Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Brian Nelson

Individual provider Surgery Physician · NPI 1316360639

Brian Nelson practises General Surgery in Puyallup, Washington. Graduated from Saint Louis University School of Medicine in 1981, 45 years ago. Practices with Cascade Hernia and Surgical Solutions Ps, a 3-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
45
Trained at
Saint Louis University School of Medicine
Licensed in
WA
In the registry since
2014

Practice location Address checks out

208 17th Ave SE
Puyallup, WA 98372-4515 Not confirmed with CMS for 12 years — call before visiting
Phone: (253) 840-1999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD00020208 (WA)

Record details

NPI number1316360639
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 22, 2014
Last updated in NPPESJanuary 22, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Cascade Hernia And Surgical Solutions Ps — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Hernia repair - groin (open) 1–10 times
Melanoma (skin cancer) excision 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients70
Services billed 115 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Cascade Hernia and Surgical Solutions Ps

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Puyallup