Physician

James Gregory Nelson, MD

According to 2025 Medicare claims, James Nelson, MD (NPI: 1023076494) practices orthopedic surgery in the Rocky Mount, NC market, with the plurality of this provider's patient population coming from Nash, NC. This provider's primary affiliated billing organization is UNC PHYSICIANS NETWORK LLC (NPI: 1558786830; TIN: 271081647) and primary practice location at 27804-1410. Nelson is affiliated with the CHESS Genesis, LLC (ACO ID: D0237), participating under the REACH model.

Nelson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 628 traditional Medicare patients, billed 7,853 HCPCS/CPT codes, and received $180,327 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 384 prescription claims across 237 beneficiaries totaling $4,923 in drug costs, led by Celecoxib (Celecoxib). 2023 DME data shows 15 claims. Open Payments data shows 1 records totaling $17. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $10,279 to $4,923. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $3,855 to $767.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,142	7,769	$296,510
2016	1,131	7,741	$274,013
2017	1,041	10,286	$266,331
2018	1,034	12,936	$269,047
2019	1,043	12,309	$242,903
2020	862	10,452	$227,671
2021	852	10,863	$262,891
2022	756	9,544	$227,613
2023	678	8,632	$197,086
2024	628	7,853	$180,327

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	150	283	$10,279
2016	147	289	$4,428
2017	165	351	$2,895
2018	144	294	$3,572
2019	141	236	$2,873
2020	211	332	$2,422
2021	181	286	$2,219
2022	220	348	$3,966
2023	223	363	$4,195
2024	237	384	$4,923

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	80	82	$5,339
2016	70	73	$4,897
2017	78	78	$4,637
2018	49	49	$2,147
2019	24	24	$2,095
2020	38	40	$1,804
2021	13	13	$572
2022	12	12	$550
2023	15	15	$690
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	288	379	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	405	705	$57
20610	Aspiration and/or injection of fluid from large joint	399	692	$43
73560	X-ray of knee, 1-2 views	245	336	$20
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	395	4,489	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	83	2,670	$2,039
Prednisone	Prednisone	115	690	$606
Methylprednisolone	Methylprednisolone	53	318	$349
Meloxicam	Meloxicam	49	1,830	$120
Oxycodone Hcl	Oxycodone Hcl	26	112	$107

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$17	Avanos Medical
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for James Gregory Nelson, MD?

Tedicare shows public-source Medicare data for James Gregory Nelson, MD (NPI 1023076494), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James Gregory Nelson, MD have ACO affiliation data?

James Gregory Nelson, MD is shown with ACO affiliation data for CHESS Genesis, LLC (REACH, ACO ID D0237).

What billing organization is linked to James Gregory Nelson, MD?

James Gregory Nelson, MD is linked to UNC PHYSICIANS NETWORK LLC (billing NPI 1558786830) in the available physician profile data.

Does James Gregory Nelson, MD have Open Payments data?

James Gregory Nelson, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.