ADAM DONALD HIGHLEY MD
NPI 1316234131
Internal Medicine - Pulmonary Disease in Omaha, NE
About Adam Donald Highley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADAM DONALD HIGHLEY MD (NPI 1316234131) is an individual pulmonary disease provider in Omaha, Nebraska, licensed in Missouri (2026036628) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted 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
Adam Donald Highley 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.
Medicare Billing Reassignment
Medicare enrollment records show Adam Highley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, SC 29212
- Reassigned Medicare billing, South Carolina enrollment
- 1,466 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Richland Hospital
Acute Care Hospitals · Columbia, SCNewberry County Memorial Hospital
Acute Care Hospitals · Newberry, SCPrisma Health Tuomey Hospital
Acute Care Hospitals · Sumter, SCPrisma Health Baptist
Acute Care Hospitals · Columbia, SCPrisma Health Baptist Parkridge
Acute Care Hospitals · Columbia, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
OMAHA, NE 68124
OMAHA, NE 68124
OMAHA, NE 68124
OMAHA, NE 68124
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 Adam Highley's NPI number?
The NPI number for Adam Highley is 1316234131. It was assigned to this individual provider in the NPPES registry on June 30, 2011.
Where is Adam Highley located?
Adam Highley practices at 7710 Mercy Rd Ste 3000, Omaha, NE 68124. The listed phone number is (402) 717-9600.
What is Adam Highley's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Adam Highley enrolled in Medicare?
Yes. Adam Highley 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 organization bills Medicare for Adam Highley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Highley reassigns Medicare benefits to Prisma Health Medical Group-Midlands (Columbia, SC). The 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 Adam Highley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adam Highley accept?
Health plans from BlueCross BlueShield of South Carolina, Medica and Oscar Insurance Company list Adam Highley 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 Adam Highley affiliated with any hospitals?
According to CMS data, Adam Highley is affiliated with Prisma Health Richland Hospital, Newberry County Memorial Hospital, Prisma Health Tuomey Hospital, Prisma Health Baptist and Prisma Health Baptist Parkridge.
When was this NPI record last updated?
The NPPES record for Adam Highley was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.
# Adam Donald Highley, MD · NPI 1316234131
Pulmonary Disease physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since June 30, 2011.
## Identity
- **NPI:** 1316234131 (Entity type: Individual)
- **Enumerated:** June 30, 2011
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 2026036628 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7710 MERCY RD STE 3000, Omaha, NE 68124-2350
- **Phone:** (402) 717-9600 · **Fax:** (402) 717-6014
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prisma Health Medical Group-Midlands (NPI 1003307166, Columbia, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316234131) · Data from the CMS NPPES public registry.