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GREG A GILLHAM MD
NPI 1285655795
Internal Medicine in Lincoln, NE

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
555 S 70TH ST, LINCOLN, NE 68510(402) 219-8747(402) 219-8748 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greg A Gillham Md NPPES

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

GREG A GILLHAM MD (NPI 1285655795) is an individual internal medicine provider in Lincoln, Nebraska, licensed in Nebraska (19515) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Health St. Elizabeth, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1285655795
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGREG A GILLHAMCredential: MD
Location Address555 S 70TH STLincoln, NE 68510-2462
Mailing Address555 S 70th StLincoln, NE 68510-2462 · (402) 421-0904 · Fax (402) 421-0946
Phone(402) 219-8747
Fax(402) 219-8748
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 21, 2006
Last NPPES UpdateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1285655795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NE · 19515
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.
555 S 70TH ST, Lincoln, NE 68510
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Other Identifiers 6

Other03636NE · Bcbs
Other2663Midlands Choice
Medicaid100380010AKS
Medicaid470780857 23NE
Medicaid2959239IA
Other76-00113NE · Uhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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

Greg A Gillham 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 ID9739145327
PECOS Enrollment IDI20041206000559
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 7

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.
456 services202 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
93 services50 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.
90 services89 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services44 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.
42 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services36 patients

Hospital Affiliations CMS Care Compare 4

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

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Chi Health Nebraska Heart

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280128
Location7500 South 91st StLincoln, NE 68526 · Lancaster County

Saunders Medical Center

Critical Access Hospitals · Wahoo, NE
OwnershipGovernment - Local
CMS Certification Number281307
Location1760 County Rd JWahoo, NE 68066 · Saunders County

Beatrice Community Hospital & Health Center, Inc

Critical Access Hospitals · Beatrice, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281364
LocationP O Box 278, 4800 Hospital ParkwayBeatrice, NE 68310 · Gage County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68510 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers29 claims29 services$17.60 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$90.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LINDSEY ANN VLCAN APRN
Nurse Practitioner (Neonatal)
555 S 70TH ST
LINCOLN, NE 68510
Lancaster County (402) 219-7619
EMILY NOEL STUTZMAN CRNA
Nurse Anesthetist, Certified Registered
555 S 70TH ST
LINCOLN, NE 68510
Lancaster County (402) 219-8000
TED M TRIGGS DO
Internal Medicine
555 S 70TH ST
LINCOLN, NE 68510
Lancaster County (402) 219-8747
DEBORAH M EBERSPACHER MPT
Physical Medicine & Rehabilitation
555 S 70TH ST, RM 2504
LINCOLN, NE 68510
Lancaster County (402) 219-7498
TRACY L SLOCUM FARRITOR MD
Internal Medicine
555 S 70TH ST
LINCOLN, NE 68510
Lancaster County (402) 219-8747
JANELL R WALKER MPT
Physical Medicine & Rehabilitation
555 S 70TH ST, RM 2504
LINCOLN, NE 68510
Lancaster County (402) 219-7498
DR. REBECCA EILEEN CHRISTENSEN MD
Anesthesiology
555 S 70TH ST
LINCOLN, NE 68510
Lancaster County (402) 434-5600
JILL C WEBB OTR L
Occupational Therapist
555 S 70TH ST, RM 2504
LINCOLN, NE 68510
Lancaster County (402) 219-7498

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 Greg Gillham's NPI number?

The NPI number for Greg Gillham is 1285655795. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Greg Gillham located?

Greg Gillham practices at 555 S 70th St, Lincoln, NE 68510. The listed phone number is (402) 219-8747.

What is Greg Gillham's specialty?

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

Is Greg Gillham enrolled in Medicare?

Yes. Greg Gillham 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 Greg Gillham accept?

Health plans from Medica and Oscar Insurance Company list Greg Gillham 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 Greg Gillham affiliated with any hospitals?

According to CMS data, Greg Gillham is affiliated with Chi Health St. Elizabeth, Chi Health Nebraska Heart, Saunders Medical Center and Beatrice Community Hospital & Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Greg Gillham was last updated on January 27, 2021. 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.