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DR. JAMES CONSTANTINE PADUSSIS M.D.
NPI 1457528028
Surgery - Surgical Oncology in Omaha, NE

Active since May 13, 2008PECOS EnrolledAccepts Medicare Assignment
EMILE 42ND ST, OMAHA, NE 68198(402) 559-4500(402) 559-9416 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Constantine Padussis M.d. NPPES

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

DR. JAMES CONSTANTINE PADUSSIS M.D. (NPI 1457528028) is an individual surgical oncology provider in Omaha, Nebraska, licensed in Nebraska (28765) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Boston University School Of Medicine (2005).

NPPES Registry Identity

NPI1457528028
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. JAMES CONSTANTINE PADUSSISCredential: M.D.
Location AddressEMILE 42ND STOmaha, NE 68198-0001
Mailing AddressEmile 42nd StOmaha, NE 68198-0001 · (402) 559-4500 · Fax (402) 559-9416
Phone(402) 559-4500
Fax(402) 559-9416
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2005
Enumeration DateMay 13, 2008
Last NPPES UpdateSeptember 21, 2015
✔ NPI 1457528028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in NE · 28765
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 128755 (NC)
EMILE 42ND ST, Omaha, NE 68198
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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

Dr. James Constantine Padussis 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 ID3577711233
PECOS Enrollment IDI20151005001809
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 6

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.
90 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services25 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.
35 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services14 patients

Hospital Affiliations CMS Care Compare 3

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

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

Great Plains Health

Acute Care Hospitals · North Platte, NE
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280065
Location601 West Leota StNorth Platte, NE 69101 · Lincoln County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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
$160.21 typical visit price
range $52.69 – $160.21
Typical copayment $40.05 (range $13.17 – $40.05)
Most-billed visit code 99205
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
4 suppliers106 claims1,703 services$10.60 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
4 suppliers100 claims634 services$280.54 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
4 suppliers115 claims739 services$8.05 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
4 suppliers114 claims735 services$25.14 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.

DR. JOSEPH M KALAMAJA MD
Anesthesiology
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-4081
MELISSA SMITH CRNA
Anesthesiologist Assistant
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-4081
DR. ABBEY FINGERET MD
Surgery (Surgical Oncology)
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-5600
CAROL BUSH CRNA
Nurse Anesthetist, Certified Registered
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-4081
ANERY A PATEL M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-8700
DR. BRADLEY ALLEN FREMMING M.D., PHARM.D.
Anesthesiology
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-4081
ALISSA M WORMINGTON APRN-NP
Nurse Practitioner (Family)
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-4500
SARA MICHELLE MAY M.D.
Allergy & Immunology
EMILE 42ND ST
OMAHA, NE 68198
Douglas County (402) 559-4015

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 Padussis's NPI number?

The NPI number for James Padussis is 1457528028. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is James Padussis located?

James Padussis practices at Emile 42nd St, Omaha, NE 68198. The listed phone number is (402) 559-4500.

What is James Padussis's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is James Padussis enrolled in Medicare?

Yes. James Padussis 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 Padussis 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 3 other insurers list James Padussis 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 Padussis affiliated with any hospitals?

According to CMS data, James Padussis is affiliated with The Nebraska Medical Center, Great Plains Health and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for James Padussis was last updated on September 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.