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Dr. Benjamin Eric Nelson , DO

Internal Medicine โ€ข Springfield, MO

Active NPI 1558863464 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1235 E Cherokee St
Springfield, MO 658042203

Call 4178202000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1235 E Cherokee St

Springfield, MO 658042203

Telephone 4178202000
Organization at the Same NPPES Address or Phone
Mercy Clinic Hospitalists Facility NPI 1033181474

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Citizens Memorial Healthcare. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

2018

Medicare patients

159 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $36,038 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.

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 $28,031 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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

320 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

$22,677 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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)

Fewer than 11 payment records totaling $12.79 in 2022

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2022.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Internal Medicine in Springfield, MO (2024, 88 clinicians with data). Median for this group: 770. Middle half: 517 to 1,570.

Fewer Medicare Part B services than 65% of clinicians listed under Internal Medicine in Missouri (2024, 1,304 clinicians with data). Median for this group: 636. Middle half: 273 to 1,166.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in Springfield, MO (2024, 88 clinicians with data). Median for this group: $72,715. Middle half: $45,214 to $117,125.

A lower Medicare-allowed amount than 65% of clinicians listed under Internal Medicine in Missouri (2024, 1,304 clinicians with data). Median for this group: $58,496. Middle half: $24,542 to $99,993.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Internal Medicine in Springfield, MO (2024, 88 clinicians with data). Median for this group: $56,145. Middle half: $34,918 to $89,759.

A lower Medicare payment amount than 65% of clinicians listed under Internal Medicine in Missouri (2024, 1,304 clinicians with data). Median for this group: $44,917. Middle half: $18,290 to $76,772.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Internal Medicine in Springfield, MO (2024, 96 clinicians with data). Median for this group: 326. Middle half: 97 to 9,546.

Fewer Part D prescriptions than 60% of clinicians listed under Internal Medicine in Missouri (2024, 1,535 clinicians with data). Median for this group: 771. Middle half: 122 to 7,845.

Part D drug cost

Close to the middle for clinicians listed under Internal Medicine in Springfield, MO (2024, 96 clinicians with data). Median for this group: $25,510. Middle half: $1,571 to $799,440.

Close to the middle for clinicians listed under Internal Medicine in Missouri (2024, 1,535 clinicians with data). Median for this group: $59,863. Middle half: $2,451 to $575,890.

135 active clinicians are listed under Internal Medicine with a practice address in Springfield, MO (2,605 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

13.3% of these 135 clinicians have the CMS telehealth indicator.

69.6% of these 135 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2022
Disclosure Year:

Program year 2022 (payments made January 1 โ€“ December 31, 2022): fewer than 11 records totaling $12.79.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
COREVALVE EVOLUT R General $12.79

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2023 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, 2021โ€“2024; 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
149 76 $156.00 $73.47
99239 Hospital discharge day management, more than 30 minutes
86 83 $225.00 $105.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
58 57 $421.00 $161.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
29 14 $224.00 $110.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
28 27 $286.00 $121.50

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Metoprolol Succinate Metoprolol Succinate 71 2,171 $432.42 35
Atorvastatin Calcium Atorvastatin Calcium 61 1,873 $309.76 30
Clopidogrel Clopidogrel Bisulfate 38 1,440 $137.98 19
Eliquis Apixaban 35 1,077 $21,562.96 21
Furosemide Furosemide 26 789 $54.66 19
Losartan Potassium Losartan Potassium 18 591 $68.05 13
Isosorbide Mononitrate Er Isosorbide Mononitrate 15 570 $38.91 โ€”
Prednisone Prednisone 14 124 $34.77 14
Levofloxacin Levofloxacin 13 78 $37.10 13

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: 2021-08-11
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES MO 2021029585

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES OH 34.014279

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20210810002192

Enrollment State Jurisdiction

MO

PECOS Control ID

8123422383

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Citizens Memorial Healthcare

None, Bolivar, MO 65613

Phone: 4173286631

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

31 listed
Asim Ali

Internal Medicine

NPI 1548957319
Dr. Muhammad Al Sharif , DO

Internal Medicine - Cardiovascular Disease

NPI 1558367284

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Barker , MD

Emergency Medicine

NPI 1598789869

Doctor of Medicine (M.D.)

NPI 1043899636

Doctor of Osteopathic Medicine (D.O.)

Denis Bokov

Nurse Anesthetist, Certified Registered

NPI 1205698842
Dr. Amanda Dinsmore , MD

Emergency Medicine

NPI 1063525251

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location July 20, 2021

Registered at 1235 E CHEROKEE ST, SPRINGFIELD, MO 658042203 (Tel: 4178202000)

๐Ÿ“
Updated Business Mailing Address July 20, 2021

Registered at 1235 E CHEROKEE ST, SPRINGFIELD, MO 658042203 (Tel: 4178202000)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2021

Internal Medicine (license number reported to NPPES: OH 34.014279)

โœ…
NPI Profile Active March 07, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 07, 2018

Registered at 7007 POWERS BLVD, PARMA, OH 441295437 (Tel: 4407433000)

๐Ÿ“
Business Mailing Address (Initial Record) March 07, 2018

Registered at 7007 POWERS BLVD, PARMA, OH 441295437 (Tel: 4407433000)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 07, 2018

Recorded as BENJAMIN NELSON, DO

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2018

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration March 07, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558863464
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2018
Last Update: August 11, 2021
Sole Proprietor: No

Other Internal Medicine Providers in Springfield

All Internal Medicine Providers in Springfield

Mailing Address

1235 E Cherokee St

Springfield, MO 658042203

Phone: 4178202000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.