John Thomas Nelson, M.D.
Orthopaedic Surgery Physician · Raleigh, NC
John Thomas Nelson, M.D. is an orthopaedic surgery physician with a practice address in Raleigh, North Carolina, and NPI 1578857652, issued on Jun 6, 2011. Check the license (North Carolina 2019-02129, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- John Thomas Nelson
- Credential
- M.D.
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- 2019-02129 NC
Self-reported in NPPES; status is on the state search - Practice location
- 3801 Wake Forest RD Ste 220, Raleigh, NC 27609
- Phone
- (919) 872-5296
- Enumerated
- Jun 6, 2011
- Record last updated
- Jan 8, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20191014000022); accepts Medicare assignment
- Medical or professional school
- University Of Texas Medical School At San Antonio, 2011
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 977 in North Carolina → Look up another NPI →
Also registered at 3801 Wake Forest RD Ste 220
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sarah Bender, PA-CSurgical Physician Assistant1508333469
- Frederick Benedict, MDOrthopaedic Surgery Physician1427052240
- Paul Burroughs, M.D. P.AOrthopaedic Surgery Physician1588627582
- James Crowther, M.D. P.A.Orthopaedic Surgery Physician1407819972
- Samuel Hammonds, MDOrthopaedic Surgery Physician1407243439
- Cary Idler, MDOrthopaedic Surgery of the Spine Physician1578784591
Verify John Thomas Nelson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 2019-02129Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
32% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024
234 Medicare Part D claims for 110 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims. 56 claims were for opioids.
Most prescribed
- Meloxicam56 claims
- Oxycodone Hcl44 claims
- Celecoxib27 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): 70.2 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).
Industry payments in 2024: $6,464.31
18 payments; by number, the most common kind was food and beverage; the largest payer was Sonex Health, Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 4 group practices
- Bone And Joint Surgery ClinicRaleigh, NC
- Carolina Physical Therapy Associates LLCDunn, NC
- Keystone Rehabilitation Systems IncFranklin, PA
- Proactive Therapy OF North Carolina IncWilson, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John Thomas Nelson among 977 orthopaedic surgery physician records in North Carolina
John Thomas Nelson, M.D. is one of 977 orthopaedic surgery physician records with a practice address in North Carolina. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 70% of them.
- NPI issued2011 · 70% of these records are older, 27% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2011 · median 2003 among the 677 with a school on file
- Record last updated2020 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery Physician providers in North Carolina
There are 977 orthopaedic surgery physician records in North Carolina.
All 977 in North Carolina → Every provider in Raleigh → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Frederick Benedict, MDRaleigh, NC 276091427052240
- Paul Burroughs, M.D. P.ARaleigh, NC 276091588627582
- Michael Comstock, M.C. P.A.Raleigh, NC 276091891758330
- James Crowther, M.D. P.A.Raleigh, NC 276091407819972
- Robert Esposito, M.D.Raleigh, NC 276091629127634
- David Fajgenbaum, M.D.Raleigh, NC 276091376513630
- Michael Fajgenbaum, MDRaleigh, NC 276091114998127
- Lloyd Hey, M.D., M.S.Raleigh, NC 276091477523876
Common questions
What is John Thomas Nelson, M.D.'s NPI number?
John Thomas Nelson, M.D.'s National Provider Identifier (NPI) is 1578857652, issued on Jun 6, 2011. An NPI identifies a provider in billing; it is not a license.
Where is John Thomas Nelson, M.D. located?
The NPPES record lists a practice address at 3801 Wake Forest RD Ste 220, Raleigh, NC, 27609. Phone: (919) 872-5296. Providers update this record themselves, so call before visiting.
How can I verify John Thomas Nelson, M.D.'s license?
NPPES lists North Carolina license number 2019-02129, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John Thomas Nelson, M.D. prescribe under Medicare Part D?
In 2024, John Thomas Nelson, M.D. had 234 Medicare Part D claims for 110 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is John Thomas Nelson, M.D.'s MIPS final score?
The 2023 MIPS final score is 70.2 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.