Duane James Nelson, M.D.
Specialist · Provo, UT
Duane James Nelson, M.D. is a specialist with a practice address in Provo, Utah, and NPI 1841296498, issued on Jun 27, 2005. Check the license (Utah 1827901205, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Duane James Nelson
- Credential
- M.D.
- Primary taxonomy
- Specialist 174400000X
- License number
- 1827901205 UT
Self-reported in NPPES; status is on the state search - Practice location
- 1055 N 300 W, Provo, UT 84604
- Phone
- (801) 357-7373
- Enumerated
- Jun 27, 2005
- Record last updated
- Jun 10, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (801) 357-7217
- Medicaid ID
- D2726 UT
- Entity
- Type 1 · individual
8 nearest specialist records → All 392 in Utah → Look up another NPI →
Also registered at 1055 N 300 W
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sandra Archer, MDObstetrics & Gynecology Physician1356319842
- Kirt Beus, MDOtolaryngology Physician1396765871
- Blaine Bird, O.D.Optometrist1871581652
- Phillip Chaffin, MDPediatric Otolaryngology Physician1134355225
- Sue Ann Christensen, C.P.N.P.Pediatric Nurse Practitioner1851504393
- Loran Cook, M.D.Specialist1396741948
Verify Duane James Nelson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 1827901205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% fewer Medicare Part D claims than the average specialist in 2024
26 Medicare Part D claims for 15 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D.
Most prescribed
- Latanoprost11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 89.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Duane James Nelson among 392 specialist records in Utah
Duane James Nelson, M.D. is one of 392 specialist records with a practice address in Utah. 15% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 92% newer
- In a Medicare fileYes · 15% of these records are
- In the CMS Doctors and Clinicians fileNo · 8% of these records are
- Record last updated2020 · 91% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Specialist providers in Utah
There are 392 specialist records in Utah.
All 392 in Utah → Every provider in Provo → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Loran Cook, M.D.Provo, UT 846041396741948
- Loran Cook, M.D.Provo, UT 846041801893375
- Randal Ellsworth, MDProvo, UT 846041588635627
- Scott Hansen, MDProvo, UT 846041164402897
- Thomas Judd, M.D.Provo, UT 846041740210756
- Dorrel Kohler, M.D.Provo, UT 846041225137722
- Paul Olson, M.D.Provo, UT 846041851397491
- Rebecca HallProvo, UT 846061467758722
Common questions
What is Duane James Nelson, M.D.'s NPI number?
Duane James Nelson, M.D.'s National Provider Identifier (NPI) is 1841296498, issued on Jun 27, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Duane James Nelson, M.D. located?
The NPPES record lists a practice address at 1055 N 300 W, Provo, UT, 84604. Phone: (801) 357-7373. Providers update this record themselves, so call before visiting.
How can I verify Duane James Nelson, M.D.'s license?
NPPES lists Utah license number 1827901205, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
How much does Duane James Nelson, M.D. prescribe under Medicare Part D?
In 2024, Duane James Nelson, M.D. had 26 Medicare Part D claims for 15 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.
What is Duane James Nelson, M.D.'s MIPS final score?
The 2023 MIPS final score is 89.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.