Individual provider Active NPI

James Brian Gill, MD

  • Orthopaedic Surgery of the Spine Physician
  • Omaha, NE
National Provider Identifier
1962551440
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
148495 Issued in NC
Practice address
13616 California St
Ste 100
Omaha, NE 68154-5335
Phone
(402) 496-0404
Fax
(402) 496-0517
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M4792 TX
Orthopaedic Surgery of the Spine Physician 207XS0117X 148495 NC Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X 24619 NE

Addresses

Primary practice location

13616 California St
Ste 100
Omaha, NE 68154-5335

Mailing address

13616 California St
Ste 100
Omaha, NE 68154-5335
Phone (402) 496-0404

Other identifiers 2

IdentifierTypeStateIssuer
1962551440OtherIAIA MEDICAID
47081304012MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090715000127 NE Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 3971655408 Reassigns benefits to 1 organization
I20250320000673 IA Practitioner - Orthopedic Surgery 3971655408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2003
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)

13616 California St
Suite 100
Omaha, NE 68154-5336
Phone (402) 496-5517

800 Mercy Dr
Suite 120
Council Bluffs, IA 51503-3128
Phone (402) 496-0404

Hospital & facility affiliations

  • Nebraska Spine Hospital, LLC Hospital, Omaha, NE, CCN 280133
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130

Merit-based Incentive Payment System (MIPS)

Final score
68.33 of 100Reported as individual
Quality
54.07
Promoting interoperability
50
Improvement activities
40
Cost
82.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion297
Laminectomy or laminotomy (partial removal of spine bones)65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4792TXMDOrthopaedic Surgery Physician
148495NCMDOrthopaedic Surgery of the Spine Physician
24619NEMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Spine Center, LLP Orthopaedic Surgery CurrentSince Aug 3, 2009 Accepting new patients

Locations

800 Mercy Dr
Ste 120
Council Bluffs, IA 51503
Phone (712) 388-2633

4508 38th St
Ste 210
Columbus, NE 68601
Phone (402) 488-6969

1700 14th Ave
Nebraska City, NE 68410
Phone (402) 873-3345

13616 California St
Ste 10
Omaha, NE 68154

13616 California St
Ste 100
Omaha, NE 68154
Phone (402) 496-5517

Interoperability endpoints

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

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1962551440",
    "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": "GILL",
        "first_name": "JAMES",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M4792",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NC",
            "license": "148495",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NE",
            "license": "24619",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA MEDICAID",
            "identifier": "1962551440",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081304012",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.