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MARK JOSEPH PICKERAL MD
NPI 1417527243
Emergency Medicine in Lincoln, NE

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment
1600 S 48TH ST, LINCOLN, NE 68506(402) 481-9049 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 12, 2024, Jun 24, 2021 (2 updates tracked since 2021).

About Mark Joseph Pickeral Md NPPES

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

MARK JOSEPH PICKERAL MD (NPI 1417527243) is an individual emergency medicine provider in Lincoln, Nebraska, licensed in Nebraska (9112) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2021).

NPPES Registry Identity

NPI1417527243
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK JOSEPH PICKERALCredential: MD
Location Address1600 S 48TH STLincoln, NE 68506-1283
Mailing Address1600 S 48th StLincoln, NE 68506-1283 · (402) 709-2654 · Fax (402) 559-9659
Phone(402) 481-9049
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2021
Enumeration DateJune 24, 2021
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1417527243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NE · 9112
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1600 S 48TH ST, Lincoln, NE 68506
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Mark Joseph Pickeral 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 ID1658779442
PECOS Enrollment IDI20240819000641
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
138 services136 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
75 services75 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
60 services59 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services46 patients

Hospital Affiliations CMS Care Compare

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 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
$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.

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.

JOSEPH L KUMMER M.D.
Internal Medicine (Cardiovascular Disease)
1600 S 48TH ST, SUITE 600
LINCOLN, NE 68506
Lancaster County (402) 483-3333
BRYAN EMPLOYEE SPECIALTY PHARMACY
Pharmacy (Community/Retail Pharmacy)
1600 S 48TH ST
LINCOLN, NE 68506
Lancaster County (402) 481-8380
KERSTEN SCHMITT PHARMD
Pharmacist
1600 S 48TH ST
LINCOLN, NE 68506
Lancaster County (507) 244-1031
JONNA RAE LYNCH DNP, NNP
Nurse Practitioner (Neonatal)
1600 S 48TH ST
LINCOLN, NE 68506
Lancaster County (402) 481-7327
CORY LEE DURBIN PHARMD
Pharmacist
1600 S 48TH ST
LINCOLN, NE 68506
Lancaster County (402) 481-1111
SCOTT COATSWORTH M.D.
Internal Medicine (Cardiovascular Disease)
1600 S 48TH ST, SUITE 600
LINCOLN, NE 68506
Lancaster County (402) 483-3333
AMANDA KATHLEEN GILMORE PA
Physician Assistant
1600 S 48TH ST, STE 600
LINCOLN, NE 68506
Lancaster County (402) 483-3333
SHELLEE KERSENBROCK
Pharmacist
1600 S 48TH ST
LINCOLN, NE 68506
Lancaster County (402) 481-3145

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 Mark Pickeral's NPI number?

The NPI number for Mark Pickeral is 1417527243. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Mark Pickeral located?

Mark Pickeral practices at 1600 S 48th St, Lincoln, NE 68506. The listed phone number is (402) 481-9049.

What is Mark Pickeral's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Pickeral enrolled in Medicare?

Yes. Mark Pickeral 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 Mark Pickeral accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Mark Pickeral 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 Mark Pickeral affiliated with any hospitals?

According to CMS data, Mark Pickeral is affiliated with Bryan Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Pickeral was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.