Active NPI
James Brian Gill, MD
- Orthopaedic Surgery of the Spine Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 148495
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962551440 | Other | IA | IA MEDICAID |
| 47081304012 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- CHI Health Immanuel
- CHI Health Mercy Council Bluffs
- St Lukes Regional Medical Center
- CHI Health Lakeside
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.33 of 100
- Quality
- 54.07
- Promoting interoperability
- 50
- Improvement activities
- 40
- Cost
- 82.03
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 297 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| M4792 | TX | MD | Orthopaedic Surgery Physician |
| 148495 | NC | MD | Orthopaedic Surgery of the Spine Physician |
| 24619 | NE | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Spine Center, LLP | Orthopaedic Surgery | Current | 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
- 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.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1912085184
-
- Special Hospital
- Omaha, NE
- NPI 1649595448
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1265517759
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.