Individual provider Active NPI

Jeffrey Scott Carson, MD

  • Surgery Physician
  • Omaha, NE
National Provider Identifier
1992018162
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
26573 Issued in NE
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1992018162MedicaidIA
47068731707MedicaidNE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710000805 NE Practitioner - General Surgery 6406079300 Reassigns benefits to 2 organizations

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
Nebraska Spine Center, LLPGroup PAC ID 9830080613, 35 clinicians
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

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 Hospital, Omaha, NE, CCN 280040
  • Nebraska Spine Hospital, LLC Hospital, Omaha, NE, CCN 280133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion36
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)50
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6255NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc Surgery CurrentSince Aug 31, 2017 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Nebraska Spine Center, LLP CurrentSince Jan 1, 2022 Accepting new patients
Physicians Clinic, Inc. PastSince Aug 31, 2017 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

  • Direct secure messaging: jeffrey.carson@direct.nmhs.org
  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.