2026 NPPES data Pediatric Nephrology Physician NPI 1972682540
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RAOUL NELSON

Pediatric Nephrology Physician in SALT LAKE CITY, Utah. 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
22
Medicare Part D claims · Pediatric Nephrology Physician avg: 97
Industry payments
$211.48
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAOUL NELSON filed 22 Medicare Part D claims in 2023 as a Pediatric Nephrology Physician in SALT LAKE CITY, Utah.

22
Part D claims, 2023
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.

RAOUL NELSON's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

22 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

RAOUL NELSON practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 RAOUL NELSON?

Quality data not reported

NPI registry status

Active

Issued 11/03/2006

NPI 1972682540

Primary specialty

Pediatric Nephrology Physician

Niche

723 US NPIs in this specialty

Medicare Part D claims

22 77% vs specialty avg

2023 prescription claims

Specialty avg: 97

Specialty distribution in Utah

How Pediatric Nephrology Physician compares to other specialties among Utah providers

Utah providers

Pediatric Nephrology Physician share within Utah

1. Pediatric Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Nephrology Physician share within Utah

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Nephrology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Nephrology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Nephrology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Nephrology Physician) — ABMS / AOA estimate

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).

RAOUL NELSON is a Pediatric Nephrology Physician provider practicing in SALT LAKE CITY, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1972682540. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RAOUL NELSON appears in the CMS NPPES registry as a Pediatric Nephrology Physician provider at 100 MARIO CAPECCHI DR, SALT LAKE CITY, UT, 84113, with a listed phone of (801) 587-7575. NPI 1972682540 was issued on 11/03/2006. 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 22 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $3K in drug spend. 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.

Pediatric Nephrology Physician is a narrow specialty nationwide, with 723 enrolled providers across 50 states and an average of 97 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

100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

Provider Details

NPI 1972682540
Specialty Pediatric Nephrology Physician
Gender Male
NPI Issued 11/03/2006

Hospital and facility affiliations

Facilities where RAOUL NELSON 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.

UNIVERSITY OF UTAH PEDIATRIC SERVICES
SALT LAKE CITY, UT

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 RAOUL NELSON. Source: openpaymentsdata.cms.gov.

Total received

$211

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

22
Total Claims
$3K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
22
Total Day Supply
660
Generic Drug Cost
$305

Patient Demographics

Average Patient Age
8.5 years
Avg HCC Risk Score
7.45

Pediatric Nephrology Physician Overview

How RAOUL NELSON fits within the Pediatric Nephrology Physician landscape nationally.

723
Pediatric Nephrology Physician Providers in US
50
States with Pediatric Nephrology Physician
97
Avg Claims per Provider

RAOUL NELSON's 22 claims are below the specialty average of 97.

Nearby Pediatric Nephrology Physician Providers in Utah

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

Compare Pediatric Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAOUL NELSON's specialty?
RAOUL NELSON specializes in Pediatric Nephrology Physician and practices in SALT LAKE CITY, Utah.
How much does RAOUL NELSON prescribe under Medicare Part D?
In 2023, RAOUL NELSON wrote 22 Medicare Part D claims totaling $3K in drug costs for N/A beneficiaries.
Where is RAOUL NELSON located?
RAOUL NELSON is located at 100 MARIO CAPECCHI DR, SALT LAKE CITY, UT, 84113. Phone: (801) 587-7575.
What is RAOUL NELSON's NPI number?
RAOUL NELSON's National Provider Identifier (NPI) is 1972682540, issued on 11/03/2006.
How many Pediatric Nephrology Physician providers are there in the US?
There are 723 Pediatric Nephrology Physician providers across 50 states in the US. The average Pediatric Nephrology Physician provider writes 97 Medicare Part D claims per year.
Does RAOUL NELSON accept Medicare?
RAOUL NELSON appears in CMS Medicare data with 22 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAOUL NELSON's credentials?
RAOUL NELSON's NPI is 1972682540. 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.
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