Dr. Thomas Nelson, MD
6567 E Carondelet DR Ste 415, Tucson, AZ 85710 • +1-881-555-3597
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Tucson Percentiles
NPI #1386753895 • CBSA Regional • Orthopedic Surgery
Anchored in Tucson, AZ 85710, Dr. Thomas Nelson, MD (NPI 1386753895) logged 6,782 annual procedures (top-decile high-throughput specialist (90.24th percentile in Tucson), 81.82th AZ percentile, +0.31σ) with sub-specialty concentration in 53 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1386753895 highlights 246 annual claims for 99213 (90.24th Tucson percentile; $34–$49 self-pay corridor) plus 185 encounters under 20610 and 130 under 73562.
Direct cash-pay transparency modeling sets Dr. Nelson's baseline new-consult rate near $207.00 in Tucson, AZ (cash-pay accepted, hybrid in-clinic and telehealth video consults, 18-minute average reception wait).
From 6567 E Carondelet DR Ste 415 in Tucson (+1-881-555-3597), Dr. Nelson, MD (29-year clinical track record) delivers 53 Active CMS HCPCS Codes care.
Top 10% Orthopedic Surgery volume leader in Tucson, AZ
6,782 annual services across 215 beneficiaries
Standard deviations from AZ Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 246 | 90.24th | $34 – $49 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 185 | 91.24th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 130 | 91.24th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 75 | 93.24th | $49 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 48 | 89.24th | $318 – $436 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (53 HCPCS billing breadth) | 6,098 | 90.24th | $45 – $65 |
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Dr. Thomas Nelson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nelson National Provider Identifier | NPI #1386753895 (MD) | CMS NPPES Registry (85710) |
| Dr. Nelson Tucson CMS Volume Rank | 90.24th Pct (6,782 CMS svcs; Z +0.308σ) | CMS Medicare Part B (AZ Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $207.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Tucson, AZ) |
| Waiting-Room Wait Time & Cash Friendliness | $207.00 avg paid • 18 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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