Physician

Daniel Richard Nelson, MD

According to 2025 Medicare claims, Daniel Nelson, MD (NPI: 1922204239) practices orthopedic surgery in the Sioux City, IA-NE-SD market, with the plurality of this provider's patient population coming from Woodbury, IA. This provider's primary affiliated billing organization is CNOS PC (NPI: 1881604320; TIN: 421480644) and primary practice location at 57049-5000. Nelson is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Avera Prairie View ACO (ACO ID: A4692), Caravan Health ACO 50 LLC (ACO ID: A5160), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Nelson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 452 traditional Medicare patients, billed 1,864 HCPCS/CPT codes, and received $216,406 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 840 prescription claims across 317 beneficiaries totaling $9,474 in drug costs, led by Cephalexin (Cephalexin). DME data shows 11 claims. Open Payments data shows 3 records totaling $131. 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 have moved sharply higher in recent years, from $4,015 to $9,474. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $6,106 to $4,743.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	473	2,699	$238,596
2016	593	3,265	$300,157
2017	594	3,027	$284,540
2018	489	2,123	$252,784
2019	552	2,709	$302,161
2020	437	1,754	$231,020
2021	473	1,840	$251,035
2022	461	1,822	$224,036
2023	428	1,904	$211,736
2024	452	1,864	$216,406

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	139	321	$4,015
2016	187	605	$6,692
2017	195	518	$6,302
2018	156	348	$7,727
2019	148	338	$3,868
2020	170	400	$3,462
2021	195	447	$4,009
2022	217	548	$11,433
2023	248	624	$3,974
2024	317	840	$9,474

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	19	19	$1,466
2016	25	25	$1,241
2017	39	39	$1,127
2018	30	30	$1,225
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	16	16	$927
2022	N/R	N/R	N/R
2023	14	14	$899
2024	11	11	$597

* / # = 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	79	86	$89
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	204	262	$61
20610	Aspiration and/or injection of fluid from large joint	82	106	$45
73502	X-ray of hip, 2-3 views	147	183	$25
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	87	542	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Cephalexin	Cephalexin	44	671	$467
Amoxicillin	Amoxicillin	347	831	$360
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	19	231	$208
Meloxicam	Meloxicam	128	4,134	$192
Tramadol Hcl	Tramadol Hcl	60	363	$166

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0143	Walker, folding, wheeled, adjustable or fixed height	N	11	11	$597

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$131	Stryker Corporation
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 Daniel Richard Nelson, MD?

Tedicare shows public-source Medicare data for Daniel Richard Nelson, MD (NPI 1922204239), 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 Daniel Richard Nelson, MD have ACO affiliation data?

Daniel Richard Nelson, MD is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578), Avera Prairie View ACO (MSSP, ACO ID A4692), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Daniel Richard Nelson, MD?

Daniel Richard Nelson, MD is linked to CNOS PC (billing NPI 1881604320) in the available physician profile data.

Does Daniel Richard Nelson, MD have Open Payments data?

Daniel Richard 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.