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JONATHON DEMUTH M.D.
NPI 1497160006
Internal Medicine in Omaha, NE

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
139 S 40TH ST, OMAHA, NE 68131(402) 595-3939(402) 595-3898 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathon Demuth M.d. NPPES

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

JONATHON DEMUTH M.D. (NPI 1497160006) is an individual internal medicine provider in Omaha, Nebraska, licensed in Nebraska (7261) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Avera Sacred Heart Hospital, and is a graduate of University Of Nebraska College Of Medicine (2014).

NPPES Registry Identity

NPI1497160006
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONATHON DEMUTHCredential: M.D.
Location Address139 S 40TH STOmaha, NE 68131-3003
Mailing Address139 S 40th StOmaha, NE 68131-3003
Phone(402) 595-3939
Fax(402) 595-3898
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2014
Enumeration DateJune 23, 2014
Last NPPES UpdateDecember 17, 2014
✔ NPI 1497160006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NE · 7261
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
139 S 40TH ST, Omaha, NE 68131
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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

Jonathon Demuth 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 ID8729309554
PECOS Enrollment IDI20170911002576
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

2

Medicare enrollment records show Jonathon Demuth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sacred Heart Health Services
133 mi
Ophthalmology
415 W 3RD ST
Yankton, SD 57078
  • Reassigned Medicare billing, South Dakota enrollment
  • 227 clinicians in this Medicare group
NPI 1003585548 (605) 665-9638
Sacred Heart Health Services
134 mi
Diagnostic Radiology
501 SUMMIT ST STE 8
Yankton, SD 57078
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Avera Queen Of Peace
  • Also billed through NPI 1992466635 (South Dakota)
  • 227 clinicians in this Medicare group
NPI 1952535536 (605) 668-8000

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 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.

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.
304 services152 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.
183 services111 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
166 services160 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
119 services112 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.
58 services57 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430012
Location501 Summit StYankton, SD 57078 · Yankton County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

St Michael's Hospital - Cah

Critical Access Hospitals · Tyndall, SD
OwnershipGovernment - Local
CMS Certification Number431327
Location410 W 16th AveTyndall, SD 57066 · Bon Homme County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68131 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
1 supplier18 claims18 services$112.66 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$36.99 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 19

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

DR. KARISA LEE HAJEK M.D.
Internal Medicine
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-3939
TYLER LAWRENCE
Counselor (Mental Health)
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-3939
SHAH HASAN PLMHP
Counselor (Mental Health)
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 559-0390
JENNILEE LUEDDERS MD
Internal Medicine
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-0390
PRASANTH RAVIPATI M.D.
Internal Medicine (Nephrology)
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 559-3939
STEVEN EBERS M.D.
Internal Medicine
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 559-0390
TESIA WINTER D.O.
Internal Medicine
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-3939
LORINDA COVELL M.D.
Internal Medicine
139 S 40TH ST
OMAHA, NE 68131
Douglas County (402) 595-3939

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 Jonathon Demuth's NPI number?

The NPI number for Jonathon Demuth is 1497160006. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Jonathon Demuth located?

Jonathon Demuth practices at 139 S 40th St, Omaha, NE 68131. The listed phone number is (402) 595-3939.

What is Jonathon Demuth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jonathon Demuth enrolled in Medicare?

Yes. Jonathon Demuth 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 Jonathon Demuth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathon Demuth reassigns Medicare benefits to 2 organizations: Sacred Heart Health Services (Yankton, SD) and Sacred Heart Health Services (Yankton, SD). 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 Jonathon Demuth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathon Demuth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 1 other insurer list Jonathon Demuth 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 Jonathon Demuth affiliated with any hospitals?

According to CMS data, Jonathon Demuth is affiliated with Avera Sacred Heart Hospital, Avera Mckennan Hospital & University Health Center, Avera Heart Hospital Of South Dakota and St Michael's Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Jonathon Demuth was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.