SCOTT J FASSE M.D.
NPI 1154405090
Family Medicine in Omaha, NE

Active since October 25, 2006PECOS EnrolledCLIA 28D1018398 · Microscopy
614 N 108TH CT, OMAHA, NE 68154(402) 884-7218(402) 884-7589 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Scott J Fasse M.d. NPPES

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

SCOTT J FASSE M.D. (NPI 1154405090) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (16872) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through April 7, 2027, and is affiliated with The Nebraska Medical Center.

NPPES Registry Identity

NPI1154405090
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT J FASSECredential: M.D.
Location Address614 N 108TH CTOmaha, NE 68154-1762
Mailing Address614 N 108th CtOmaha, NE 68154-1762 · (402) 884-7218 · Fax (402) 884-7589
Fax(402) 884-7589
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1984
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1154405090 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 · 16872
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.
614 N 108TH CT, Omaha, NE 68154

Other Identifiers 3

Medicare UPIND05207NE
Other34128NE · Bcbsn
Medicare ID-Type Unspecified277394NE

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 (PECOS)

Scott J Fasse M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254323439
PECOS Enrollment IDI20040330001121
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 28D1018398

Scott J Fasse, MD PC · Omaha, NE
Active · expires Apr 7, 2027
CLIA Number28D1018398
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorScott J. Fasse MD
Laboratory Phone(402) 884-7218
Laboratory LocationScott J Fasse, MD PC614 N 108th Ct, Omaha, NE 68154
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 14

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.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
54,286 services20 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
467 services31 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
313 services40 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
186 services12 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.
179 services50 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.
86 services44 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 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 68154 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers16 claims16 services$32.29 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers15 claims15 services$68.55 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers17 claims45 services$26.43 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$14.31 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers19 claims106 services$1.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
614 N 108TH CT
OMAHA, NE 68154

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 Scott Fasse's NPI number?

The NPI number for Scott Fasse is 1154405090. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Scott Fasse located?

Scott Fasse practices at 614 N 108th Ct, Omaha, NE 68154. The listed phone number is (402) 884-7218.

What is Scott Fasse's specialty?

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

Is Scott Fasse enrolled in Medicare?

Yes. Scott Fasse is registered in the Medicare PECOS enrollment system.

Does Scott Fasse hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 28D1018398) is associated with this NPI, valid through April 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Scott Fasse 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 list Scott Fasse 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 Scott Fasse affiliated with any hospitals?

According to CMS data, Scott Fasse is affiliated with The Nebraska Medical Center and The Nebraska Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Scott Fasse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.