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DR. JAMES SCOTT ALBIN MD
NPI 1366433401
Obstetrics & Gynecology in Norfolk, NE

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
37.2/100
CMS Quality Rating
2504 W BENJAMIN AVE, NORFOLK, NE 68701(402) 379-9999(402) 379-8888 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James Scott Albin Md NPPES

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

DR. JAMES SCOTT ALBIN MD (NPI 1366433401) is an individual obstetrics & gynecology provider in Norfolk, Nebraska, licensed in Nebraska (18105) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Faith Regional Health Services, and is a graduate of University Of Nebraska College Of Medicine (1988).

NPPES Registry Identity

NPI1366433401
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES SCOTT ALBINCredential: MD
Location Address2504 W BENJAMIN AVENorfolk, NE 68701-3120
Mailing AddressPo Box 409Norfolk, NE 68702-0409 · (402) 379-9999 · Fax (402) 379-8888
Phone(402) 379-9999
Fax(402) 379-8888
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1988
Enumeration DateOctober 28, 2005
Last NPPES UpdateDecember 6, 2012
✔ NPI 1366433401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NE · 18105
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2504 W BENJAMIN AVE, Norfolk, NE 68701
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINF33907
Other31844NE · Bcbs
Medicare ID-Type Unspecified268976NE
Medicaid91177919913NE

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

Dr. James Scott Albin 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 ID5890687230
PECOS Enrollment IDI20100804000399
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 Reassignment

Medicare enrollment records show James Albin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Womens Health Of Northeast Nebraska PC
0.1 mi
Obstetrics & Gynecology
2504 W BENJAMIN AVE
Norfolk, NE 68701
  • Reassigned Medicare billing, Nebraska enrollment
  • 2 clinicians in this Medicare group
NPI 1710978861 (402) 379-9999

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 9

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
92 services92 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.
58 services56 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
29 services29 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.
22 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services19 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.
21 services17 patients

Hospital Affiliations CMS Care Compare 4

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

St Francis Memorial Hospital

Critical Access Hospitals · West Point, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281322
Location430 North Monitor StWest Point, NE 68788 · Cuming 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

Boone County Health Center

Critical Access Hospitals · Albion, NE
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number281334
LocationP O Box 151, 723 West Fairview StAlbion, NE 68620 · Boone 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.

37.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability99
Improvement Activities20

Other Providers at the Same Location NPPES 3

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

KRISTIE L LUBISCHER APRN
Nurse Practitioner (Women's Health)
2504 W BENJAMIN AVE
NORFOLK, NE 68701
Madison County (402) 379-9999
DR. RENEE MARIE ALBIN MD
Obstetrics & Gynecology
2504 W BENJAMIN AVE
NORFOLK, NE 68701
Madison County (402) 379-9999
WOMENS HEALTH OF NORTHEAST NEBRASKA PC
Obstetrics & Gynecology
2504 W BENJAMIN AVE
NORFOLK, NE 68701
Madison County (402) 379-9999

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 Albin's NPI number?

The NPI number for James Albin is 1366433401. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is James Albin located?

James Albin practices at 2504 W Benjamin Ave, Norfolk, NE 68701. The listed phone number is (402) 379-9999.

What is James Albin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Albin enrolled in Medicare?

Yes. James Albin 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 James Albin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Albin reassigns Medicare benefits to Womens Health Of Northeast Nebraska PC (Norfolk, NE). 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 James Albin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Albin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Blue Cross and Blue Shield of Nebraska and 2 other insurers list James Albin 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 Albin affiliated with any hospitals?

According to CMS data, James Albin is affiliated with Faith Regional Health Services, St Francis Memorial Hospital, Avera St Anthony's Hospital and Boone County Health Center.

When was this NPI record last updated?

The NPPES record for James Albin was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.