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JUSTIN R BIRGE MD
NPI 1083875215
Internal Medicine in Omaha, NE

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
EMILE 42ND ST, OMAHA, NE 68198(402) 552-6731(402) 552-6730 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin R Birge Md NPPES

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

JUSTIN R BIRGE MD (NPI 1083875215) is an individual internal medicine provider in Omaha, Nebraska, licensed in Nebraska (26791) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1083875215
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN R BIRGECredential: MD
Location AddressEMILE 42ND STOmaha, NE 68198-0001
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Phone(402) 552-6731
Fax(402) 552-6730
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 20, 2008
Last NPPES UpdateFebruary 17, 2017
✔ NPI 1083875215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NE · 26791✔ Licensed in MN · 51861
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.
EMILE 42ND ST, Omaha, NE 68198
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN110014547

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

Justin R Birge 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 ID6709064512
PECOS Enrollment IDI20130204000557
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 3

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.
36 services20 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.
28 services28 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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.

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.

DR. JOSEPH M KALAMAJA MD
Anesthesiology
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-4081
MELISSA SMITH CRNA
Anesthesiologist Assistant
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-4081
DR. ABBEY FINGERET MD
Surgery (Surgical Oncology)
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-5600
CAROL BUSH CRNA
Nurse Anesthetist, Certified Registered
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-4081
ANERY A PATEL M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-8700
DR. BRADLEY ALLEN FREMMING M.D., PHARM.D.
Anesthesiology
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-4081
ALISSA M WORMINGTON APRN-NP
Nurse Practitioner (Family)
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-4500
SARA MICHELLE MAY M.D.
Allergy & Immunology
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-4015

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 Justin Birge's NPI number?

The NPI number for Justin Birge is 1083875215. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Justin Birge located?

Justin Birge practices at Emile 42nd St, Omaha, NE 68198. The listed phone number is (402) 552-6731.

What is Justin Birge's specialty?

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

Is Justin Birge enrolled in Medicare?

Yes. Justin Birge 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 Justin Birge accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica list Justin Birge 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 Justin Birge affiliated with any hospitals?

According to CMS data, Justin Birge is affiliated with The Nebraska Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Birge was last updated on February 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.