Michael Charles Longley, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

18765 Issued in NE

Practice address

13616 California St
Ste 100
Omaha, NE 68154-5335

Phone

(402) 496-0404

Fax

(402) 496-0517

NPI assigned

May 31, 2005

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

Other identifiers 4

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

Specialty

Orthopedic Surgery

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nebraska Spine Center, LLPGroup PAC ID 9830080613, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nebraska Spine Hospital, LLC Hospital, Omaha, NE, CCN 280133
• Phelps Memorial Health Center Hospital, Holdrege, NE, CCN 281362
• Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139
• Boone County Health Center Hospital, Albion, NE, CCN 281334
• CHI Health Immanuel Hospital, Omaha, NE, CCN 280081

Merit-based Incentive Payment System (MIPS)

Final score

50.03 of 100Reported as individual

Quality

0

Promoting interoperability

50

Improvement activities

40

Cost

75.11

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71581

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.

• Nebraska Spine Center, LLP

  • Orthopaedic Surgery of the Spine Physician
  • Omaha, NE
  • NPI 1588667950
  Medicare reassignment Care Compare group NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

• Alegent Health Immanuel Medical Center

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1912085184
  Care Compare affiliation
• Boone County Health Center

  • Critical Access Hospital
  • Albion, NE
  • NPI 1679508816
  Care Compare affiliation
• Grand Island Regional Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1558910604
  Care Compare affiliation
• Nebraska Spine Hospital, LLC

  • Special Hospital
  • Omaha, NE
  • NPI 1649595448
  Care Compare affiliation
• Phelps Memorial Health Center

  • Critical Access Hospital
  • Holdrege, NE
  • NPI 1629035936
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1770586182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13616 CALIFORNIA ST",
            "address_2": "STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545335",
            "telephone_number": "402-496-0404",
            "fax_number": "402-496-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13616 CALIFORNIA ST",
            "address_2": "STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545335",
            "telephone_number": "402-496-0404",
            "fax_number": "402-496-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGLEY",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NE",
            "license": "18765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03070",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200031845",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081304012",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3989848",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn A Longcor, PHARM D
• Russell Lynn Longcor
• Elizabeth Longe
• Kara Longe
• Sarah Longhini, PLMHP
• Alfred T Longo, DDS, MS
• Gernon A Longo, MD
• Gernon M Longo, MD
• Alisha Longs
• Lindsay Longwell, LMHP, LCSW

• Orthopaedic Surgery of the Spine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Orthopaedic Surgery of the Spine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.