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ROBERT G PENN M.D.
NPI 1013937374
Internal Medicine - Infectious Disease in Omaha, NE

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
8111 DODGE ST, SUITE 363, OMAHA, NE 68114(402) 354-8155(402) 354-8159 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert G Penn M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT G PENN M.D. (NPI 1013937374) is an individual infectious disease provider in Omaha, Nebraska, licensed in Nebraska (13129) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and is a graduate of University Of Nebraska College Of Medicine (1975).

NPPES Registry Identity

NPI1013937374
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameROBERT G PENNCredential: M.D.
Location Address8111 DODGE ST, SUITE 363Omaha, NE 68114-4129
Mailing Address8111 Dodge St, Suite 363Omaha, NE 68114-4129 · (402) 354-8155 · Fax (402) 354-8159
Phone(402) 354-8155
Fax(402) 354-8159
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1975
Enumeration DateJuly 20, 2006
Last NPPES UpdateDecember 13, 2013
✔ NPI 1013937374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NE · 13129
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
8111 DODGE ST, Omaha, NE 68114
Open in Google Maps ↗

Other Identifiers 6

Medicaid202111902MO
Medicaid0923557IA
Medicare PIN097726NE
Other01565NE · Bcbs
Medicare UPIND17252
Medicare PIN110002228NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert G Penn M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547168312
PECOS Enrollment IDI20100109000010
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
364 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
135 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services49 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
41%176 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
21%48 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
40%126 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
26%68 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 43% · 70 patients
43%70 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ROBBIE L LANE P.A.-C
Physician Assistant
8111 DODGE ST, SUITE 237
OMAHA, NE 68114
Douglas County (402) 354-5210
OMAHA VASCULAR SPECIALISTS LLC
Specialist
8111 DODGE ST, SUITE 220
OMAHA, NE 68114
Douglas County (402) 393-6624
STEVEN JOSEPH BUDA M.D.
Surgery
8111 DODGE ST, SUITE 263
OMAHA, NE 68114
Douglas County (402) 354-8163
DR. JAMES A REILLY M.D.
Surgery
8111 DODGE ST, SUITE 263
OMAHA, NE 68114
Douglas County (402) 354-8163
DR. SCOTT G ROSE M.D.
Surgery
8111 DODGE ST, SUITE 263
OMAHA, NE 68114
Douglas County (402) 354-8163
CINDY L SEDLAK P.A.-C
Physician Assistant
8111 DODGE ST, STE. 220
OMAHA, NE 68114
Douglas County (402) 354-1320
DR. BRAD A WINTERSTEIN M.D.
Surgery
8111 DODGE ST, SUITE 263
OMAHA, NE 68114
Douglas County (402) 354-8163
COURTNEY D SULLIVAN ACNP
Nurse Practitioner
8111 DODGE ST, SUITE 363
OMAHA, NE 68114
Douglas County (402) 354-8155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Penn's NPI number?

The NPI number for Robert Penn is 1013937374. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Robert Penn located?

Robert Penn practices at 8111 Dodge St Suite 363, Omaha, NE 68114. The listed phone number is (402) 354-8155.

What is Robert Penn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Robert Penn enrolled in Medicare?

Yes. Robert Penn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Penn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Robert Penn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Penn affiliated with any hospitals?

According to CMS data, Robert Penn is affiliated with The Nebraska Methodist Hospital and Chi Health Bergan Mercy.

When was this NPI record last updated?

The NPPES record for Robert Penn was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.