Physician

Taylor James Nelson, MD

According to 2025 Medicare claims, Taylor Nelson, MD (NPI: 1740784735) practices rheumatology in the Logan, UT-ID market, with the plurality of this provider's patient population coming from Cache, UT. This provider's primary affiliated billing organization is IHC HEALTH SERVICES INC (NPI: 1417354945; TIN: 942854057) and primary practice location at 84341-2400. Nelson is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), CoreHealth Alliance LLC (ACO ID: A5645), and Castell Accountable Care, LLC (ACO ID: D0136), participating under both the MSSP and REACH models.

Nelson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 157 traditional Medicare patients, billed 31,891 HCPCS/CPT codes, and received $339,667 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 746 prescription claims across 135 beneficiaries totaling $438,497 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 2 records totaling $247. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $7,458 to $438,497. 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$170K$340K2023 Medicare payment: $73,495 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $339,667 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023874,334$73,495
202415731,891$339,667

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$219K$438K2020 Drug cost: $7,458 (USD; Tot_Drug_Cst)2021 Drug cost: $7,867 (USD; Tot_Drug_Cst)2022 Drug cost: $51,705 (USD; Tot_Drug_Cst)2023 Drug cost: $114,840 (USD; Tot_Drug_Cst)2024 Drug cost: $438,497 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
202047138$7,458
202131123$7,867
202228125$51,705
2023115370$114,840
2024135746$438,497

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
96413Administration of chemotherapy into vein, 1 hour or less37118$92
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more79183$86
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less3260$46
96415Administration of chemotherapy into vein, each additional hour37131$20
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's63111$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab18644$152,700
Xeljanz XrTofacitinib Citrate12360$80,471
RinvoqUpadacitinib11330$79,369
Mycophenolate MofetilMycophenolate Mofetil24998$4,503
Hydroxychloroquine SulfateHydroxychloroquine Sulfate1178,340$3,996

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.2$247UCB, 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 Taylor James Nelson, MD?

Tedicare shows public-source Medicare data for Taylor James Nelson, MD (NPI 1740784735), 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 Taylor James Nelson, MD have ACO affiliation data?

Taylor James Nelson, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), CoreHealth Alliance LLC (MSSP, ACO ID A5645), and Castell Accountable Care, LLC (REACH, ACO ID D0136).

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

Taylor James Nelson, MD is linked to IHC HEALTH SERVICES INC (billing NPI 1417354945) in the available physician profile data.

Does Taylor James Nelson, MD have Open Payments data?

Taylor James Nelson, MD 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.