Medicare Enrolled

Dr. Ryan Nelsen, P.A.

Medical Physician Assistant · Hendersonville, NC
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1032 FLEMING ST, Hendersonville, NC 28791
8286963099
In practice since 2017 (9 years)
NPI: 1558896860 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 Dr. Nelsen 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 →
Are you Dr. Nelsen? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Nelsen

Dr. Ryan Nelsen is a medical physician assistant in Hendersonville, NC, with 9 years of NPI registration. Based on federal Medicare data, Dr. Nelsen performed 2,704 Medicare services across 1,228 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nelsen received a total of $9,005 from 29 pharmaceutical and/or device companies across 427 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in medical physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Nelsen 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.

✓ 9 years in practice ▲ Top 5% volume in NC $9,005 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,704
Medicare services
Top 5% in NC for medical physician assistant
1,228
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~300 Medicare services per year of practice

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
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.
853 $31 $100
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.
572 $74 $350
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.
488 $40 $150
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.
386 $51 $300
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.
151 $92 $600
Remote patient monitoring device, 30 days
Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period.
75 $32 $250
Remote patient monitoring management, 20 min/month
Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month.
65 $32 $200
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.
34 $52 $300
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
24 $62 $400
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.
19 $86 $500
Remote physiologic monitoring setup and education
Initial setup of remote monitoring equipment and patient education on its use.
19 $12 $100
Limited abdominal ultrasound
A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures.
18 $43 $283
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. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$9,005
Total received (2021-2024)
Avg $2,251/year across 4 years
Top 4% in NC for medical physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
29
Companies
427
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,577 (84.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,429 (15.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$3,088
2023
$1,840
2022
$2,336
2021
$1,742

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Phathom Pharmaceuticals, Inc.
$1,253
ABBVIE INC.
$648
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$202
Gilead Sciences, Inc.
$175
Janssen Biotech, Inc.
$170
Takeda Pharmaceuticals U.S.A., Inc.
$150
Madrigal Pharmaceuticals
$150
GENZYME CORPORATION
$65
IRONWOOD PHARMACEUTICALS, INC
$53
PFIZER INC.
$45
Intercept Pharmaceuticals, Inc.
$42
Celltrion USA Inc.
$24
Daiichi Sankyo Inc.
$21
Regeneron Healthcare Solutions, Inc.
$21
Organon Llc
$18
Fresenius Kabi USA, LLC
$17
Lilly USA, LLC
$16
Celgene Corporation
$15
Top 3 companies account for 68.1% of 2024 payments
All-time payments by company (2021-2024) ›
ABBVIE INC.
$2,348
Phathom Pharmaceuticals, Inc.
$1,253
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,018
Gilead Sciences, Inc.
$659
Takeda Pharmaceuticals U.S.A., Inc.
$648
AbbVie Inc.
$630
Janssen Biotech, Inc.
$411
Ironwood Pharmaceuticals, Inc
$364
GENZYME CORPORATION
$202
Nestle HealthCare Nutrition Inc.
$180
Celgene Corporation
$179
Madrigal Pharmaceuticals
$150
PFIZER INC.
$139
Ferring Pharmaceuticals Inc.
$135
Intercept Pharmaceuticals, Inc.
$106
INTERCEPT PHARMACEUTICALS, INC.
$80
Regeneron Healthcare Solutions, Inc.
$64
Lilly USA, LLC
$62
INTRA-SANA LABORATORIES
$55
IRONWOOD PHARMACEUTICALS, INC
$53
Fresenius Kabi USA, LLC
$52
Organon LLC
$46
Merck Sharp & Dohme LLC
$37
Merck Sharp & Dohme Corporation
$36
Celltrion USA Inc.
$24
Daiichi Sankyo Inc.
$21
Braintree Laboratories, Inc.
$20
Organon Llc
$18
Ardelyx, Inc.
$16
Top 3 companies account for 51.3% of all-time payments
Associated products mentioned in payments ›
CIMZIA · CREON · DIFICID · DUPIXENT · ENTYVIO · EOHILIA · Epclusa · GATTEX · HADLIMA · HUMIRA · IBSRELA · IDACIO · INJECTAFER · LINZESS · Linzess · MAVYRET · MOTEGRITY · OCALIVA · OMVOH · REBYOTA · RELTONE 200 MG · REMICADE · REZDIFFRA · RINVOQ · SKYRIZI · STELARA · SUTAB · TREMFYA · TRULANCE · VEGZELMA · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

Most payments (84%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for medical physician assistant in NC.

Looking for a medical physician assistant in Hendersonville?
Compare medical physician assistants in the Hendersonville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Medical physician assistants within 10 mi
100
Per 100K population
85.2
County median income
$67,623
Nearest hospital
PARDEE HOSPITAL HENDERSON COUNTY
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public 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

Dr. Nelsen is a clinical cardiology specialist, with above-average Medicare volume (top 5% in NC), with low-engagement industry engagement in the top 4% of NC peers.

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

Frequently Asked Questions

Is Dr. Nelsen experienced with chronic care management, additional 20 min/month?
Based on Medicare claims data, Dr. Nelsen performed 853 chronic care management, additional 20 min/month services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Nelsen receive payments from pharmaceutical companies?
Yes. Dr. Nelsen received a total of $9,005 from 29 companies across 427 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Nelsen's costs compare to other medical physician assistants in Hendersonville?
Dr. Nelsen's average Medicare payment per service is $49. 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 Dr. Nelsen) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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. Payments from industry are legal and do not indicate wrongdoing. 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 →