JAMES R GALYEN MD
NPI 1225070568
Family Medicine in Norfolk, NE

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
73.91/100
CMS Quality Rating
305 N 37TH ST, NORFOLK, NE 68701(402) 370-4100(402) 370-4101 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 30, 2023, Oct 19, 2022, Feb 14, 2018 (3 updates tracked since 2018).

About James R Galyen Md NPPES

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

JAMES R GALYEN MD (NPI 1225070568) is an individual family medicine provider in Norfolk, Nebraska, licensed in Nebraska (23104) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Faith Regional Health Services, and is a graduate of University Of Nebraska College Of Medicine (2003).

NPPES Registry Identity

NPI1225070568
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES R GALYENCredential: MD
Location Address305 N 37TH STNorfolk, NE 68701-3275
Mailing Address305 N 37th StNorfolk, NE 68701-3275 · (402) 370-4100 · Fax (402) 370-4101
Fax(402) 370-4101
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2003
Enumeration DateJune 12, 2006
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1225070568 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 · 23104
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.

305 N 37TH ST, Norfolk, NE 68701

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 R Galyen 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 ID1850394461
PECOS Enrollment IDI20060822000266
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

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.
35 services16 patients

Hospital Affiliations CMS Care Compare

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

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68701 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.

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.

73.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.35
Promoting Interoperability100
Improvement Activities40
Cost33.69

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
94%32 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner
305 N 37TH ST
NORFOLK, NE 68701
Clinical Medical Laboratory
305 N 37TH ST
NORFOLK, NE 68701
Physician Assistant
305 N 37TH ST
NORFOLK, NE 68701
Physician Assistant
305 N 37TH ST
NORFOLK, NE 68701
Nurse Practitioner (Family)
305 N 37TH ST
NORFOLK, NE 68701
Family Medicine
305 N 37TH ST
NORFOLK, NE 68701
Nurse Practitioner (Family)
305 N 37TH ST
NORFOLK, NE 68701
Physician Assistant
305 N 37TH ST
NORFOLK, NE 68701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225070568, enumerated as an "individual" on June 12, 2006.

The provider is located at 305 N 37TH ST NORFOLK, NE 68701 and the phone number is (402) 370-4100.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.

James Galyen is affiliated with: FAITH REGIONAL HEALTH SERVICES.