Lionel Nelson, MD
NPI 1902838063 · Otolaryngology Physician · San Jose, CA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lionel Nelson, MD is a Otolaryngology Physician provider in San Jose, CA (NPI 1902838063).
Provider details
- NPI number
- 1902838063
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G19842 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
622 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 163 | $155 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 152 | $111 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 90 | $134 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 70 | $166 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 59 | $216 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ipratropium Bromide | 71 | 30 |
| Mometasone Furoate | 24 | 20 |
| Methylprednisolone | 22 | 21 |
| Pilocarpine Hcl | 19 | — |
| Fluocinolone Acetonide Oil | 17 | 12 |
| Montelukast Sodium | 16 | — |
| Mupirocin | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include 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 , 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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$201 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2505 Samaritan Dr #510San Jose, CA 95124Phone: (408) 358-6163Fax: (408) 358-2302
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2025-02-28
- Certified
- 2025-02-28
Frequently asked questions
- What is Lionel Nelson's NPI number?
- Lionel Nelson's National Provider Identifier (NPI) is 1902838063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lionel Nelson's specialty?
- Lionel Nelson is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Lionel Nelson located?
- Lionel Nelson's practice location on file with NPPES is 2577 Samaritan Dr Ste 765, San Jose, CA 95124-4109.
- What is Lionel Nelson's phone number?
- The practice phone number listed in the NPPES registry for Lionel Nelson is (408) 358-6163.
- Does Lionel Nelson accept Medicare?
- Lionel Nelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lionel Nelson's NPI active?
- Yes — Lionel Nelson's NPI (1902838063) is active in the NPPES registry as of the last update on 2025-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.