Physician

David D. Nelsen, MD

According to 2025 Medicare claims, David Nelsen, MD (NPI: 1417184169) practices dermatology in the Janesville-Beloit, WI market, with the plurality of this provider's patient population coming from Rock, WI. This provider's primary affiliated billing organization is MERCY HEALTH SYSTEM CORPORATION (NPI: 1598718603; TIN: 390816848) and primary practice location at 53546-1626. Nelsen is affiliated with the Mercy Health Corporation (ACO ID: A2097), participating under the MSSP model.

Nelsen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,695 traditional Medicare patients, billed 4,910 HCPCS/CPT codes, and received $158,548 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 2,148 prescription claims across 717 beneficiaries totaling $1,983,663 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 266 records totaling $176,860. 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 declined steadily, from $198,846 to $158,548. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $310,879 to $1,983,663. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$99K$199K2015 Medicare payment: $198,846 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $193,583 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $173,438 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $165,140 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $152,087 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $111,645 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $120,076 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $124,750 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $158,315 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $158,548 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157983,821$198,846
20168764,338$193,583
20171,2475,437$173,438
20181,3285,067$165,140
20191,3524,627$152,087
20201,1213,526$111,645
20211,2093,876$120,076
20221,2824,084$124,750
20231,6444,839$158,315
20241,6954,910$158,548

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$992K$2.0M2015 Drug cost: $310,879 (USD; Tot_Drug_Cst)2016 Drug cost: $330,768 (USD; Tot_Drug_Cst)2017 Drug cost: $488,267 (USD; Tot_Drug_Cst)2018 Drug cost: $351,139 (USD; Tot_Drug_Cst)2019 Drug cost: $526,227 (USD; Tot_Drug_Cst)2020 Drug cost: $666,525 (USD; Tot_Drug_Cst)2021 Drug cost: $697,188 (USD; Tot_Drug_Cst)2022 Drug cost: $1,438,176 (USD; Tot_Drug_Cst)2023 Drug cost: $1,779,418 (USD; Tot_Drug_Cst)2024 Drug cost: $1,983,663 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015342871$310,879
2016416973$330,768
20175701,295$488,267
20186011,629$351,139
20195981,608$526,227
20205471,583$666,525
20216511,779$697,188
20226872,002$1,438,176
20237592,087$1,779,418
20247172,148$1,983,663

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more217244$63
17110Destruction of skin growth, 1-14 growths238271$46
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more549672$45
17000Destruction of precancer skin growth, 1 growth321368$33
88305Pathology examination of tissue using a microscope, intermediate complexity9501,622$26

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab391,078$447,658
Dupixent PenDupilumab842,296$332,000
Skyrizi PenRisankizumab-Rzaa12672$250,900
Cosentyx Sensoready (2 Pens)Secukinumab19588$177,123
OtezlaApremilast331,014$174,262

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.266$176,860ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for David D. Nelsen, MD?

Tedicare shows public-source Medicare data for David D. Nelsen, MD (NPI 1417184169), 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 David D. Nelsen, MD have ACO affiliation data?

David D. Nelsen, MD is shown with ACO affiliation data for Mercy Health Corporation (MSSP, ACO ID A2097).

What billing organization is linked to David D. Nelsen, MD?

David D. Nelsen, MD is linked to MERCY HEALTH SYSTEM CORPORATION (billing NPI 1598718603) in the available physician profile data.

Does David D. Nelsen, MD have Open Payments data?

David D. Nelsen, MD has 266 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.