Dr. John Nelson, MD
3801 Wake Forest Rd Ste 220, Raleigh, NC 27609 • +1-740-555-5181
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Raleigh Percentiles
NPI #1578857652 • CBSA Regional • Orthopedic Surgery
Dr. John Nelson, MD (NPI #1578857652) practices Orthopedic Surgery in Raleigh, NC (27609) with sub-specialty concentration in 95 Active CMS HCPCS Codes, recording 2,570 annual CMS services across 329 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (72.13th Raleigh percentile) (-0.18σ vs NC state mean, 60.71th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Nelson (averaging 7.8 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 25% of tracked volume (655 encounters), paired with 20610 (491x).
At 3801 Wake Forest Rd Ste 220 (27609), Dr. John Nelson, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.66/5 bedside rating).
Clinical background for Dr. Nelson (MD, NPI #1578857652) includes accredited doctoral training (2010, 16 yrs in practice) and dedicated on-site consultations at 3801 Wake Forest Rd Ste 220.
Compared against Raleigh, NC Orthopedic Surgery peers
2,570 annual services across 329 beneficiaries
Standard deviations from NC 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 | 655 | 72.13th | $86 – $118 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 491 | 70.13th | $92 – $126 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 346 | 68.13th | $52 – $71 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 200 | 69.13th | $124 – $170 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 127 | 77.13th | $799 – $1094 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (95 HCPCS billing breadth) | 750 | 72.13th | $97 – $141 |
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Dr. John Nelson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nelson National Provider Identifier | NPI #1578857652 (MD) | CMS NPPES Registry (27609) |
| Dr. Nelson Raleigh CMS Volume Rank | 72.13th Pct (2,570 CMS svcs; Z -0.182σ) | CMS Medicare Part B (NC Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Raleigh, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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