JAMES M. SHEHAN M.D.
NPI 1316041734
Dermatology in Omaha, NE

Active since September 08, 2006PECOS EnrolledAccepts Medicare Assignment
12910 PIERCE ST STE 120, OMAHA, NE 68144(402) 933-3770(402) 916-4662 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, May 24, 2017 and 1 more (4 updates tracked since 2016).

About James M. Shehan M.d. NPPES

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

JAMES M. SHEHAN M.D. (NPI 1316041734) is an individual dermatology provider in Omaha, Nebraska, licensed in Nebraska (22767) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Health Mercy Council Bluffs, and maintains a secondary practice location in Council Bluffs.

NPPES Registry Identity

NPI1316041734
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJAMES M. SHEHANCredential: M.D.
Location Address12910 PIERCE ST STE 120Omaha, NE 68144-1106
Mailing Address12910 Pierce St, Ste 120Omaha, NE 68144-1106 · (402) 933-3770 · Fax (402) 916-4662
Fax(402) 916-4662
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2000
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1316041734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NE · 22767
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
12910 PIERCE ST STE 120, Omaha, NE 68144

Secondary Practice Location 1

Location 1928 Valley View Dr Ste 10Council Bluffs, IA 51503-5288 · Phone (402) 933-3770 · Fax (402) 933-3633

Other Identifiers 2

Medicaid100263840-00NE
Medicaid1497182273IA

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

James M. Shehan 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 ID2365412343
PECOS Enrollment IDI20040728000042, I20040811000631
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 24

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 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.
1,275 services998 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,177 services269 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
549 services417 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
396 services331 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
234 services215 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
213 services180 patients

Hospital Affiliations CMS Care Compare 3

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

Chi Health Mercy Council Bluffs

Acute Care Hospitals · Council Bluffs, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160028
Location800 Mercy DriveCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

Montgomery County Memorial Hospital

Critical Access Hospitals · Red Oak, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161363
Location2301 Eastern AvenueRed Oak, IA 51566 · Montgomery County
Emergency services

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

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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%3,582 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%1,784 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
4%4,872 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
69%4,872 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%4,872 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
24%4,872 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Dermatology
12910 PIERCE ST STE 120
OMAHA, NE 68144
Physician Assistant (Medical)
12910 PIERCE ST STE 120
OMAHA, NE 68144
Dermatology
12910 PIERCE ST STE 120
OMAHA, NE 68144
Dermatology
12910 PIERCE ST STE 120
OMAHA, NE 68144
Dermatology
12910 PIERCE ST STE 120
OMAHA, NE 68144

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 James Shehan's NPI number?

The NPI number for James Shehan is 1316041734. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is James Shehan located?

James Shehan practices at 12910 Pierce St Ste 120, Omaha, NE 68144. The listed phone number is (402) 933-3770.

What is James Shehan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is James Shehan enrolled in Medicare?

Yes. James Shehan 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 James Shehan accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list James Shehan 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 James Shehan affiliated with any hospitals?

According to CMS data, James Shehan is affiliated with Chi Health Mercy Council Bluffs, Montgomery County Memorial Hospital and The Nebraska Medical Center.

When was this NPI record last updated?

The NPPES record for James Shehan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.