2026 NPPES data Cardiovascular Disease Physician NPI 1609838705 MD
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ERIC NELSON, MD

Cardiovascular Disease Physician in CUMMING, Georgia. 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
3K
Medicare Part D claims · 549 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.4109/100
▼ 11 pts below national avg 83.1 · [object Object]
Industry payments
$519.24
24 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ERIC NELSON, MD reported a CMS MIPS final score of 72.4109/100 — below the 83.1 national average — and filed 3,456 Medicare Part D claims in 2023.

72.4109/100
MIPS score · -11 vs avg
3K
Part D claims, 2023
84%
generic prescribing
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.

ERIC NELSON, MD's MIPS score vs every scored U.S. clinician

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

72 10th percentile higher than 10% 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)

ERIC NELSON, MD 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 ERIC NELSON, MD?

Below national average

NPI registry status

Active

Issued 04/04/2006

NPI 1609838705

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

3,456 14% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

72.4109/100 10.689099999999996% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Georgia

How Cardiovascular Disease Physician compares to other specialties among Georgia providers

Georgia providers

Cardiovascular Disease Physician share within Georgia

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Georgia

Medicare quality performance — MIPS

ERIC NELSON, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Below national average
MIPS Final Score
72.4109/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 72.4109/100 vs national avg 83.1

0%100%National avg83%72.4%
MIPS final score (Cardiovascular Disease Physician) — 72.4109/100 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).

ERIC NELSON, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 3970 DEPUTY BILL CANTRELL MEMORIAL RD, CUMMING, GA, 30040, with a listed phone of (678) 513-2273. NPI 1609838705 was issued on 04/04/2006. 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 3,456 prescription claims written by this provider, covering 549 Medicare beneficiaries and totaling roughly $597K in drug spend, split 16% brand-name and 84% 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 72.4109/100 for the 2023 performance year (Quality 59.1028, Cost 67.267), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

3970 DEPUTY BILL CANTRELL MEMORIAL RD
CUMMING, GA 30040

Provider Details

NPI 1609838705
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 04/04/2006

CMS Quality Score (MIPS)

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

72.4109
Final Score
Avg: 83.1
59.1028
Quality
67.267
Cost
78
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ERIC NELSON, MD 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.

NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES, LLC
ROSWELL, GA

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 ERIC NELSON, MD. Source: openpaymentsdata.cms.gov.

Total received

$519

Largest payer

Novartis Pharmaceuticals Corporation

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.

Brand vs generic prescribing mix · Typical

ERIC NELSON, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 3,456 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.

3,456
Total Claims
$597K
Total Drug Cost
549
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,051
Total Day Supply
239,802
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$523K
Generic Drug Cost
$74K

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.48
Gender Split
51% female / 49% male
Age Distribution
<65: 34, 65-74: 226, 75-84: 231, 85+: 58

Top Prescribed Drugs (Medicare Part D)

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

What ERIC NELSON, MD 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
Eliquis
Apixaban
305
Atorvastatin Calcium
255
Carvedilol
165
Metoprolol Succinate
163
Amlodipine Besylate
158
Rosuvastatin Calcium
149
Valsartan
149
Clopidogrel
Clopidogrel Bisulfate
119
Nifedipine Er
Nifedipine
105
Spironolactone
105

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

Cardiovascular Disease Physician Overview

How ERIC NELSON, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

ERIC NELSON, MD's 3,456 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Georgia

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ERIC NELSON, MD's specialty?
ERIC NELSON, MD specializes in Cardiovascular Disease Physician and practices in CUMMING, Georgia. Credentials: MD.
How much does ERIC NELSON, MD prescribe under Medicare Part D?
In 2023, ERIC NELSON, MD wrote 3,456 Medicare Part D claims totaling $597K in drug costs for 549 beneficiaries.
What is ERIC NELSON, MD's Medicare quality score?
ERIC NELSON, MD has a CMS MIPS Final Score of 72.4109/100 (Quality: 59.1028, Cost: 67.267). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ERIC NELSON, MD located?
ERIC NELSON, MD is located at 3970 DEPUTY BILL CANTRELL MEMORIAL RD, CUMMING, GA, 30040. Phone: (678) 513-2273.
What is ERIC NELSON, MD's NPI number?
ERIC NELSON, MD's National Provider Identifier (NPI) is 1609838705, issued on 04/04/2006.
Does ERIC NELSON, MD prescribe more brand-name or generic drugs?
ERIC NELSON, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $523K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does ERIC NELSON, MD prescribe most often?
Based on 2023 Medicare Part D data, ERIC NELSON, MD's most frequently prescribed drugs include Eliquis, Atorvastatin Calcium, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ERIC NELSON, MD accept Medicare?
ERIC NELSON, MD appears in CMS Medicare data with 3,456 Part D claims and 549 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ERIC NELSON, MD's credentials?
ERIC NELSON, MD's NPI is 1609838705 with credentials MD. 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