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DOUGLAS WELSH M.D.
NPI 1336196161
Internal Medicine - Cardiovascular Disease in Norfolk, NE

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
94/100
CMS Quality Rating
110 N 29TH ST, STE. 301, NORFOLK, NE 68701(402) 844-8284(402) 644-7505 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas Welsh M.d. NPPES

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

DOUGLAS WELSH M.D. (NPI 1336196161) is an individual cardiovascular disease provider in Norfolk, Nebraska, licensed in Nebraska (18117) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Faith Regional Health Services, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1336196161
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDOUGLAS WELSHCredential: M.D.
Location Address110 N 29TH ST, STE. 301Norfolk, NE 68701-4461
Mailing Address110 N 29th St, Ste. 301Norfolk, NE 68701-4461 · (402) 844-8284 · Fax (402) 644-7505
Phone(402) 844-8284
Fax(402) 644-7505
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMay 27, 2006
Last NPPES UpdateJanuary 11, 2008
✔ NPI 1336196161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NE · 18117
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
110 N 29TH ST, Norfolk, NE 68701
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified279792NE
OtherP00193879NE · Rr
Medicare UPINE34419NE
Other01005NE · Bcbsne

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

Douglas Welsh 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 ID3072553130
PECOS Enrollment IDI20050509000116
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

3

Medicare enrollment records show Douglas Welsh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faith Regional Physician Services, LLC
0.1 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
Antelope Memorial Hospital
30 mi
Critical Access
102 W 9TH ST
Neligh, NE 68756
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1568501302 (Nebraska)
  • 15 clinicians in this Medicare group
NPI 1083790893 (402) 887-4151
Avera St Anthonys Hospital
68 mi
Nurse Anesthetist, Certified Registered
300 N 2ND ST
Oneill, NE 68763
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1891738936 (Nebraska)
  • 41 clinicians in this Medicare group
NPI 1043223654 (402) 336-2611

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 10

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.
217 services132 patients
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.
213 services101 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
113 services93 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.
105 services88 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
91 services91 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
91 services91 patients

Hospital Affiliations CMS Care Compare 3

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

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Antelope Memorial Hospital

Critical Access Hospitals · Neligh, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281326
LocationP O Box 229, 102 West 9th StNeligh, NE 68756 · Antelope County
Emergency services

Avera St Anthony's Hospital

Critical Access Hospitals · O' Neill, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number281329
Location300 North 2nd StO' Neill, NE 68763 · Holt County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68701 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
$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.

94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability98.22
Improvement Activities40

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.

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
2 suppliers25 claims25 services$114.63 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.

MICHAELA JOANNE MOHR
Nurse Practitioner
110 N 29TH ST
NORFOLK, NE 68701
Madison County (402) 644-7550
HADI ZAHRA M.D.
Radiology (Radiation Oncology)
110 N 29TH ST, SUITE 101
NORFOLK, NE 68701
Madison County (402) 644-7550
RABIH C FAHED M.D.
Internal Medicine (Hematology & Oncology)
110 N 29TH ST, SUITE 101
NORFOLK, NE 68701
Madison County (402) 644-7550
DEREK L HOWELL PA-C
Physician Assistant (Surgical)
110 N 29TH ST, SUITE 302
NORFOLK, NE 68701
Madison County (402) 844-8242
BRENDA M LIERMANN APRN-NP
Nurse Practitioner (Acute Care)
110 N 29TH ST, SUITE 302
NORFOLK, NE 68701
Madison County (402) 844-8242
CELESTE KAUFMAN APRN
Registered Nurse
110 N 29TH ST, STE. 301
NORFOLK, NE 68701
Madison County (402) 844-8284
HEMATOLOGY & ONCOLOGY CONSULTANTS, PC
Internal Medicine (Hematology & Oncology)
110 N 29TH ST, SUITE 1
NORFOLK, NE 68701
Madison County (402) 644-7550
BROOKE SHERBECK CRNA
Nurse Anesthetist, Certified Registered
110 N 29TH ST, SUITE # 201
NORFOLK, NE 68701
Madison County (402) 844-8385

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 Douglas Welsh's NPI number?

The NPI number for Douglas Welsh is 1336196161. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Douglas Welsh located?

Douglas Welsh practices at 110 N 29th St Ste. 301, Norfolk, NE 68701. The listed phone number is (402) 844-8284.

What is Douglas Welsh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Douglas Welsh enrolled in Medicare?

Yes. Douglas Welsh 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 Douglas Welsh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Welsh reassigns Medicare benefits to 3 organizations: Faith Regional Physician Services, LLC (Norfolk, NE), Antelope Memorial Hospital (Neligh, NE) and Avera St Anthonys Hospital (Oneill, 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 Douglas Welsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Welsh 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 Douglas Welsh 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 Douglas Welsh affiliated with any hospitals?

According to CMS data, Douglas Welsh is affiliated with Faith Regional Health Services, Antelope Memorial Hospital and Avera St Anthony's Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Welsh was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.