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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: November 01, 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
Phone(402) 370-4100
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Avera Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Galyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sunny Meadow Medical Clinic PC
Same address
Family Medicine
305 N 37TH ST
Norfolk, NE 68701
  • Reassigned Medicare billing, Nebraska enrollment
  • 7 clinicians in this Medicare group
NPI 1255619003 (402) 370-4100
Faith Regional Physician Services, LLC
0.6 mi
Family Medicine
110 N 29TH ST, SUITE 201
Norfolk, NE 68701
  • Reassigned Medicare billing, Nebraska enrollment
  • 252 clinicians in this Medicare group
NPI 1265489157 (402) 844-8385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LORI A MANAS-LAMMERS APRN
Nurse Practitioner (Family)
305 N 37TH ST
NORFOLK, NE 68701
Madison County (402) 370-4100
MS. JEANA KAY AHLERS PA-C
Physician Assistant
305 N 37TH ST
NORFOLK, NE 68701
Madison County (402) 370-4100
ASHLEY D KROHN PA-C
Physician Assistant
305 N 37TH ST
NORFOLK, NE 68701
Madison County (402) 370-4100
KARI L GALYEN MD
Family Medicine
305 N 37TH ST
NORFOLK, NE 68701
Madison County (402) 370-4100
REGIONAL WEST MEDICAL CENTER
Clinical Medical Laboratory
305 N 37TH ST
NORFOLK, NE 68701
Madison County (402) 370-4100
RACHEL ANN PRINZ PA-C
Physician Assistant
305 N 37TH ST
NORFOLK, NE 68701
Madison County (402) 637-0800
SUNNY MEADOW MEDICAL CLINIC PC
Family Medicine
305 N 37TH ST
NORFOLK, NE 68701
Madison County (402) 370-4100
SUNNY MEADOW MEDICAL CLINIC PC
Family Medicine
305 N 37TH ST
NORFOLK, NE 68701
Madison County (402) 370-4100

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 Galyen's NPI number?

The NPI number for James Galyen is 1225070568. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is James Galyen located?

James Galyen practices at 305 N 37th St, Norfolk, NE 68701. The listed phone number is (402) 370-4100.

What is James Galyen's specialty?

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

Is James Galyen enrolled in Medicare?

Yes. James Galyen 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.

Which organizations bill Medicare for James Galyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Galyen reassigns Medicare benefits to 2 organizations: Sunny Meadow Medical Clinic PC (Norfolk, NE) and Faith Regional Physician Services, LLC (Norfolk, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Galyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Galyen accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Avera Health Plans, Blue Cross and Blue Shield of Nebraska and Medica and 2 other insurers list James Galyen 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 Galyen affiliated with any hospitals?

According to CMS data, James Galyen is affiliated with Faith Regional Health Services.

When was this NPI record last updated?

The NPPES record for James Galyen was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.