Clarke Storrow Nelson, M.D., PH.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0091534 Issued in MD

Practice address

100 Park Ave
Baltimore, MD 21201-3416

Phone

(410) 752-1677

Fax

(410) 752-4435

NPI assigned

Apr 4, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Connecticut School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Katzen Medical Associates PCGroup PAC ID 9436051232, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.29 of 100Reported as group

Quality

82.7

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clarke.nelsonmdphd.p1@direct.katzeneye.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Katzen Medical Associates, PC

  • Ophthalmology Physician
  • Lutherville, MD
  • NPI 1326052614
  Medicare reassignment Care Compare group NPD
• Barenburg Optical Service, Inc

  • Optometrist
  • Baltimore, MD
  • NPI 1639179112
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1558894923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013416",
            "telephone_number": "410-752-1677",
            "fax_number": "410-752-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013416",
            "telephone_number": "410-752-1677",
            "fax_number": "410-752-4435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Saint Paul St",
            "address_2": "Buntin Building, 7th Floor",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212022123",
            "country_code": "US",
            "telephone_number": "410-332-9694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CLARKE",
        "middle_name": "STORROW",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0091534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Nelson, OTA
• Amyah Nelson
• Caleb P Nelson, M.D.
• Cheryl Ann Nelson
• Christa Nelson, PT, DPT, PHD
• Gabrielle Nelson, PA-C
• Haana Ruby Nelson, DPT
• Jerome Stanislaus Antony Nelson, MBBS
• Joseph Alexander Nelson, M.D.
• Kaley Nelson, M.S., SLP

• Ophthalmology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.