NPPES file of Aug 9, 2026

Susan J. Anderson-Nelson, M.D.

Retina Specialist (Ophthalmology) Physician · Wheaton, IL

Susan J. Anderson-Nelson, M.D. is a retina specialist (ophthalmology) physician with a practice address in Wheaton, Illinois, and NPI 1013904986, issued on Oct 5, 2005. Check the license (Illinois 036079057, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1013904986
Name
Susan J. Anderson-Nelson
Credential
M.D.
Primary taxonomy
Retina Specialist (Ophthalmology) Physician 207WX0107X
License numbers
036079057 IL
36-079057 IL
Self-reported in NPPES; status is on the state search
Practice location
2015 N Main St, Wheaton, IL 60187
Phone
(630) 668-8250
Enumerated
Oct 5, 2005
Record last updated
Aug 21, 2024
Fax
(630) 668-8916
Medicaid ID
036079057 IL
Medicare enrollment
Enrolled (PECOS I20100206000149); accepts Medicare assignment
Medical or professional school
Rush Medical College Of Rush University, 1986
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2015 N Main St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Christina Andrzejewski, ODOptometrist1235922089
  2. Ayesha Badar, MDGlaucoma Specialist (Ophthalmology) Physician1619462330
  3. Saaquib Bakhsh, MDRetina Specialist (Ophthalmology) Physician1457871402
  4. Kimberly Blankshain, MDNeuro-ophthalmology Physician1801328125
  5. Eric CaskeyNeuro-ophthalmology Physician1558892729
  6. Ann Clark, O.D.Optometrist1073833034

Verify Susan J. Anderson-Nelson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036079057
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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40% fewer Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024

370 Medicare Part D claims for 136 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 35% of claims.

  1. Susan Anderson-Nelson370
  2. Specialty average620

Most prescribed

  1. Prednisolone Acetate84 claims
  2. Dorzolamide Hcl64 claims
  3. Erythromycin56 claims
  4. Ketorolac Tromethamine54 claims
  5. Latanoprost27 claims
  6. Difluprednate13 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 MIPS final score for 2023 (Medicare payment program): 94.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score82.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $34.78

1 payment: food and beverage; the largest payer was Apellis Pharmaceuticals, Inc. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Susan Anderson-Nelson$34.78
  2. Specialty average$7,667.49

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Cook CountyChicago, IL
  2. Wheaton Eye Clinic LtdWheaton, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Susan J. Anderson-Nelson among 72 retina specialist (ophthalmology) physician records in Illinois

Susan J. Anderson-Nelson, M.D. is one of 72 retina specialist (ophthalmology) physician records with a practice address in Illinois. 93% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 76% newer
  • In a Medicare fileYes · 93% of these records are
  • In the CMS Doctors and Clinicians fileYes · 88% of these records are
  • Graduated1986 · median 2006 among the 63 with a school on file
  • Record last updated2024 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Retina Specialist (Ophthalmology) Physician providers in Illinois

There are 72 retina specialist (ophthalmology) physician records in Illinois.

The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes

  1. Saaquib Bakhsh, MDWheaton, IL 601871457871402
  2. Jon Gieser, M.D.Wheaton, IL 601871235127168
  3. Nisha Gupta, MDWheaton, IL 601871659665263
  4. Vikram Setlur, MDWheaton, IL 601871750547733
  5. Brian Larsen, M.D.Lombard, IL 601481083871974
  6. Kenneth Resnick, M.D.Elmhurst, IL 601261790724045
  7. Hudson Stern, M.D.Elmhurst, IL 601261285085373
  8. Aaron Weinberg, M.D/Elmhurst, IL 601261801834676

Common questions

What is Susan J. Anderson-Nelson, M.D.'s NPI number?

Susan J. Anderson-Nelson, M.D.'s National Provider Identifier (NPI) is 1013904986, issued on Oct 5, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Susan J. Anderson-Nelson, M.D. located?

The NPPES record lists a practice address at 2015 N Main St, Wheaton, IL, 60187. Phone: (630) 668-8250. Providers update this record themselves, so call before visiting.

How can I verify Susan J. Anderson-Nelson, M.D.'s license?

NPPES lists Illinois license number 036079057, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Susan J. Anderson-Nelson, M.D. prescribe under Medicare Part D?

In 2024, Susan J. Anderson-Nelson, M.D. had 370 Medicare Part D claims for 136 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.

What is Susan J. Anderson-Nelson, M.D.'s MIPS final score?

The 2023 MIPS final score is 94.1 of 100. 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.