Dr. Stephen Nelson, MD
2416 Whitney Ave Ste 3, Hamden, CT 06518 • +1-940-555-6952
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Hamden Percentiles
NPI #1194161604 • CBSA Regional • Orthopedic Surgery
Anchored in Hamden, CT 06518, Dr. Stephen Nelson, MD (NPI 1194161604) logged 2,904 annual procedures (top-decile high-throughput specialist (91.3th percentile in Hamden), 63.8th CT percentile, -0.21σ) with sub-specialty concentration in 43 Active CMS HCPCS Codes.
Procedural volume for Dr. Nelson is led by HCPCS 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation — 537 annual services, $112–$153 GPCI cash estimate), followed by CPT 20610 (Major Joint (Knee/Shoulder/Hip) Aspiration or Injection, 403/yr) and CPT 73562 (Radiologic Weight-Bearing 3-View Knee Examination, 283/yr).
Cash-pay intake data for NPI 1194161604 (2416 Whitney Ave Ste 3, Hamden) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 11-minute average reception wait and 4.64/5 biomarker openness.
Patients evaluating Dr. Stephen Nelson in ZIP 06518 note 34 years of post-doctoral tenure (null, 1992) alongside 6.5 annual CMS procedures per patient.
Top 10% Orthopedic Surgery volume leader in Hamden, CT
2,904 annual services across 447 beneficiaries
Standard deviations from CT 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 | 537 | 91.3th | $112 – $153 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 403 | 86.3th | $119 – $163 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 283 | 94.3th | $67 – $92 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 164 | 92.3th | $161 – $220 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 104 | 92.3th | $1034 – $1417 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (43 HCPCS billing breadth) | 1,412 | 91.3th | $126 – $183 |
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Dr. Stephen Nelson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nelson National Provider Identifier | NPI #1194161604 (MD) | CMS NPPES Registry (06518) |
| Dr. Nelson Hamden CMS Volume Rank | 91.30th Pct (2,904 CMS svcs; Z -0.210σ) | CMS Medicare Part B (CT Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hamden, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.58/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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