 211 Medicare Part D claims in 2023.

89.7858/100
MIPS score · +7 vs avg
211
Part D claims, 2023
56%
generic prescribing

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.

DUANE 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

90 Top 42% higher than 58% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

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

69,658 US NPIs in this specialty

Medicare Part D claims

211 86% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

89.7858/100 6.6858% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Utah

How Specialist compares to other specialties among Utah providers

Utah providers

Specialist share within Utah

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Utah

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
89.7858/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 89.7858/100 vs national avg 83.1

0%100%National avg83%89.8%
MIPS final score (Specialist) — 89.7858/100 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).

DUANE NELSON, M.D. is a Specialist provider practicing in PROVO, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1841296498. 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.

DUANE NELSON, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 1055 N 300 W, PROVO, UT, 84604, with a listed phone of (801) 357-7373. NPI 1841296498 was issued on 06/27/2005. 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 211 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $85K in drug spend, split 44% brand-name and 56% generic by claim count. 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 89.7858/100 for the 2023 performance year (Quality 95.2486, Cost 70.7042), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

1055 N 300 W
PROVO, UT 84604

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
Avg: 83.1
95.2486
Quality
70.7042
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Above average

DUANE NELSON, M.D. — brand share 44.0%
Specialty average (est.)

44% brand-name claims vs 56% generic, on 211 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

211
Total Claims
$85K
Total Drug Cost
86
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
353
Total Day Supply
9,512
Brand vs Generic
44% brand / 56% generic
Brand Drug Cost
$82K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
75.7 years
Avg HCC Risk Score
1.21
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
65
Prednisolone Acetate
33
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
15
Restasis
Cyclosporine
13
Cyclosporine
11

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

Specialist Overview

How DUANE NELSON, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

DUANE NELSON, M.D.'s 211 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Utah

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

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 2023, DUANE NELSON, M.D. wrote 211 Medicare Part D claims totaling $85K in drug costs for 86 beneficiaries.
What is DUANE NELSON, M.D.'s Medicare quality score?
DUANE NELSON, M.D. has a CMS MIPS Final Score of 89.7858/100 (Quality: 95.2486, Cost: 70.7042). The national average MIPS Final Score is 83.1. 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.
Does DUANE NELSON, M.D. prescribe more brand-name or generic drugs?
DUANE NELSON, M.D.'s prescribing is 44% brand-name and 56% generic drugs by claim count, with $82K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does DUANE NELSON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DUANE NELSON, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Tobramycin-Dexamethasone. 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 211 Part D claims and 86 Medicare beneficiaries in 2023. 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

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