Dr. Sidney Nelson, MD
1840 Reisterstown Rd, Pikesville, MD 21208 • +1-905-555-1350
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Pikesville Percentiles
NPI #1033152541 • CBSA Regional • Internal Medicine
Anchored in Pikesville, MD 21208, Dr. Sidney Nelson, MD (NPI 1033152541) logged 1,410 annual procedures (focused low-volume boutique caseload (30th Pikesville percentile), 44.93th MD percentile, -0.12σ) with sub-specialty concentration in 29 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1033152541 highlights 635 annual claims for 99214 (30th Pikesville percentile; $184–$252 self-pay corridor) plus 367 encounters under 99213 and 183 under 93000.
Direct cash-pay transparency modeling sets Dr. Nelson's baseline new-consult rate near $209.00 in Pikesville, MD (cash-pay accepted, hybrid in-clinic and telehealth video consults, 18-minute average reception wait).
Clinical background for Dr. Nelson (MD, NPI #1033152541) includes accredited doctoral training (2003, 23 yrs in practice) and virtual + in-office availability across MD.
Compared against Pikesville, MD Internal Medicine peers
1,410 annual services across 415 beneficiaries
Standard deviations from MD Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 635 | 30th | $184 – $252 |
| 99213 | Established Preventive & Chronic Care Visit | 367 | 33th | $141 – $193 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 183 | 30th | $67 – $92 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 141 | 35th | $216 – $296 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 85 | 33th | $256 – $351 |
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Dr. Sidney Nelson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nelson National Provider Identifier | NPI #1033152541 (MD) | CMS NPPES Registry (21208) |
| Dr. Nelson Pikesville CMS Volume Rank | 30.00th Pct (1,410 CMS svcs; Z -0.120σ) | CMS Medicare Part B (MD Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pikesville, MD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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