Medicare Enrolled

Marc Nelson

Urology Physician · Libertyville, IL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1800 HOLLISTER DR STE 107, Libertyville, IL 60048
8472950010
Registered in NPPES since 2014
NPI: 1043637325 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Nelson from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Nelson

Marc Nelson is an urology physician in Libertyville, IL, with 12 years of NPI registration. Based on federal Medicare data, Nelson performed 2,272 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Nelson received a total of $7,161 from 49 pharmaceutical and/or device companies across 237 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Nelson is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 12 years of NPI registration ▲ Top 39% volume in IL $7,161 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
2,272
Medicare services
Top 39% in IL for urology physician
Not available
Unique patients (not deduplicated)
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Automated urinalysis
An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine.
645 $2 $20
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
365 $69 $163
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
187 $8 $100
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
154 $114 $302
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
153 $96 $228
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
145 $8 $20
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
99 $172 $930
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
83 $46 $129
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
78 $62 $140
Endoscopic removal of foreign body, stone, or stent from urethra or bladder
A procedure to remove a foreign object, stone, or stent from the urethra or bladder using an endoscope. The endoscope is a thin tube with a camera inserted into the urinary tract to locate and extract the item.
29 $248 $1,130
Transrectal ultrasound of the pelvis
An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures.
28 $108 $590
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
27 $97 $263
Bladder instillation of anti-cancer drug
A procedure where an anti-cancer medication is introduced directly into the bladder. This method delivers the treatment locally to the bladder tissue.
25 $67 $530
Imaging of urinary tract with contrast
An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures.
24 $19 $580
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
24 $132 $324
Simple insertion of temporary bladder tube
A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder.
23 $47 $340
Ureteral stone crushing with stent insertion
An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open.
23 $315 $1,800
Ureteral stent insertion via endoscope
A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder.
21 $100 $2,140
Subcutaneous or intramuscular chemotherapy injection
This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle.
20 $25 $160
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
18 $36 $154
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
17 $16 $42
Electronic assessment of bladder emptying
A test that uses electronic monitoring to evaluate how well the bladder empties urine.
16 $6 $240
Non-needle muscle activity measurement of bladder and bowel openings
This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles.
16 $26 $560
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
16 $131 $380
Prostate gland biopsy
A procedure to remove small samples of tissue from the prostate gland for laboratory examination.
12 $189 $1,010
Other procedure on male genital system
A surgical or medical intervention performed on the male genital organs that does not fall under other specific categories.
12 $224 $1,240
Hospital follow-up visit, low complexity
Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service.
12 $39 $80
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
3.2% high complexity
11.9% medium
84.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$7,161
Total received (2018-2024)
Avg $1,023/year across 7 years
Top 24% in IL for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
49
Companies
237
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,267
2023
$1,034
2022
$1,189
2021
$1,152
2020
$527
2019
$470
2018
$1,522

Payments by company (2024)

COLOPLAST CORP
$219
Dendreon Pharmaceuticals LLC
$184
ABBVIE INC.
$113
Blue Earth Diagnostics Limited
$109
PFIZER INC.
$69
Merck Sharp & Dohme LLC
$63
C. R. Bard, Inc. & Subsidiaries
$62
Olympus America Inc.
$61
PROGENICS PHARMACEUTICALS, INC.
$43
Teleflex LLC
$43
Tolmar, Inc.
$41
Janssen Biotech, Inc.
$40
UROGEN PHARMA, INC.
$37
Astellas Pharma US Inc
$33
Novartis Pharmaceuticals Corporation
$27
Tempus AI, Inc
$27
Sumitomo Pharma America, Inc.
$23
ACCORD HEALTHCARE, INC.
$21
Boston Scientific Corporation
$20
Verity Pharmaceuticals Inc.
$17
Antares Pharma, Inc.
$16
Top 3 companies account for 40.7% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$2,346
Dendreon Pharmaceuticals LLC
$631
ABBVIE INC.
$371
Rochester Medical Corporation
$318
Blue Earth Diagnostics Limited
$247
Teleflex LLC
$232
COLOPLAST CORP
$219
Merck Sharp & Dohme LLC
$211
Olympus America Inc.
$184
C. R. Bard, Inc. & Subsidiaries
$183
Astellas Pharma US Inc
$174
Myovant Sciences Inc.
$157
Antares Pharma, Inc.
$148
Janssen Biotech, Inc.
$146
BOSTON SCIENTIFIC CORPORATION
$139
ACCORD HEALTHCARE, INC.
$124
Clarus Therapeutics Inc.
$94
Sumitomo Pharma America, Inc.
$74
Tolmar, Inc.
$69
PFIZER INC.
$69
AbbVie Inc.
$66
NeoTract Inc.
$61
Retrophin, Inc.
$58
Amgen Inc.
$55
Novartis Pharmaceuticals Corporation
$54
Verity Pharmaceuticals Inc.
$54
Allergan, Inc.
$50
UROVANT SCIENCES INC
$47
Accord Healthcare, Inc.
$46
Becton, Dickinson and Company
$45
PROGENICS PHARMACEUTICALS, INC.
$43
HealthTronics Mobile Solutions, LLC
$38
UROGEN PHARMA, INC.
$37
Merck Sharp & Dohme Corporation
$36
Axonics, Inc.
$35
Supernus Pharmaceuticals, Inc.
$33
Myriad Genetic Laboratories, Inc.
$29
Endo Pharmaceuticals Inc.
$28
Tempus AI, Inc
$27
Foundation Medicine, Inc.
$25
AstraZeneca Pharmaceuticals LP
$20
TOLMAR Pharmaceuticals, Inc.
$20
Bayer HealthCare Pharmaceuticals Inc.
$19
Alnylam Pharmaceuticals Inc.
$19
UroGen Pharma, Inc.
$19
Medtronic, Inc.
$18
Ultragenyx Pharmaceutical Inc.
$16
Coloplast Corp
$14
Hollister Incorporated
$12
Top 3 companies account for 46.8% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · AMS · Axonics r-SNM System · Axumin · BOTOX · Bard Urinary Drainage Bag · CAMCEVI · Coloplast TFL Drive · ELIGARD · ERLEADA · FOUNDATIONONE · GEMTESA · GENERAL ERECTILE DYSFUNCTION · GENERAL KIDNEY STONE DISEASE · GENERAL ERECTILE DYSFUNCTION · INTERSTIM · JATENZO · JELMYTO · KEYTRUDA · LILETTA · LITHOVUE · LUPRON DEPOT · LYNPARZA · Mobile Cryoblation Services · Myrbetriq · NOCDURNA · Nubeqa · ORGOVYX · OTREXUP · OXLUMO · Olympus · PLUVICTO · POSLUMA · PROVENGE · PYLARIFY · Prolaris · Prolia · REZUM · Rezum Generator · SOLTIVE · SWISS LITHOCLAST TRILOGY · SpeediCath · Trelstar · UROLIFT · UroLift · UroLift System · VaPro · XGEVA · XIAFLEX · XTANDI · XYOSTED · Xtandi · iTIND System
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for an urology physician in Libertyville?
Compare urology physicians in the Libertyville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Urology physicians in nearby ZIP areas
104
County median income
$108,917
Nearest hospital to ZIP centroid (approximate)
ADVOCATE CONDELL MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Nelson is a clinical cardiology specialist, with moderate Medicare volume.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Nelson experienced with automated urinalysis?
Based on Medicare claims data, Nelson performed 645 automated urinalysis services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Nelson receive payments from pharmaceutical companies?
Yes. Nelson received a total of $7,161 from 49 companies across 237 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Nelson's costs compare to other urology physicians in Libertyville?
Nelson's average Medicare payment per service is $55. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Nelson) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →