Todd Nelson, M.D.
NPI 1457562126 · Family Medicine Physician · Burlington, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Todd Nelson, M.D. is a Family Medicine Physician provider in Burlington, WI (NPI 1457562126).
Provider details
- NPI number
- 1457562126
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 56176 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 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
3,814 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) |
|---|---|---|
| Anticoagulant Management of Patient Taking Warfarin93793 | 1,320 | $11 |
| Blood Test, Clotting Time85610 | 1,145 | $4 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 399 | $120 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 275 | $15 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 224 | $121 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 124 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Warfarin Sodium | 757 | 190 |
| Atorvastatin Calcium | 627 | 152 |
| Rosuvastatin Calcium | 475 | 132 |
| Losartan Potassium | 329 | 85 |
| Amlodipine Besylate | 327 | 85 |
| Lisinopril | 319 | 82 |
| Levothyroxine Sodium |
Practice location
Mailing address
Additional practice locations (1)
- 240 Maple AveProhealth Care Medical Associates Inc.Mukwonago, WI 53149-8475Phone: (262) 928-1900
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2024-09-24
- Certified
- 2024-09-24
Frequently asked questions
- What is Todd Nelson's NPI number?
- Todd Nelson's National Provider Identifier (NPI) is 1457562126, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Todd Nelson's specialty?
- Todd Nelson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Todd Nelson located?
- Todd Nelson's practice location on file with NPPES is 248 Mchenry St, Burlington, WI 53105-1828.
- What is Todd Nelson's phone number?
- The practice phone number listed in the NPPES registry for Todd Nelson is (262) 767-8000.
- Does Todd Nelson accept Medicare?
- Todd Nelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Todd Nelson's NPI active?
- Yes — Todd Nelson's NPI (1457562126) is active in the NPPES registry as of the last update on 2024-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.