Active NPI
Jeffrey Scott Carson, MD
- Surgery Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 26573
- Practice address
- 8111 Dodge St Ste 263
Omaha, NE 68114-4118 - Phone
- (402) 354-8163
- Fax
- (402) 354-2416
- NPI assigned
- Jul 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 6255 | NE | |
| Surgery Physician | 208600000X | 26573 | NE | Primary |
Addresses
Primary practice location
8111 Dodge St Ste 263
Omaha, NE 68114-4118
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992018162 | Medicaid | IA | |
| 47068731707 | Medicaid | NE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Nebraska College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13616 California St
Suite 100
Omaha, NE 68154-5336
Phone (402) 496-5517
8111 Dodge St
Suite 263
Omaha, NE 68114-4118
Phone (402) 354-8163
Hospital & facility affiliations
- The Nebraska Methodist Hospital
- Nebraska Spine Hospital, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 36 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 50 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6255 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Surgery | Current | Accepting new patients |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Nebraska Spine Center, LLP | Current | Accepting new patients | |
| Physicians Clinic, Inc. | Past | Accepting new patients |
Locations
717 N 190th Plz
Ste 2200
Elkhorn, NE 68022
Phone (402) 354-1700
8303 Dodge St
Ste 302
Omaha, NE 68114
8111 Dodge St
Ste 263
Omaha, NE 68114
Phone (402) 354-8163
13616 California St
Ste 100
Omaha, NE 68154
Phone (402) 496-5517
8601 W Dodge Rd
Ste 216
Omaha, NE 68114
Phone (402) 354-4822
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
Interoperability endpoints
- jeffrey.carson@direct.nmhs.org
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71581
Organizations & group practices 4
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.
-
- Orthopaedic Surgery of the Spine Physician
- Omaha, NE
- NPI 1588667950
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1770673923
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Special Hospital
- Omaha, NE
- NPI 1649595448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992018162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 DODGE ST STE 263",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144118",
"telephone_number": "402-354-8163",
"fax_number": "402-354-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "6255",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "26573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992018162",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731707",
"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 Jul 21, 2022; 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.