JOSEPH MICHAEL PACHUNKA MD
NPI 1235622176
Internal Medicine in Omaha, NE

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment
986270 NEBRASKA MEDICAL CTR, OMAHA, NE 68198(402) 595-2280 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph Michael Pachunka Md NPPES

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

JOSEPH MICHAEL PACHUNKA MD (NPI 1235622176) is an individual internal medicine provider in Omaha, Nebraska, licensed in Nebraska (8195) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2018).

NPPES Registry Identity

NPI1235622176
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSEPH MICHAEL PACHUNKACredential: MD
Location Address986270 NEBRASKA MEDICAL CTROmaha, NE 68198-6270
Mailing Address986270 Nebraska Medical CtrOmaha, NE 68198-6270 · (402) 595-2280
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2018
Enumeration DateJune 13, 2018
NPI 1235622176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NE · 8195
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 8195 (NE)
986270 NEBRASKA MEDICAL CTR, Omaha, NE 68198

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

Joseph Michael Pachunka 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 ID7012267842
PECOS Enrollment IDI20220622002016
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 5

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.
172 services110 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
66 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services14 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Rheumatology)
986270 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Student in an Organized Health Care Education/Training Program
986270 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Internal Medicine
986270 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Internal Medicine
986270 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Internal Medicine (Rheumatology)
986270 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Internal Medicine (Rheumatology)
986270 NEBRASKA MEDICAL CTR
OMAHA, NE 68198

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 Joseph Pachunka's NPI number?

The NPI number for Joseph Pachunka is 1235622176. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Joseph Pachunka located?

Joseph Pachunka practices at 986270 Nebraska Medical Ctr, Omaha, NE 68198. The listed phone number is (402) 595-2280.

What is Joseph Pachunka's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph Pachunka enrolled in Medicare?

Yes. Joseph Pachunka 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 Joseph Pachunka 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 Joseph Pachunka 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 Joseph Pachunka affiliated with any hospitals?

According to CMS data, Joseph Pachunka is affiliated with The Nebraska Medical Center and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Joseph Pachunka was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.