DR. KEVIN ANDREW RUMMEL M.D.
NPI 1023224912
Internal Medicine in Lincoln, NE

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
2300 S 16TH ST, LINCOLN, NE 68502(402) 475-1011 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin Andrew Rummel M.d. NPPES

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

DR. KEVIN ANDREW RUMMEL M.D. (NPI 1023224912) is an individual internal medicine provider in Lincoln, Nebraska, licensed in Nebraska (25244) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2006).

NPPES Registry Identity

NPI1023224912
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KEVIN ANDREW RUMMELCredential: M.D.
Location Address2300 S 16TH STLincoln, NE 68502-3704
Mailing AddressPo Box 6971Lincoln, NE 68506-0971 · (402) 475-1011
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2006
Enumeration DateMay 15, 2007
Last NPPES UpdateSeptember 23, 2009
NPI 1023224912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NE · 25244
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 25244 (NE)
2300 S 16TH ST, Lincoln, NE 68502

Other Identifiers 2

Medicare PINP00729091NE
Medicare PIN099228006NE

Accepted 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

Dr. Kevin Andrew Rummel 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 ID2163575747
PECOS Enrollment IDI20090729000505
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 7

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.
309 services148 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.
55 services41 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
48 services47 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
36 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68502 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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.97
Promoting Interoperability100
Improvement Activities40
Cost49.55

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%291 patients4/55-star benchmark: 100%
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.

Psychologist (Counseling)
2300 S 16TH ST
LINCOLN, NE 68502
Internal Medicine
2300 S 16TH ST
LINCOLN, NE 68502
General Acute Care Hospital
2300 S 16TH ST
LINCOLN, NE 68502
Nurse Practitioner
2300 S 16TH ST
LINCOLN, NE 68502
Internal Medicine
2300 S 16TH ST
LINCOLN, NE 68502
Nurse Practitioner (Acute Care)
2300 S 16TH ST
LINCOLN, NE 68502
Hospitalist
2300 S 16TH ST
LINCOLN, NE 68502
Rehabilitation Unit
2300 S 16TH ST
LINCOLN, NE 68502

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 Kevin Rummel's NPI number?

The NPI number for Kevin Rummel is 1023224912. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Kevin Rummel located?

Kevin Rummel practices at 2300 S 16th St, Lincoln, NE 68502. The listed phone number is (402) 475-1011.

What is Kevin Rummel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kevin Rummel enrolled in Medicare?

Yes. Kevin Rummel 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 Kevin Rummel accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Kevin Rummel 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 Kevin Rummel affiliated with any hospitals?

According to CMS data, Kevin Rummel is affiliated with Bryan Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Rummel was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.