Lori Ann Nelson-Madison, M. D.
NPI 1215198411ActiveIndividual· Family Medicine· Lynchburg, VA
Family Medicine (M. D.) in Lynchburg, Virginia, trained at University of Virginia School of Medicine (class of 2006). Their prescriptions cost Medicare Part D more than their services did: $136,701 for 1,841 claims, against $25,425 paid for services in 2024. Vertex Pharmaceuticals Incorporated reported $86.97 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1215198411 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M. D. |
| Sole proprietor | No |
| NPI issued | Jun 19, 2008 |
| Last updated in NPPES | Mar 4, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 0101245552 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 112 |
|---|---|
| Services billed | 518 across 41 procedure codes |
| Paid by Medicare | $25,425 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,841 · 3,796 30-day fills |
|---|---|
| Patients | 79 |
| Total drug cost | $136,701 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of Virginia School of Medicine |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Family Practice |
Medical group
- Centra Medical Group LLCLynchburg, VA · 724 clinicians
Hospital affiliation
- Centra Health - Lynchburg Gen HospitalLynchburg, VA
Other facilities
- Centra Home HealthHome health agency · Lynchburg, VA
Industry payments (Open Payments)
- 2025$86.97 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vertex Pharmaceuticals Incorporated | $86.97 | 1 |
What the 2025 payments were for
- Food and Beverage$86.97 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family medicine physicians in Lynchburg
- 1053319640
- 1053935114
- 1073597027
- 1164652202
- 1174505945
- 1174786420
- 1225087299
- 1275038622
- 1275768855
- 1285657213
- 1336199330
- 1386819928
All 111 family medicine physicians in Lynchburg · All family medicine physicians in Virginia