2026 NPPES data Cardiovascular Disease Physician NPI 1003908591 MD
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JOHN NELSON, MD

Cardiovascular Disease Physician in FRESNO, California. 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
5K
Medicare Part D claims · 444 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.3116/100
▼ 11 pts below national avg 83.1 · [object Object]
Industry payments
$4.4K
59 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN NELSON, MD reported a CMS MIPS final score of 72.3116/100 — below the 83.1 national average — and filed 5,426 Medicare Part D claims in 2023.

72.3116/100
MIPS score · -11 vs avg
5K
Part D claims, 2023
70%
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.

JOHN 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)

JOHN NELSON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 JOHN NELSON, MD?

Below national average

NPI registry status

Active

Issued 09/29/2006

NPI 1003908591

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

5,426 79% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

72.3116/100 10.788399999999996% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Cardiovascular Disease Physician compares to other specialties among California providers

California providers

Cardiovascular Disease Physician share within California

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
72.3116/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 72.3116/100 vs national avg 83.1

0%100%National avg83%72.3%
MIPS final score (Cardiovascular Disease Physician) — 72.3116/100 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).

JOHN NELSON, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 7061 N WHITNEY, FRESNO, CA, 93720, with a listed phone of (559) 299-0224. NPI 1003908591 was issued on 09/29/2006. 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 5,426 prescription claims written by this provider, covering 444 Medicare beneficiaries and totaling roughly $1.8 million in drug spend, split 30% brand-name and 70% 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 72.3116/100 for the 2023 performance year (Quality 42.624, Cost 65.0814), 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

7061 N WHITNEY
FRESNO, CA 93720

Provider Details

NPI 1003908591
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 09/29/2006

CMS Quality Score (MIPS)

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

72.3116
Final Score
Avg: 83.1
42.624
Quality
65.0814
Cost
100
Promoting Interoperability

Reporting: Individual

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

Total received

$4.4K

Largest payer

Amgen Inc.

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.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to JOHN NELSON, MD. To verify JOHN NELSON, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

JOHN NELSON, MD — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 5,426 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.

5,426
Total Claims
$1.8M
Total Drug Cost
444
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,243
Total Day Supply
425,335
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$1.5M
Generic Drug Cost
$300K
Antibiotic Claims
42

Patient Demographics

Average Patient Age
76.0 years
Avg HCC Risk Score
1.06
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

What JOHN 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
Ezetimibe
827
Repatha Sureclick
Evolocumab
496
Vascepa
Icosapent Ethyl
474
Atorvastatin Calcium
417
Metoprolol Succinate
331
Rosuvastatin Calcium
240
Amlodipine Besylate
237
Icosapent Ethyl
202
Pravastatin Sodium
129
Nexlizet
Bempedoic Acid/Ezetimibe
128

* 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 JOHN 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

JOHN NELSON, MD's 5,426 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in California

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

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

Frequently Asked Questions

What is JOHN NELSON, MD's specialty?
JOHN NELSON, MD specializes in Cardiovascular Disease Physician and practices in FRESNO, California. Credentials: MD.
How much does JOHN NELSON, MD prescribe under Medicare Part D?
In 2023, JOHN NELSON, MD wrote 5,426 Medicare Part D claims totaling $1.8M in drug costs for 444 beneficiaries.
What is JOHN NELSON, MD's Medicare quality score?
JOHN NELSON, MD has a CMS MIPS Final Score of 72.3116/100 (Quality: 42.624, Cost: 65.0814). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN NELSON, MD located?
JOHN NELSON, MD is located at 7061 N WHITNEY, FRESNO, CA, 93720. Phone: (559) 299-0224.
What is JOHN NELSON, MD's NPI number?
JOHN NELSON, MD's National Provider Identifier (NPI) is 1003908591, issued on 09/29/2006.
Does JOHN NELSON, MD prescribe more brand-name or generic drugs?
JOHN NELSON, MD's prescribing is 30% brand-name and 70% generic drugs by claim count, with $1.5M 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 JOHN NELSON, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN NELSON, MD's most frequently prescribed drugs include Ezetimibe, Repatha Sureclick, Vascepa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN NELSON, MD accept Medicare?
JOHN NELSON, MD appears in CMS Medicare data with 5,426 Part D claims and 444 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN NELSON, MD's credentials?
JOHN NELSON, MD's NPI is 1003908591 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