MICHAEL C WADMAN MD
NPI 1215963863
Emergency Medicine in Omaha, NE
NPI Status: Active since June 24, 2006
Contact Information
EMILE @ 42ND STREET
EM-SOUTH
OMAHA, NE
ZIP 68198
Phone: (402) 559-4020
Fax: (402) 559-8333
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About MICHAEL WADMAN
This page provides the complete NPI Profile along with additional information for Michael Wadman, a provider established in Omaha, Nebraska with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1215963863 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X with license number 19811 (NE). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1215963863
- Provider Name
- MICHAEL C WADMAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- EMILE @ 42ND STREET EM-SOUTH OMAHA, NE 68198
- Location Phone
- (402) 559-4020
- Location Fax
- (402) 559-8333
- Mailing Address
- 981150 NEBRASKA MEDICAL CTR OMAHA, NE 68198
- Mailing Phone
- (402) 559-4020
- Mailing Fax
- (402) 559-8333
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-24-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 19811
- License State
- NE
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elevate by Medica Bronze $0 Copay PCP Visits - EPO
- Elevate by Medica Bronze Premier - EPO
- Elevate by Medica Bronze Share - EPO
- Elevate by Medica Expanded Bronze Standard - EPO
- Elevate by Medica Gold $0 Copay PCP Visits - EPO
- Elevate by Medica Gold Share - EPO
- Elevate by Medica Gold Standard - EPO
- Elevate by Medica Silver $0 Copay PCP Visits - EPO
- Elevate by Medica Silver Share - EPO
- Elevate by Medica Silver Standard - EPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G27545 | MEDICARE UPIN (02) | NE | |
| 269920 | MEDICARE ID-TYPE UNSPECIFIED (04) | NE |
Medicare Participation & PECOS Enrollment Status
Michael Wadman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 29 times for 28 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 22 times for 22 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 68198 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.2
- Minimum New Patient Price $52.69
- Maximum New Patient Price $160.21
- Average New Patient Copayment $20.3
- Minimum New Patient Copayment $13.17
- Maximum New Patient Copayment $40.05
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.55
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $131.25
- Average Established Patient Copayment $23.38
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.81
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MICHAEL C WADMAN MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 9 | 6 | 3 | 8 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 18 | 6 | 6 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 8 + 6 + 6 + 8 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1215963863 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
SHANNON M DAUBERT APRN
Nurse Practitioner
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
ANNA SWARTZ APRN-NP
Nurse Practitioner
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
DANIEL W CRAMER APRN
Nurse Practitioner
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
JULIE D VAUGHAN CRNA
Nurse Anesthetist, Certified Registered
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
DOUGLAS FRANCIS NIEMANN M.D.
Radiology
(Diagnostic Radiology)
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
DR. KRISTIN N WAKIN M.D.
Anesthesiology
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
DR. SRINIVAS RAO VUNNAM M.D
Internal Medicine
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
KAITLYN BRITTAN M.D.
Internal Medicine
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
DR. JESSE LEE COX M.D./PH.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
SUSAN L MACQUIDDY MD
Emergency Medicine
EMILE @ 42ND STREET
EM-SOUTH
OMAHA, NE
ZIP 68198
DR. COREY VENELL ZETTERMAN M.D.
Anesthesiology
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
JILLIAN B NEGRI APRN
Nurse Practitioner
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
MR. DOMINIQUE DANTE SAMUEL APRN
Nurse Practitioner
(Family)
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
ROSLYN BERNSTEIN MANNON M.D.
Internal Medicine
(Nephrology)
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
SRIKAR R ADHIKARI MD
Emergency Medicine
EMILE @ 42ND STREET
EM-SOUTH
OMAHA, NE
ZIP 68198
MICHELLE-ANNE K IVERSON DO
Anesthesiology
EMILE @ 42ND STREET
OMAHA, NE
ZIP 68198
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215963863, enumerated as an "individual" on June 24, 2006.
The provider is located at EMILE @ 42ND STREET EM-SOUTH OMAHA, NE 68198 and the phone number is (402) 559-4020.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Medica, Wellmark Health Plan of Iowa, Inc.,. Please consult your insurance carrier or call the provider to verify.
