Donald Eugene Buddecke Jr., DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

301 Issued in NE

Practice address

2705 Samson Way
Bellevue, NE 68123-4307

Phone

(402) 991-8999

Fax

(402) 331-6537

NPI assigned

Oct 11, 2005

Last updated

Sep 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nebraska Lower Extremity Surgery Group LLCGroup PAC ID 0547448953, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health Midlands Hospital, Papillion, NE, CCN 280105

Merit-based Incentive Payment System (MIPS)

Final score

73.24 of 100Reported as group

Quality

46.48

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: buddecke.donald.001.0270008@fas.meditab.direct-ci.com
• Direct secure messaging: buddecke.donald.002.0270008@fas.meditab.direct-ci.com
• Direct secure messaging: buddecke.donald.010.0270008@fas.meditab.direct-ci.com
• Direct secure messaging: buddecke.donald.011.0270008@fas.meditab.direct-ci.com
• Direct secure messaging: donald.buddecke.1@23781.direct.athenahealth.com

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.

• Nebraska Lower Extremity Surgery Group, LLC

  dba Foot and Ankle Specialists

  • Podiatrist
  • Bellevue, NE
  • NPI 1427348838
  Medicare reassignment Care Compare group NPD
• Nebraska Lower Extremity Surgery Group, LLC

  dba Foot and Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Omaha, NE
  • NPI 1114343449
  NPD
• Foot & Ankle Clinics of Southern Iowa, PC

  dba Ottumwa Foot & Ankle Clinic

  • Podiatrist
  • Ottumwa, IA
  • NPI 1154549640
  NPD (past)

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

• Alegent Creighton Health

  dba CHI Health Midlands

  • General Acute Care Hospital
  • Papillion, NE
  • NPI 1215006101
  Care Compare affiliation

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1699763938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 SAMSON WAY",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234307",
            "telephone_number": "402-331-6387",
            "fax_number": "402-331-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 SAMSON WAY",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234307",
            "telephone_number": "402-991-8999",
            "fax_number": "402-331-6537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18010 R Plz Ste 106",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681351923",
            "country_code": "US",
            "telephone_number": "402-991-8999",
            "fax_number": "402-331-6537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10780 V St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681272952",
            "country_code": "US",
            "telephone_number": "402-991-8999",
            "fax_number": "402-991-6766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 N 72nd St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681141903",
            "country_code": "US",
            "telephone_number": "402-991-8999",
            "fax_number": "402-331-6537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDDECKE",
        "first_name": "DONALD",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "301",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00675",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "301",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025518100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025640100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025518000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025518200",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI, NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC",
            "identifier": "1427348838",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyonna J Brown
• Larya Bruner
• Janice Brye
• Wenda Lynne Buchholz
• Trent Buckels
• Jaclyn Buhrman
• Justin Bullard, PHD
• Jocelyn Buman
• Nyakek Gach Buop
• Matthew Burdett

• Podiatrist in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Podiatrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.