Kirbylee Nelson, M.D.
NPI 1780927418 · Gastroenterology Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kirbylee Nelson, M.D. is a Gastroenterology Physician provider in Chicago, IL (NPI 1780927418).
Provider details
- NPI number
- 1780927418
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 285255 (NY)
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
13 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
192 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 60 | $154 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 48 | $275 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 32 | $79 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 23 | $99 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 15 | $144 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 72 | 70 |
| Omeprazole | 56 | 22 |
| Linaclotidebrand: Linzess | 25 | — |
| Famotidine | 15 | — |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 11 | — |
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)
- 12901 Bruce B Downs BlvdMdc 41Tampa, FL 33612-4742Phone: (813) 844-7412Fax: (813) 974-8359
Registry dates
- Enumerated
- 2013-04-01
- Last updated
- 2020-10-06
- Certified
- 2020-10-06
Frequently asked questions
- What is Kirbylee Nelson's NPI number?
- Kirbylee Nelson's National Provider Identifier (NPI) is 1780927418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kirbylee Nelson's specialty?
- Kirbylee Nelson is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Kirbylee Nelson located?
- Kirbylee Nelson's practice location on file with NPPES is 259 E Erie St Ste 1600, Chicago, IL 60611-3111.
- What is Kirbylee Nelson's phone number?
- The practice phone number listed in the NPPES registry for Kirbylee Nelson is (312) 695-5620.
- Does Kirbylee Nelson accept Medicare?
- Kirbylee Nelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kirbylee Nelson's NPI active?
- Yes — Kirbylee Nelson's NPI (1780927418) is active in the NPPES registry as of the last update on 2020-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.