Dr Mark G Nelson, MD - Medicare Cardiac Surgery in Cumberland, MD

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Dr Mark G Nelson, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Cumberland, Maryland. He went to University Of Maryland School Of Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Upmc Western Maryland Health Services Llc and his current practice location is 12502 Willowbrook Rd, Suite 470, Cumberland, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 964-8724.

Dr Mark G Nelson is licensed to practice in Maryland (license number D0056355) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134111743.

Contact Information

Dr Mark G Nelson, MD
12502 Willowbrook Rd, Suite 470,
Cumberland, MD 21502-6393
(240) 964-8724
(240) 964-8735

Map and Direction




Physician's Profile

Full NameDr Mark G Nelson
GenderMale
SpecialityCardiac Surgery
Experience38 Years
Location12502 Willowbrook Rd, Cumberland, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark G Nelson attended and graduated from University Of Maryland School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1134111743
  • Provider Enumeration Date: 08/19/2005
  • Last Update Date: 02/24/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6103019526
  • Enrollment ID: I20101019000012

Medical Identifiers

Medical identifiers for Dr Mark G Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134111743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery D0056355 (Maryland)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) D0056355 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Western Maryland Health System Home CareCumberland, MDHome health agency
Valley Health Home Health/west VirginiaRomney, WVHome health agency
Western Maryland Regional Medical CenterCumberland, MDHospital
Potomac Valley HospitalKeyser, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upmc Western Maryland Health Services Llc7113396011153

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark G Nelson allows following entities to bill medicare on his behalf.
Entity NameUpmc Western Maryland Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184769952
PECOS PAC ID: 7113900655
Enrollment ID: O20040608000157
Entity NameUpmc Western Maryland Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447976584
PECOS PAC ID: 7113396011
Enrollment ID: O20221216000041

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark G Nelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark G Nelson, MD
12502 Willowbrook Rd, Suite 470,
Cumberland, MD 21502-6393

Ph: (240) 964-8724		Dr Mark G Nelson, MD
12502 Willowbrook Rd, Suite 470,
Cumberland, MD 21502-6393

Ph: (240) 964-8724

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Cumberland, MD

Peter Julian Horneffer, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 12502 Willowbrook Rd, Suite 470, Cumberland, MD 21502
Phone: 240-964-8724    Fax: 240-964-8735

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.