Individual provider Active NPI

Eric J. Avery, M.D.

  • Hematology & Oncology Physician
  • Lincoln, NE
National Provider Identifier
1093934598
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
24810 Issued in NE
Practice address
4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone
(402) 484-4900
Fax
(402) 484-6456
NPI assigned
Apr 24, 2007
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 24810 NE Primary
Medical Oncology Physician 207RX0202X 24810 NE

Addresses

Primary practice location

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548

Mailing address

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone (402) 484-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eric.avery@neb.ikm.direct-ci.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20100623000387 NE Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 4082745815 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Medical Oncology
Education
University of Nebraska College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nebraska Hematology-Oncology PCGroup PAC ID 9638083330, 19 clinicians

Practice addresses (Care Compare)

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone (402) 484-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.4 of 100Reported as individual
Quality
79.08
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Hematology-Oncology, PC Hematology & Oncology CurrentSince Jul 16, 2012 Accepting new patients
Jefferson Community Health Center Inc CurrentSince Aug 25, 2022 Accepting new patients
Nemaha County Hospital Hematology & Oncology CurrentSince Aug 1, 2020 Accepting new patients
Jefferson Community Health Center, Inc. Current Accepting new patients
Nebraska Hematology-Oncology P.C. CurrentSince Jul 16, 2012 Accepting new patients
Jefferson Community Health Center Inc CurrentSince Aug 25, 2022 Accepting new patients

Locations

2022 13th St
Auburn, NE 68305
Phone (402) 274-4366

2200 H St
Fairbury, NE 68352
Phone (402) 729-3351

4001 Pioneer Woods Dr
Lincoln, NE 68506
Phone (402) 484-4900

4004 Pioneer Woods Dr
Lincoln, NE 68506
Phone (402) 484-4900

Interoperability endpoints

  • Direct secure messaging: eric.avery@neb.ikm.direct-ci.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/nemaha-659e4e0f

Organizations & group practices 7

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1093934598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 PIONEER WOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067548",
            "telephone_number": "402-484-4900",
            "fax_number": "402-484-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 PIONEER WOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067548",
            "telephone_number": "402-484-4900",
            "fax_number": "402-484-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "ERIC",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "24810",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NE",
            "license": "24810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.avery@neb.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4004 Pioneer Woods Dr",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685067548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.