Robert Nelson, M.D.
NPI 1972696037 · Psychiatry Physician · Wyomissing, PA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Robert Nelson, M.D. is a Psychiatry Physician provider in Wyomissing, PA (NPI 1972696037).
Provider details
- NPI number
- 1972696037
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD422537 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
- Psychiatric Hospital283Q00000X
Hospitals
- Specialist174400000X
Other Service Providers
- General Acute Care Hospital282N00000X
Hospitals
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
514 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 514 | $77 |
Typical Medicare-allowed amounts for these services range $77–$77 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 58 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lamotrigine | 204 | 48 |
| Aripiprazole | 189 | 39 |
| Trazodone Hcl | 182 | 49 |
| Clonazepam | 165 | 35 |
| Duloxetine Hcl | 154 | 38 |
| Fluoxetine Hcl | 150 | 27 |
| Bupropion Hclbrand: Bupropion Xl | 144 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$408,743 across 423 records (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
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2020-02-06
- Certified
- 2020-02-06
Frequently asked questions
- What is Robert Nelson's NPI number?
- Robert Nelson's National Provider Identifier (NPI) is 1972696037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Nelson's specialty?
- Robert Nelson is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Robert Nelson located?
- Robert Nelson's practice location on file with NPPES is 2201 Ridgewood Road, Wyomissing, PA 19610-6977.
- What is Robert Nelson's phone number?
- The practice phone number listed in the NPPES registry for Robert Nelson is (610) 378-9601.
- Does Robert Nelson accept Medicare?
- Robert Nelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Robert Nelson's NPI active?
- Yes — Robert Nelson's NPI (1972696037) is active in the NPPES registry as of the last update on 2020-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.