2026 NPPES data Geriatric Medicine (Internal Medicine) Physician NPI 1548224280 MD
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NAVEENA NELSON, MD

Geriatric Medicine (Internal Medicine) Physician in CINCINNATI, Ohio. 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
32K
Medicare Part D claims · 622 beneficiaries · Geriatric Medicine (Internal Medicine) Physician avg: 4K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.3837/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

NAVEENA NELSON, MD reported a CMS MIPS final score of 90.3837/100 — above the 83.1 national average — and filed 32,307 Medicare Part D claims in 2023.

90.3837/100
MIPS score · +7 vs avg
32K
Part D claims, 2023
83%
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.

NAVEENA 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

90 Top 40% higher than 60% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

NAVEENA 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 NAVEENA NELSON, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/12/2006

NPI 1548224280

Primary specialty

Geriatric Medicine (Internal Medicine) Physician

Niche

4,161 US NPIs in this specialty

Medicare Part D claims

32,307 626% vs specialty avg

2023 prescription claims

Specialty avg: 4,450

MIPS final score

90.3837/100 7.28370000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Geriatric Medicine (Internal Medicine) Physician compares to other specialties among Ohio providers

Ohio providers

Geriatric Medicine (Internal Medicine) Physician share within Ohio

1. Geriatric Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Internal Medicine) Physician share within Ohio

Medicare quality performance — MIPS

NAVEENA NELSON, MD's 2023 MIPS final score plotted against the Geriatric Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
90.3837/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 90.3837/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 90.3837/100 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).

NAVEENA NELSON, MD appears in the CMS NPPES registry as a Geriatric Medicine (Internal Medicine) Physician provider holding MD credentials at 375 DIXMYTH AVE, CINCINNATI, OH, 45220, with a listed phone of (513) 862-2573. NPI 1548224280 was issued on 04/12/2006. 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 32,307 prescription claims written by this provider, covering 622 Medicare beneficiaries and totaling roughly $2.5 million in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 2.7%. 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 90.3837/100 for the 2023 performance year (Quality 80.7674), compared with the national average of 83.1.

Geriatric Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 4,161 enrolled providers across 52 states and an average of 4,450 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

375 DIXMYTH AVE
CINCINNATI, OH 45220

Provider Details

NPI 1548224280
Specialty Geriatric Medicine (Internal Medicine) Physician
Credentials MD
Gender Female
NPI Issued 04/12/2006

CMS Quality Score (MIPS)

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

90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to NAVEENA NELSON, MD. To verify NAVEENA NELSON, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

NAVEENA NELSON, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 32,307 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.

32,307
Total Claims
$2.5M
Total Drug Cost
622
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
32,775
Total Day Supply
670,465
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$1.9M
Generic Drug Cost
$619K
Opioid Claims
887 (2.7% rate)
Antibiotic Claims
1,083

Patient Demographics

Average Patient Age
81.3 years
Avg HCC Risk Score
2.39
Gender Split
67% female / 33% male
Age Distribution
<65: 48, 65-74: 110, 75-84: 184, 85+: 280

Top Prescribed Drugs (Medicare Part D)

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

What NAVEENA 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
Atorvastatin Calcium
1,900
Furosemide
1,281
Levothyroxine Sodium
1,185
Potassium Chloride
1,167
Eliquis
Apixaban
1,039
Amlodipine Besylate
812
Gabapentin
760
Sertraline Hcl
750
Metoprolol Tartrate
722
Pantoprazole Sodium
660

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

Geriatric Medicine (Internal Medicine) Physician Overview

How NAVEENA NELSON, MD fits within the Geriatric Medicine (Internal Medicine) Physician landscape nationally.

4,161
Geriatric Medicine (Internal Medicine) Physician Providers in US
52
States with Geriatric Medicine (Internal Medicine) Physician
4,450
Avg Claims per Provider

NAVEENA NELSON, MD's 32,307 claims are above the specialty average of 4,450.

Nearby Geriatric Medicine (Internal Medicine) Physician Providers in Ohio

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

Compare Geriatric Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NAVEENA NELSON, MD's specialty?
NAVEENA NELSON, MD specializes in Geriatric Medicine (Internal Medicine) Physician and practices in CINCINNATI, Ohio. Credentials: MD.
How much does NAVEENA NELSON, MD prescribe under Medicare Part D?
In 2023, NAVEENA NELSON, MD wrote 32,307 Medicare Part D claims totaling $2.5M in drug costs for 622 beneficiaries.
What is NAVEENA NELSON, MD's Medicare quality score?
NAVEENA NELSON, MD has a CMS MIPS Final Score of 90.3837/100 (Quality: 80.7674). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NAVEENA NELSON, MD located?
NAVEENA NELSON, MD is located at 375 DIXMYTH AVE, CINCINNATI, OH, 45220. Phone: (513) 862-2573.
What is NAVEENA NELSON, MD's NPI number?
NAVEENA NELSON, MD's National Provider Identifier (NPI) is 1548224280, issued on 04/12/2006.
Does NAVEENA NELSON, MD prescribe more brand-name or generic drugs?
NAVEENA NELSON, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $1.9M in brand drug costs.
Does NAVEENA NELSON, MD prescribe opioids?
Yes, NAVEENA NELSON, MD had 887 opioid claims in 2023 with an opioid prescribing rate of 2.7%.
How many Geriatric Medicine (Internal Medicine) Physician providers are there in the US?
There are 4,161 Geriatric Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Internal Medicine) Physician provider writes 4,450 Medicare Part D claims per year.
What drugs does NAVEENA NELSON, MD prescribe most often?
Based on 2023 Medicare Part D data, NAVEENA NELSON, MD's most frequently prescribed drugs include Atorvastatin Calcium, Furosemide, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NAVEENA NELSON, MD accept Medicare?
NAVEENA NELSON, MD appears in CMS Medicare data with 32,307 Part D claims and 622 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NAVEENA NELSON, MD's credentials?
NAVEENA NELSON, MD's NPI is 1548224280 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