Physician

Clay Gregory Nelson, M.D

According to 2025 Medicare claims, Clay Nelson, M.D (NPI: 1154732295) 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 362 traditional Medicare patients, billed 4,235 HCPCS/CPT codes, and received $107,579 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 462 prescription claims across 232 beneficiaries totaling $1,921 in drug costs, led by Prednisone (Prednisone). 2023 DME data shows 14 claims. Open Payments data shows 2 records totaling $33. 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 moved sharply higher in recent years, from $7,447 to $107,579. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $3,101 and ending at $1,921. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	45	114	$7,447
2020	148	560	$41,012
2021	313	2,019	$110,523
2022	344	3,713	$130,078
2023	365	4,127	$125,827
2024	362	4,235	$107,579

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	15	35	$3,101
2016	21	48	$1,842
2017	72	187	$2,173
2018	12	15	$430
2019	12	32	$263
2020	26	49	$1,193
2021	139	254	$1,642
2022	191	320	$3,723
2023	204	410	$2,502
2024	232	462	$1,921

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	16	16	$1,758
2023	13	14	$1,650
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	125	167	$86
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	256	456	$58
20610	Aspiration and/or injection of fluid from large joint	188	309	$43
73030	X-ray of shoulder, minimum of 2 views	133	192	$22
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	207	2,484	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisone	Prednisone	97	581	$519
Meloxicam	Meloxicam	208	6,390	$449
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	20	118	$145
Gabapentin	Gabapentin	15	304	$133
Ondansetron Hcl	Ondansetron Hcl	34	172	$118

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.	2	$33	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 Clay Gregory Nelson, M.D?

Tedicare shows public-source Medicare data for Clay Gregory Nelson, M.D (NPI 1154732295), 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 Clay Gregory Nelson, M.D have ACO affiliation data?

Clay Gregory Nelson, M.D is shown with ACO affiliation data for CHESS Genesis, LLC (REACH, ACO ID D0237).

What billing organization is linked to Clay Gregory Nelson, M.D?

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

Does Clay Gregory Nelson, M.D have Open Payments data?

Clay Gregory Nelson, M.D has 2 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.