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DR. BLAKE COVER M.D.
NPI 1225484934
Family Medicine in Omaha, NE

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
989350 NEBRASKA MED CTR FL 3, OMAHA, NE 68198(402) 559-7200 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Blake Cover M.d. NPPES

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

DR. BLAKE COVER M.D. (NPI 1225484934) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (7638) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2016).

NPPES Registry Identity

NPI1225484934
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BLAKE COVERCredential: M.D.
Location Address989350 NEBRASKA MED CTR FL 3Omaha, NE 68198-0001
Mailing Address989350 Nebraska Med Ctr Fl 3Omaha, NE 68198-0001 · (402) 559-7200
Phone(402) 559-7200
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2016
Enumeration DateMay 11, 2016
✔ NPI 1225484934 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 · 7638
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.
989350 NEBRASKA MED CTR FL 3, Omaha, NE 68198
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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

Dr. Blake Cover M.d. 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 ID6103111455
PECOS Enrollment IDI20171024003371
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
95 services42 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Chi Health St. Francis

Acute Care Hospitals · Grand Island, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280023
Location2620 West Faidley AveGrand Island, NE 68803 · Hall County
Emergency services Birthing friendly

Grand Island Regional Medical Center

Acute Care Hospitals · Grand Island, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280139
Location3533 Prairieview StreetGrand Island, NE 68803 · Hall County
Emergency services Birthing friendly

Merrick Medical Center

Critical Access Hospitals · Central City, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281328
LocationPO Box 417, 2802 28th StCentral City, NE 68826 · Merrick County
Emergency services

West Holt Memorial Hospital

Critical Access Hospitals · Atkinson, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281343
Location406 W Neely StAtkinson, NE 68713 · Holt County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers43 claims58 services$5.39 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers50 claims50 services$42.33 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers36 claims36 services$104.27 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers33 claims97 services$36.13 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers16 claims70 services$21.53 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers11 claims57 services$17.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Blake Cover's NPI number?

The NPI number for Blake Cover is 1225484934. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Blake Cover located?

Blake Cover practices at 989350 Nebraska Med Ctr Fl 3, Omaha, NE 68198. The listed phone number is (402) 559-7200.

What is Blake Cover's specialty?

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

Is Blake Cover enrolled in Medicare?

Yes. Blake Cover 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.

What insurance does Blake Cover 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 and 3 other insurers list Blake Cover 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 Blake Cover affiliated with any hospitals?

According to CMS data, Blake Cover is affiliated with Bryan Medical Center, Chi Health St. Francis, Grand Island Regional Medical Center, Merrick Medical Center and West Holt Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Blake Cover was last updated on May 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.