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Douglas Nelson, M.D.

NPI 1427091065ActiveIndividual· Internal Medicine· Kalispell, MT

Internal Medicine (M.D.) in Kalispell, Montana, trained at University of North Carolina at Chapel Hill School of Medicine (class of 1991). Their prescriptions cost Medicare Part D more than their services did: $23,528 for 219 claims, against $5,978 paid for services in 2024.

Overview

NPI1427091065
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedJun 13, 2006
Last updated in NPPESApr 19, 2021
Certified by providerApr 19, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X7105MT
Pediatrics208000000X7105MT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Internal Medicine (MT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients18
Services billed88 across 16 procedure codes
Paid by Medicare$5,978

Part D prescriptions in 2024

Prescriptions (claims)219 · 468 30-day fills
Patients24
Total drug cost$23,528
Generic share86% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of North Carolina at Chapel Hill School of Medicine
Graduation year1991
Medicare specialtyInternal Medicine
Secondary specialtiesPediatric Medicine

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other internal medicine physicians in Kalispell

All 32 internal medicine physicians in Kalispell · All internal medicine physicians in Montana