Whitney Nelson, M.D.
NPI 1265973523 · Hospitalist Physician · Irvine, CA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Whitney Nelson, M.D. is a Hospitalist Physician provider in Irvine, CA (NPI 1265973523).
Provider details
- NPI number
- 1265973523
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A160145 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
768 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 299 | $122 |
| Prolonged Hospital Inpatient Or Observation Care Evaluation and Management Service(s) Beyond the Total Time for the Primary Service (when the Primary Service Has Been Selected Using Time on the Date of the Primary Service); Each Additional 15 Minutes By ThG0316 | 147 | $31 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 103 | $120 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 99 | $179 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 75 | $81 |
| Critical Care, First 30-74 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 13 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 757 Westwood PlzSuite 7501Los Angeles, CA 90095-8358Phone: (310) 339-5952
Registry dates
- Enumerated
- 2017-03-19
- Last updated
- 2025-07-11
- Certified
- 2025-07-11
Frequently asked questions
- What is Whitney Nelson's NPI number?
- Whitney Nelson's National Provider Identifier (NPI) is 1265973523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Whitney Nelson's specialty?
- Whitney Nelson is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Whitney Nelson located?
- Whitney Nelson's practice location on file with NPPES is 16200 Sand Canyon Ave, Irvine, CA 92618-3714.
- What is Whitney Nelson's phone number?
- The practice phone number listed in the NPPES registry for Whitney Nelson is (949) 873-6181.
- Does Whitney Nelson accept Medicare?
- Whitney Nelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Whitney Nelson's NPI active?
- Yes — Whitney Nelson's NPI (1265973523) is active in the NPPES registry as of the last update on 2025-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.