DR. JESSE HIMEBAUGH MD
NPI 1073855243
Ophthalmology in Omaha, NE

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment
76.83/100
CMS Quality Rating
4353 DODGE ST, OMAHA, NE 68131(402) 552-2020(402) 552-2367 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2021, Apr 11, 2019, Oct 31, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Jesse Himebaugh Md NPPES

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

DR. JESSE HIMEBAUGH MD (NPI 1073855243) is an individual ophthalmology provider in Omaha, Nebraska, licensed in Nebraska (30789) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Cass County Memorial Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2013).

NPPES Registry Identity

NPI1073855243
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JESSE HIMEBAUGHCredential: MD
Location Address4353 DODGE STOmaha, NE 68131-2709
Mailing Address4353 Dodge StOmaha, NE 68131-2709 · (402) 552-2020 · Fax (402) 552-2367
Fax(402) 552-2367
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2013
Enumeration DateMarch 26, 2013
Last NPPES UpdateSeptember 17, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
NPI 1073855243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NE · 30789 Licensed in MO · 2017007168 Licensed in IA · 45207
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4353 DODGE ST, Omaha, NE 68131

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. Jesse Himebaugh Md 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 ID2062780059
PECOS Enrollment IDI20180711001544, I20180816001121
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 16

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
673 services669 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
570 services360 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
540 services304 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
292 services276 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
239 services239 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
184 services134 patients

Hospital Affiliations CMS Care Compare 3

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

Cass County Memorial Hospital

Critical Access Hospitals · Atlantic, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161376
Location1501 East Tenth StreetAtlantic, IA 50022 · Cass County
Emergency services Birthing friendly

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68131 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
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
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.

76.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.09
Improvement Activities40
Cost44.61

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.

Optometrist
4353 DODGE ST
OMAHA, NE 68131
Optometrist
4353 DODGE ST
OMAHA, NE 68131
Ophthalmology (Glaucoma Specialist)
4353 DODGE ST
OMAHA, NE 68131
Ophthalmology
4353 DODGE ST
OMAHA, NE 68131
Ophthalmology
4353 DODGE ST
OMAHA, NE 68131
Ophthalmology
4353 DODGE ST
OMAHA, NE 68131
Ophthalmology
4353 DODGE ST
OMAHA, NE 68131
Ophthalmology
4353 DODGE ST
OMAHA, NE 68131

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 Jesse Himebaugh's NPI number?

The NPI number for Jesse Himebaugh is 1073855243. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Jesse Himebaugh located?

Jesse Himebaugh practices at 4353 Dodge St, Omaha, NE 68131. The listed phone number is (402) 552-2020.

What is Jesse Himebaugh's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jesse Himebaugh enrolled in Medicare?

Yes. Jesse Himebaugh 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 Jesse Himebaugh 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 4 other insurers list Jesse Himebaugh 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 Jesse Himebaugh affiliated with any hospitals?

According to CMS data, Jesse Himebaugh is affiliated with Cass County Memorial Hospital, The Nebraska Medical Center and The Nebraska Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Jesse Himebaugh was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.