JAMES M CARRAHER MD
NPI 1124135579
Family Medicine in Lincoln, NE

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
3201 PIONEERS BLVD STE 304, LINCOLN, NE 68502(402) 483-2987(402) 483-2980 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James M Carraher Md NPPES

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

JAMES M CARRAHER MD (NPI 1124135579) is an individual family medicine provider in Lincoln, Nebraska, licensed in Nebraska (16456) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1124135579
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES M CARRAHERCredential: MD
Location Address3201 PIONEERS BLVD STE 304Lincoln, NE 68502-5963
Mailing Address3201 Pioneers Blvd Ste 304Lincoln, NE 68502-5963 · (402) 483-2987 · Fax (402) 483-2980
Fax(402) 483-2980
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 23, 2006
Last NPPES UpdateJune 10, 2010
NPI 1124135579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · 16456
Definition
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.
3201 PIONEERS BLVD STE 304, Lincoln, NE 68502

Other Identifiers 6

Other3394NE · Bcbs
Medicaid47068394113NE
Medicare ID-Type Unspecified087715
Other080028070NE · Rr Medicare
Medicare UPINE50637
Medicare NSC0931200001

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

James M Carraher 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 ID7214065226
PECOS Enrollment IDI20100512000963
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 9

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 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.
260 services191 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
199 services133 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.
181 services149 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
59 services47 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
41 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services21 patients

Hospital Affiliations CMS Care Compare 2

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

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 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
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 6

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

Family Medicine
3201 PIONEERS BLVD STE 304
LINCOLN, NE 68502
Physician Assistant
3201 PIONEERS BLVD STE 304
LINCOLN, NE 68502
Nurse Practitioner (Family)
3201 PIONEERS BLVD STE 304
LINCOLN, NE 68502
Family Medicine
3201 PIONEERS BLVD STE 304
LINCOLN, NE 68502
Family Medicine
3201 PIONEERS BLVD STE 304
LINCOLN, NE 68502
Family Medicine
3201 PIONEERS BLVD STE 304
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 James Carraher's NPI number?

The NPI number for James Carraher is 1124135579. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is James Carraher located?

James Carraher practices at 3201 Pioneers Blvd Ste 304, Lincoln, NE 68502. The listed phone number is (402) 483-2987.

What is James Carraher's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Carraher enrolled in Medicare?

Yes. James Carraher 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 James Carraher 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 3 other insurers list James Carraher 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 James Carraher affiliated with any hospitals?

According to CMS data, James Carraher is affiliated with Bryan Medical Center and The Nebraska Medical Center.

When was this NPI record last updated?

The NPPES record for James Carraher was last updated on June 10, 2010. 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.