Peter Nathanael Nelson
Physician Assistant โข Troy, MI
44201 Dequindre Rd
Troy, MI 480851117
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on June 22, 2017; this date does not establish years in practice.
-
Published CMS data list 53 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99222 โ Initial hospital care with straightforward or low-level medical decision making: 33 service units.
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 20 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 89 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Oxycodone Hcl โ 31 prescription fills, including refills.
- Tramadol Hcl โ 27 prescription fills, including refills.
- Omeprazole โ 16 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Troy, MI (2024, 116 clinicians with data). Median for this group: 84. Middle half: 47 to 251.
Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Michigan (2024, 3,281 clinicians with data). Median for this group: 134. Middle half: 59 to 290.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 52 in 2020 to 53 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
44201 Dequindre Rd
Troy, MI 480851117
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
78 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $4,995 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $3,991 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
89 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$252 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Peter Nelson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Peter Nelson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Troy and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Troy, MI (2024, 116 clinicians with data). Median for this group: 84. Middle half: 47 to 251.
Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Michigan (2024, 3,281 clinicians with data). Median for this group: 134. Middle half: 59 to 290.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Troy, MI (2024, 116 clinicians with data). Median for this group: $8,696. Middle half: $4,775 to $20,386.
A lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Michigan (2024, 3,281 clinicians with data). Median for this group: $10,676. Middle half: $4,960 to $20,226.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Physician Assistant in Troy, MI (2024, 116 clinicians with data). Median for this group: $6,907. Middle half: $3,727 to $15,966.
A lower Medicare payment amount than 70% of clinicians listed under Physician Assistant in Michigan (2024, 3,281 clinicians with data). Median for this group: $7,770. Middle half: $3,621 to $14,890.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Troy, MI (2024, 93 clinicians with data). Median for this group: 155. Middle half: 54 to 649.
Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in Michigan (2024, 3,741 clinicians with data). Median for this group: 302. Middle half: 82 to 1,061.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under Physician Assistant in Troy, MI (2024, 93 clinicians with data). Median for this group: $1,148. Middle half: $294 to $18,531.
A lower Part D drug cost than 85% of clinicians listed under Physician Assistant in Michigan (2024, 3,741 clinicians with data). Median for this group: $6,107. Middle half: $669 to $117,415.
237 active clinicians are listed under Physician Assistant with a practice address in Troy, MI (6,989 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Troy
8.4% of these 237 clinicians have the CMS telehealth indicator.
70.9% of these 237 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services varied from year to year: 52 in 2020 and 53 in 2024.
- 2020: 52
- 2021: 61
- 2022: 80
- 2023: 84
- 2024: 53
-
Medicare-allowed amount
Medicare-allowed amount increased 27% from $3,923 in 2020 to $4,995 in 2024.
- 2020: $3,923
- 2021: $5,251
- 2022: $6,918
- 2023: $8,027
- 2024: $4,995
-
Paid by Medicare
Paid by Medicare increased 27% from $3,138 in 2020 to $3,991 in 2024.
- 2020: $3,138
- 2021: $4,216
- 2022: $5,521
- 2023: $6,337
- 2024: $3,991
-
Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 86 in 2020 and 89 in 2024.
- 2020: 86
- 2021: 97
- 2022: 123
- 2023: 130
- 2024: 89
-
30-day fills
30-day fills varied from year to year: 86 in 2020 and 89 in 2024.
- 2020: 86
- 2021: 97
- 2022: 123
- 2023: 130
- 2024: 89
-
Part D drug cost
Part D drug cost went from $348 in 2020 to $252 in 2024.
- 2020: $348
- 2021: $349
- 2022: $668
- 2023: $599
- 2024: $252
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2020โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
|
33 | 33 | $296.00 | $110.28 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
20 | 18 | $157.00 | $67.77 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 31 | 102 | $79.24 | 31 |
| Tramadol Hcl | Tramadol Hcl | 27 | 147 | $38.02 | 27 |
| Omeprazole | Omeprazole | 16 | 478 | $83.78 | 16 |
| Methocarbamol | Methocarbamol | 15 | 188 | $50.97 | 15 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-12-23NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20170726003715
MI
1052681897
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Anesthesiology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Physician Assistant
Emergency Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 480333849
NPI status registered as active in NPPES database
Registered at 44201 DEQUINDRE RD, TROY, MI 480851117 (Tel: 2489645000)
Registered at 130 TOWN CENTER DR STE 203, TROY, MI 480841744 (Tel: 2485858221)
Recorded as PETER NELSON
Physician Assistant (license number reported to NPPES: MI 5601008208)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Troy
- Brett Blickenstaff, PA
- Katlynn Burger, PA-C
- Hannah Fortune
- Frank Mercadante, PA-C
- Oana Sturza, PA-C
- Kyle Allen, PA
Mailing Address
26901 Beaumont Blvd Ste 3d
Southfield, MI 480333849