DR. AMY LEAH MCGAHA MD NPI 1013081199
Family Medicine in Omaha, NE

About DR. AMY LEAH MCGAHA MD

Amy Mcgaha is a primary care provider established in Omaha, Nebraska and her medical specialization is Family Medicine with more than 23 years of experience. She graduated from University Of Missouri, Columbia School Of Medicine in 2000. The NPI number of Amy Mcgaha is 1013081199 and was assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 25971 (NE). The provider is registered as an individual and her NPI record was last updated July 2022.

NPI
1013081199
Provider NameDR. AMY LEAH MCGAHA MD
Location Address2412 CUMING ST STE 200 OMAHA, NE 68131
Location Phone(402) 717-0380
Mailing Address2412 CUMING ST STE 200 OMAHA, NE 68131
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year2000
Is Sole Proprietor?No
Enumeration Date11-20-2006
Last Update Date07-21-2022

A primary care provider (PCP) like Dr. Amy Leah Mcgaha Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Amy Mcgaha is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Amy Mcgaha is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Chi Health Bergan Mercy.

The typical physician office visit costs for Medicare beneficiaries in this area are: $20.98 for a new patient copayment and $24.4 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.25971
License StateNE
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. AMY LEAH MCGAHA MD
2412 CUMING ST STE 200
OMAHA, NE
ZIP 68131
Phone: (402) 717-0380
Fax: (402) 717-6059

Get Directions


Mailing Address

DR. AMY LEAH MCGAHA MD
2412 CUMING ST STE 200
OMAHA, NE
ZIP 68131
Phone: (402) 717-0380
Fax: (402) 717-6059


Secondary Locations

7900 Lees Summit Rd
Kansas City, MO 64139
(816) 404-7000


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID2062517949
PECOS Enrollment IDI20101215000356
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 68131 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.43 $166.14 $83.92
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.6 $41.53 $20.98
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17 $136.31 $97.6
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.25 $34.07 $24.4

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 16Insertion of needle into vein for collection of blood sample (HCPCS:36415)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Amy Mcgaha is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CHI HEALTH BERGAN MERCY7500 MERCY RD
OMAHA, NE 68124
(402) 398-6060Acute Care Hospitals280060

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine2003008011MONo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013081199
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023082118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 2 + 1 + 1 + 8 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1013081199 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457876955 KELSEY J BERNT DPT
Individual
Physical Therapist2412 CUMING ST STE 200
OMAHA, NE 68131
(402) 717-3751
1861854259 KATHRYN J MORELAND MD
Individual
Obstetrics & Gynecology2412 CUMING ST STE 200
OMAHA, NE 68131
(402) 717-0909
1982238234MRS. MEREDITH LEIGH JERNIGAN PA-C
Individual
Physician Assistant2412 CUMING ST STE 200
OMAHA, NE 68131
(402) 717-0380
1144994591 MEGAN ADEN PHARMD
Individual
Pharmacist2412 CUMING ST STE 200
OMAHA, NE 68131
(402) 449-4000
1043525744 THOMAS STRAWMIER APRN
Individual
Nurse Practitioner2412 CUMING ST STE 200
OMAHA, NE 68131
(402) 717-0800
1184916744 MATTHEW ALLAN HALFAR MD
Individual
Family Medicine2412 CUMING ST STE 200
OMAHA, NE 68131
(402) 717-0380
1437611290 DREW A FLEMMING DO
Individual
Student in an Organized Health Care Education/Training Program2412 CUMING ST STE 200
OMAHA, NE 68131
(402) 717-0380

Frequently Asked Questions

What is Dr. Amy Mcgaha MD NPI number?

The NPI number assigned to Dr. Amy Mcgaha MD is 1013081199, registered as an "individual" on November 20, 2006

Where is Dr. Amy Mcgaha MD located?

The provider is located at 2412 Cuming St Ste 200 Omaha, Ne 68131 and the phone number is (402) 717-0380

Which is Dr. Amy Mcgaha MD specialty?

The provider's speciality is Family Medicine

How many years of experience does Dr. Amy Mcgaha MD have?

The provider has more than 23 years of experience. She graduated from University Of Missouri, Columbia School Of Medicine in 2000.

Is Dr. Amy Mcgaha MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Amy Mcgaha MD?

Medicare beneficiaries should expect a typical cost of $83.92 with an average copayment of $20.98 for new patient appointments. Established patients should expect a typical charge of $97.6 and an average copayment of 24.4. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Amy Mcgaha MD?

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample.

Is Dr. Amy Mcgaha MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: CHI HEALTH BERGAN MERCY. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. Amy Mcgaha MD was last updated on November 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]