Physician

Laurence M Nelson, MD

According to 2025 Medicare claims, Laurence Nelson, MD (NPI: 1730165697) practices ophthalmology in the Ogden, UT market, with the plurality of this provider's patient population coming from Davis, UT. This provider's primary affiliated billing organization is TANNER MEMORIAL CLINIC (NPI: 1447239355; TIN: 870218917) and primary practice location at 84041-8803. Nelson is affiliated with the Aledade 57 Western Sky MSSP Enhanced (ACO ID: A4756), participating under the MSSP model.

Nelson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 667 traditional Medicare patients, billed 3,360 HCPCS/CPT codes, and received $323,507 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 1,381 prescription claims across 331 beneficiaries totaling $223,601 in drug costs, led by Restasis (Cyclosporine). Open Payments data shows 3 records totaling $46. 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 risen steadily, from $214,012 to $323,507. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $70,173 to $223,601. 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$189K$378K2015 Medicare payment: $214,012 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $212,137 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $234,787 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $282,188 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $359,349 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $359,826 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $371,664 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $356,593 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $377,760 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $323,507 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20156972,715$214,012
20166423,039$212,137
20177093,039$234,787
20187663,353$282,188
20197663,740$359,349
20207143,615$359,826
20216953,649$371,664
20226913,574$356,593
20236623,354$377,760
20246673,360$323,507

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$112K$224K2015 Drug cost: $70,173 (USD; Tot_Drug_Cst)2016 Drug cost: $75,746 (USD; Tot_Drug_Cst)2017 Drug cost: $73,250 (USD; Tot_Drug_Cst)2018 Drug cost: $98,574 (USD; Tot_Drug_Cst)2019 Drug cost: $110,522 (USD; Tot_Drug_Cst)2020 Drug cost: $166,608 (USD; Tot_Drug_Cst)2021 Drug cost: $162,628 (USD; Tot_Drug_Cst)2022 Drug cost: $173,324 (USD; Tot_Drug_Cst)2023 Drug cost: $200,207 (USD; Tot_Drug_Cst)2024 Drug cost: $223,601 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015152559$70,173
2016140531$75,746
2017122461$73,250
2018148556$98,574
2019190681$110,522
2020215873$166,608
2021223892$162,628
2022241980$173,324
20232541,104$200,207
20243311,381$223,601

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
92004New patient complete exam of visual system129129$86
92014Established patient complete exam of visual system5611,094$79
92012Established patient problem focused exam of visual system144274$61
92134Imaging of retina297731$27
92133Imaging of optic nerve137229$24

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RestasisCyclosporine994,455$92,096
LumiganBimatoprost1197,293$60,755
Prednisolone AcetatePrednisolone Acetate1964,892$6,910
TravoprostTravoprost392,519$5,712
CyclosporineCyclosporine18675$5,052

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.3$46Bausch & Lomb Americas 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 Laurence M. Nelson, MD?

Tedicare shows public-source Medicare data for Laurence M. Nelson, MD (NPI 1730165697), 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 Laurence M. Nelson, MD have ACO affiliation data?

Laurence M. Nelson, MD is shown with ACO affiliation data for Aledade 57 Western Sky MSSP Enhanced (MSSP, ACO ID A4756).

What billing organization is linked to Laurence M. Nelson, MD?

Laurence M. Nelson, MD is linked to TANNER MEMORIAL CLINIC (billing NPI 1447239355) in the available physician profile data.

Does Laurence M. Nelson, MD have Open Payments data?

Laurence M. Nelson, MD has 3 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.