Medicare Enrolled

Dr. Charles Nelson, D. O.

Family Medicine · Richland, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
310 TORBETT ST, Richland, WA 99354
5099467646
In practice since 2006 (19 years)
NPI: 1134283153 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. 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 Dr. Nelson

Dr. Charles Nelson is a family medicine specialist in Richland, WA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Nelson performed 851 Medicare services across 673 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nelson received a total of $2,031 from 13 pharmaceutical and/or device companies across 31 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. 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.

✓ 19 years in practice ▲ Top 18% volume in WA $2,031 industry payments

Medicare Practice Summary

Medicare Utilization ↗
851
Medicare services
Top 18% in WA for family medicine
673
Unique beneficiaries
$41
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~45 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
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.
184 $57 $233
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.
176 $58 $186
Infectious disease DNA/RNA test
A laboratory test that uses a specific technique to detect the genetic material of an organism. This method amplifies the target DNA or RNA to identify the presence of the organism.
144 $33 $50
Ketorolac injection, per 15 mg
An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg.
52 $0 $26
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.
50 $2 $7
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
30 $8 $32
Chlamydia pneumoniae nucleic acid test
A laboratory test that uses amplified probe techniques to detect the genetic material of Chlamydia pneumoniae bacteria in a sample.
28 $33 $50
Mycoplasma pneumoniae nucleic acid test
A laboratory test that uses amplified probe techniques to detect the genetic material of Mycoplasma pneumoniae bacteria.
28 $33 $50
Staphylococcus aureus DNA test
A laboratory test that uses DNA amplification to detect the presence of Staphylococcus aureus bacteria in a sample.
27 $32 $50
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.
27 $89 $361
Legionella pneumophila nucleic acid detection test
A laboratory test that uses an amplified probe technique to detect the genetic material of Legionella pneumophila bacteria. This method identifies the presence of the water-borne bacteria in a sample.
25 $33 $50
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.
20 $88 $265
Chest X-ray, 2 views
An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall.
18 $21 $71
Strep A rapid test
A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation.
18 $16 $26
Ear wax removal by washing
This procedure involves the removal of impacted ear wax using a washing technique.
13 $13 $32
SARS-CoV-2 immunoassay test
A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus.
11 $35 $97
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 2023 ↗
$2,031
Total received (2018-2023)
Avg $338/year across 6 years
Top 10% in WA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
13
Companies
31
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
$2,031 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$1,530
2022
$74
2021
$181
2020
$75
2019
$114
2018
$56

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$1,508
ABBVIE INC.
$22
Top 3 companies account for 100.0% of 2023 payments
All-time payments by company (2018-2023) ›
Stryker Corporation
$1,508
AbbVie Inc.
$107
GlaxoSmithKline, LLC.
$83
ABBVIE INC.
$75
AstraZeneca Pharmaceuticals LP
$64
Novo Nordisk Inc
$47
Amgen Inc.
$40
Merck Sharp & Dohme Corporation
$36
SANOFI-AVENTIS U.S. LLC
$17
Lilly USA, LLC
$14
Genentech USA, Inc.
$14
Gilead Sciences, Inc.
$13
Boehringer Ingelheim Pharmaceuticals, Inc.
$13
Top 3 companies account for 83.6% of all-time payments
Associated products mentioned in payments ›
BELSOMRA · BREZTRI · Epclusa · FARXIGA · JANUVIA · LILETTA · MAKO · Ozempic · PRADAXA · Prolia · QULIPTA · SYMBICORT · Saxenda · TOUJEO · TRELEGY ELLIPTA · TRULICITY · Tresiba · UBRELVY · Xofluza
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for family medicine in WA.

Looking for a family medicine specialist in Richland?
Compare family medicine physicians in the Richland area by procedure volume, costs, and industry payment transparency.
Browse family medicine physicians nearby

Geographic Context

Family medicine physicians within 10 mi
173
Per 100K population
82.3
County median income
$87,316
Nearest hospital
KADLEC REGIONAL MEDICAL CENTER
5.8 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 2023
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. Nelson is a clinical cardiology specialist, with above-average Medicare volume (top 18% in WA), with low-engagement industry engagement in the top 10% of WA peers, with 19 years of NPI registration.

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

Frequently Asked Questions

Is Dr. Nelson experienced with new patient office visit (30-44 min)?
Based on Medicare claims data, Dr. Nelson performed 184 new patient office visit (30-44 min) 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. Nelson receive payments from pharmaceutical companies?
Yes. Dr. Nelson received a total of $2,031 from 13 companies across 31 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. Nelson's costs compare to other family medicine physicians in Richland?
Dr. Nelson's average Medicare payment per service is $41. 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. 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 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 →