2026 NPPES data Neurology Physician NPI 1346233020 MD
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SHAWN NELSON, MD

Neurology Physician in BRISTOL, Tennessee. 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 · 423 beneficiaries · Neurology Physician avg: 1K
Industry payments
$3.7K
171 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SHAWN NELSON, MD filed 3,361 Medicare Part D claims in 2023 as a Neurology Physician in BRISTOL, Tennessee.

3K
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.

SHAWN NELSON, MD's Medicare Part D volume vs every U.S. prescriber

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

3,361 Top 10% higher than 90% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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)

SHAWN NELSON, MD 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 SHAWN NELSON, MD?

Quality data not reported

NPI registry status

Active

Issued 08/26/2005

NPI 1346233020

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

3,361 157% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

Specialty distribution in Tennessee

How Neurology Physician compares to other specialties among Tennessee providers

Tennessee providers

Neurology Physician share within Tennessee

1. Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology Physician share within Tennessee

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Neurology 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).

SHAWN NELSON, MD appears in the CMS NPPES registry as a Neurology Physician provider holding MD credentials at 3183 W STATE ST, BRISTOL, TN, 37620, with a listed phone of (423) 764-0987. NPI 1346233020 was issued on 08/26/2005. 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 3,361 prescription claims written by this provider, covering 423 Medicare beneficiaries and totaling roughly $1.8 million in drug spend, with an opioid prescribing rate of 0.6%. 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.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

3183 W STATE ST
BRISTOL, TN 37620

Provider Details

NPI 1346233020
Specialty Neurology Physician
Credentials MD
Gender Male
NPI Issued 08/26/2005

Hospital and facility affiliations

Facilities where SHAWN 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.

WELLMONT MEDICAL ASSOCIATES INC
BRISTOL, TN

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

Total received

$3.7K

Largest payer

UCB, 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.

Medicare Part D Prescribing Data

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

3,361
Total Claims
$1.8M
Total Drug Cost
423
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,773
Total Day Supply
167,554
Generic Drug Cost
$216K
Opioid Claims
20 (0.6% rate)

Patient Demographics

Average Patient Age
67.0 years
Avg HCC Risk Score
1.66
Gender Split
57% female / 43% male
Age Distribution
<65: 132, 65-74: 155, 75-84: 113, 85+: 23

Top Prescribed Drugs (Medicare Part D)

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

What SHAWN 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
Carbidopa-Levodopa
Carbidopa/Levodopa
257
Pregabalin
248
Topiramate
217
Gabapentin
185
Levetiracetam
148
Duloxetine Hcl
98
Primidone
84
Trazodone Hcl
77
Sumatriptan Succinate
76
Rizatriptan
Rizatriptan Benzoate
75

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

Neurology Physician Overview

How SHAWN NELSON, MD fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

SHAWN NELSON, MD's 3,361 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in Tennessee

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

Compare Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHAWN NELSON, MD's specialty?
SHAWN NELSON, MD specializes in Neurology Physician and practices in BRISTOL, Tennessee. Credentials: MD.
How much does SHAWN NELSON, MD prescribe under Medicare Part D?
In 2023, SHAWN NELSON, MD wrote 3,361 Medicare Part D claims totaling $1.8M in drug costs for 423 beneficiaries.
Where is SHAWN NELSON, MD located?
SHAWN NELSON, MD is located at 3183 W STATE ST, BRISTOL, TN, 37620. Phone: (423) 764-0987.
What is SHAWN NELSON, MD's NPI number?
SHAWN NELSON, MD's National Provider Identifier (NPI) is 1346233020, issued on 08/26/2005.
Does SHAWN NELSON, MD prescribe opioids?
Yes, SHAWN NELSON, MD had 20 opioid claims in 2023 with an opioid prescribing rate of 0.6%.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does SHAWN NELSON, MD prescribe most often?
Based on 2023 Medicare Part D data, SHAWN NELSON, MD's most frequently prescribed drugs include Carbidopa-Levodopa, Pregabalin, Topiramate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHAWN NELSON, MD accept Medicare?
SHAWN NELSON, MD appears in CMS Medicare data with 3,361 Part D claims and 423 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHAWN NELSON, MD's credentials?
SHAWN NELSON, MD's NPI is 1346233020 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.
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