DEREK ADAM KRUSE MD
NPI 1487946778
Internal Medicine - Pulmonary Disease in Omaha, NE

Active since May 05, 2011PECOS EnrolledAccepts Medicare Assignment
EMILE 42ND ST, OMAHA, NE 68198(402) 559-4015(402) 559-8715 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2017, Mar 3, 2017, Feb 23, 2016 (3 updates tracked since 2016).

About Derek Adam Kruse Md NPPES

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

DEREK ADAM KRUSE MD (NPI 1487946778) is an individual pulmonary disease provider in Omaha, Nebraska, licensed in Nebraska (29960) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Chi Health Good Samaritan, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1487946778
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDEREK ADAM KRUSECredential: MD
Location AddressEMILE 42ND STOmaha, NE 68198-0001
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Fax(402) 559-8715
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 5, 2011
Last NPPES UpdateMay 8, 20173 updates tracked since enumeration
NPI 1487946778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NE · 29960
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57678 (WI)
EMILE 42ND ST, Omaha, NE 68198

Other Names 1

Professional Name (2)Derek Kruse Md

Accepted 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

Derek Adam Kruse 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 ID840444170
PECOS Enrollment IDI20170609000958
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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
247 services114 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.
109 services46 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
81 services78 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
78 services78 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
65 services65 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.
52 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Chi Health Good Samaritan

Acute Care Hospitals · Kearney, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280009
LocationP O Box 1990, 10 East 31st StKearney, NE 68847 · Buffalo County
Emergency services Birthing friendly

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

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
$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
$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.

Anesthesiology
EMILE 42ND ST
OMAHA, NE 68198
Anesthesiologist Assistant
EMILE 42ND ST
OMAHA, NE 68198
Surgery (Surgical Oncology)
EMILE 42ND ST
OMAHA, NE 68198
Nurse Anesthetist, Certified Registered
EMILE 42ND ST
OMAHA, NE 68198
Internal Medicine (Endocrinology, Diabetes & Metabolism)
EMILE 42ND ST
OMAHA, NE 68198
Anesthesiology
EMILE 42ND ST
OMAHA, NE 68198
Nurse Practitioner (Family)
EMILE 42ND ST
OMAHA, NE 68198
Allergy & Immunology
EMILE 42ND ST
OMAHA, NE 68198

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 Derek Kruse's NPI number?

The NPI number for Derek Kruse is 1487946778. It was assigned to this individual provider in the NPPES registry on May 5, 2011. The provider is also known as Derek Kruse MD.

Where is Derek Kruse located?

Derek Kruse practices at Emile 42nd St, Omaha, NE 68198. The listed phone number is (402) 559-4015.

What is Derek Kruse's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Derek Kruse enrolled in Medicare?

Yes. Derek Kruse 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 Derek Kruse accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Derek Kruse 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 Derek Kruse affiliated with any hospitals?

According to CMS data, Derek Kruse is affiliated with Chi Health Good Samaritan, The Nebraska Medical Center and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Derek Kruse was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.