Dr. Mark Nelson, MD
750 Highland Oaks DR Ste 100, Winston Salem, NC 27103 • +1-282-555-8399
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Winston Salem Percentiles
NPI #1417953654 • CBSA Regional • Ophthalmology
Anchored in Winston Salem, NC 27103, Dr. Mark Nelson, MD (NPI 1417953654) logged 7,432 annual procedures (upper-quartile active clinical volume (75th Winston Salem percentile), 79.08th NC percentile, -0.08σ) with sub-specialty concentration in 22 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1417953654 highlights 298 annual claims for 92014 (75th Winston Salem percentile; $61–$83 self-pay corridor) plus 209 encounters under 92134 and 137 under 92083.
Self-pay new patient consultations with Dr. Nelson (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 17-minute average reception wait, and a 4.51/5 modern protocol openness score across 11 patient logs.
NPI registry verification (#1417953654) confirms Dr. Mark Nelson's MD standing serving CBSA 27103 with a 4.56/5 patient scorecard.
Compared against Winston Salem, NC Ophthalmology peers
7,432 annual services across 235 beneficiaries
Standard deviations from NC Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 298 | 75th | $61 – $83 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 209 | 76th | $34 – $49 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 137 | 80th | $40 – $55 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 97 | 79th | $73 – $100 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 64 | 72th | $268 – $368 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (22 HCPCS billing breadth) | 6,627 | 75th | $53 – $77 |
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Dr. Mark Nelson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nelson National Provider Identifier | NPI #1417953654 (MD) | CMS NPPES Registry (27103) |
| Dr. Nelson Winston Salem CMS Volume Rank | 75.00th Pct (7,432 CMS svcs; Z -0.083σ) | CMS Medicare Part B (NC Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winston Salem, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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