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DAVID BENJAMIN BERKHEIM
NPI 1275832537
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Omaha, NE

Active since March 24, 2011PECOS EnrolledAccepts Medicare Assignment
505 S. 48TH ST, OMAHA, NE 68198(402) 559-3232(402) 559-4499 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David Benjamin Berkheim NPPES

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

DAVID BENJAMIN BERKHEIM (NPI 1275832537) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Omaha, Nebraska, licensed in Nebraska (29477) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Crawford County Memorial Hospital, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1275832537
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDAVID BENJAMIN BERKHEIM
Location Address505 S. 48TH STOmaha, NE 68198
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Phone(402) 559-3232
Fax(402) 559-4499
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2011
Enumeration DateMarch 24, 2011
Last NPPES UpdateAugust 21, 2018
✔ NPI 1275832537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in NE · 29477
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
505 S. 48TH ST, Omaha, NE 68198
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Secondary Practice Location 1

Location 11959 NE Pacific St, Box 356410Seattle, WA 98195-6410 · Phone (402) 202-5852

Accepted Insurance

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

David Benjamin Berkheim 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 ID42453102
PECOS Enrollment IDI20180627001785
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 David Berkheim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unmc Physicians
10 mi
Multi-Specialty
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
  • Reassigned Medicare billing, Iowa and Nebraska enrollments
  • 28 clinicians in this Medicare group
NPI 1417912114 (402) 552-3739
Faith Regional Physician Services, LLC
93 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 8

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.
62 services28 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.
48 services40 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.
32 services26 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.
28 services28 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services22 patients
Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Crawford County Memorial Hospital

Critical Access Hospitals · Denison, IA
OwnershipGovernment - Local
CMS Certification Number161369
Location100 Medical ParkwayDenison, IA 51442 · Crawford County
Emergency services

Myrtue Medical Center

Critical Access Hospitals · Harlan, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161374
Location1213 Garfield AvenueHarlan, IA 51537 · Shelby County
Emergency services Birthing friendly

Chi Health Good Samaritan

Acute Care Hospitals · Kearney, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280009
LocationP O Box 1990, 10 East 31st StKearney, NE 68847 · Buffalo County
Emergency services Birthing friendly

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
$160.21 typical visit price
range $52.69 – $160.21
Typical copayment $40.05 (range $13.17 – $40.05)
Most-billed visit code 99205
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.

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 David Berkheim's NPI number?

The NPI number for David Berkheim is 1275832537. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Where is David Berkheim located?

David Berkheim practices at 505 S. 48th St, Omaha, NE 68198. The listed phone number is (402) 559-3232.

What is David Berkheim's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is David Berkheim enrolled in Medicare?

Yes. David Berkheim 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 David Berkheim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Berkheim reassigns Medicare benefits to 2 organizations: Unmc Physicians (Omaha, 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 David Berkheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Berkheim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 1 other insurer list David Berkheim 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 David Berkheim affiliated with any hospitals?

According to CMS data, David Berkheim is affiliated with Crawford County Memorial Hospital, Myrtue Medical Center, Chi Health Good Samaritan, The Nebraska Medical Center and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for David Berkheim was last updated on August 21, 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.