BRANDON T MOOBERRY PAC
NPI 1225097710
Physician Assistant in Omaha, NE

Q: What is Brandon Mooberry's NPI number?

The NPI number for Brandon Mooberry is 1225097710. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Q: What is Brandon Mooberry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Mooberry was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment

2725 S 144TH ST STE 212, OMAHA, NE 68144(402) 637-0800(402) 637-0808 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Brandon T Mooberry Pac NPPES

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

BRANDON T MOOBERRY PAC (NPI 1225097710) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (1190) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Nebraska Orthopaedic Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1225097710

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRANDON T MOOBERRYCredential: PAC

Location Address2725 S 144TH ST STE 212Omaha, NE 68144-5253

Mailing Address2725 S 144th St Ste 212Omaha, NE 68144-5253 · (402) 637-0800 · Fax (402) 637-0808

Phone(402) 637-0800

Fax(402) 637-0808

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 22, 2006

Last NPPES UpdateDecember 30, 2020

NPPES CertifiedDecember 30, 2020

✔ NPI 1225097710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NE · 1190✔ Licensed in IA · 001823

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2725 S 144TH ST STE 212, Omaha, NE 68144

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Accepted Insurance

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

Brandon T Mooberry Pac 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 ID5799729513

PECOS Enrollment IDI20060413000406

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 2

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.

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

95 services94 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

38 services35 patients

Hospital Affiliations CMS Care Compare

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

Nebraska Orthopaedic Hospital

Acute Care Hospitals · Omaha, NE

OwnershipPhysician

CMS Certification Number280129

Location2808 South 143rd PlazaOmaha, NE 68144 · Douglas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68144 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

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

Most-billed visit code 99213

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 20

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

DR. MATTHEW LOUIS MILLER M.D.

Neurological Surgery