John Jeffrey Nelson, M.D.
NPI 1376540005ActiveIndividual· Internal Medicine· Mystic, CT
Internal Medicine (M.D.) in Mystic, Connecticut, trained at Boston University School of Medicine (class of 1992). Their prescriptions cost Medicare Part D more than their services did: $258,402 for 2,608 claims, against $42,342 paid for services in 2024. Novartis Pharmaceuticals Corporation was the largest of 6 companies reporting payments in 2025, $199.14 in all, mostly food and beverage.
Overview
| NPI | 1376540005 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 7, 2005 |
| Last updated in NPPES | Sep 11, 2024 |
| Certified by provider | Sep 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 034771 | CT |
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 - Internal Medicine (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 130 |
|---|---|
| Services billed | 572 across 36 procedure codes |
| Paid by Medicare | $42,342 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,608 · 5,406 30-day fills |
|---|---|
| Patients | 194 |
| Total drug cost | $258,402 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Boston University School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Value in Prevention of Connecticut PLLCMystic, CT · 2 clinicians
Hospital affiliations
- Lawrence & Memorial HospitalNew London, CT
- William W Backus HospitalNorwich, CT
Other facilities
- Yale New Haven Health - Health at Home SoutheastHome health agency · Waterford, CT
Industry payments (Open Payments)
- 2025$199.14 · 9 payments from 6 companies
- 2024$16.58 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $46.91 | 2 |
| Vanda Pharmaceuticals Inc. | $44.41 | 2 |
| Lilly USA, LLC | $44.41 | 2 |
| Baxter Healthcare | $25.90 | 1 |
| Exact Sciences Corporation | $22.97 | 1 |
What the 2025 payments were for
- Food and Beverage$199.14 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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