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JOEL DOUGLAS GABRIEL M.D.
NPI 1538313895
Family Medicine in Seward, NE

Active since November 12, 2008PECOS EnrolledAccepts Medicare Assignment
94.57/100
CMS Quality Rating
250 N COLUMBIA AVE, SEWARD, NE 68434(402) 643-4800(402) 646-4635 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2025, Dec 30, 2020 (2 updates tracked since 2020).

About Joel Douglas Gabriel M.d. NPPES

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

JOEL DOUGLAS GABRIEL M.D. (NPI 1538313895) is an individual family medicine provider in Seward, Nebraska, licensed in Nebraska (25418) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1538313895
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOEL DOUGLAS GABRIELCredential: M.D.
Location Address250 N COLUMBIA AVESeward, NE 68434-2248
Mailing Address250 N Columbia AveSeward, NE 68434-2248 · (402) 643-4800 · Fax (402) 646-4635
Phone(402) 643-4800
Fax(402) 646-4635
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 12, 2008
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1538313895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 25418
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
250 N COLUMBIA AVE, Seward, NE 68434
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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

Joel Douglas Gabriel 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 ID4486823234
PECOS Enrollment IDI20110811000521
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 3

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 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.
41 services23 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.
20 services18 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.
15 services14 patients

Hospital Affiliations CMS Care Compare 4

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

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

Butler County Health

Critical Access Hospitals · David City, NE
OwnershipGovernment - Local
CMS Certification Number281332
Location372 South 9th StreetDavid City, NE 68632 · Butler County
Emergency services

Memorial Health Care Systems

Critical Access Hospitals · Seward, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281339
Location300 North Columbia AveSeward, NE 68434 · Seward County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68434 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.

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.

94.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability94.37
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers56 claims121 services$6.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers22 claims22 services$1.04 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers35 claims35 services$36.52 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers34 claims34 services$89.82 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers38 claims102 services$32.97 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers19 claims95 services$15.38 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 18

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

MEGHAN LAREE CASEY PA-C
Physician Assistant
250 N COLUMBIA AVE
SEWARD, NE 68434
Seward County (402) 646-4622
HEIDI M ZYWIEC PA-C
Physician Assistant
250 N COLUMBIA AVE
SEWARD, NE 68434
Seward County (402) 643-4800
DR. ROBERT W. WALL M.D.
Family Medicine
250 N COLUMBIA AVE
SEWARD, NE 68434
Seward County (402) 643-4800
ELDRIDGE G BURNS JR. M.D.
Family Medicine
250 N COLUMBIA AVE
SEWARD, NE 68434
Seward County (402) 643-4800
MEMORIAL HEALTH CARE SYSTEMS
Clinic/Center (Rural Health)
250 N COLUMBIA AVE
SEWARD, NE 68434
Seward County (402) 646-4800
JOHN J SUMMA M.D.
Family Medicine
250 N COLUMBIA AVE
SEWARD, NE 68434
Seward County (402) 643-4800
MEMORIAL HEALTH CARE SYSTEMS
Clinic/Center (Rural Health)
250 N COLUMBIA AVE
SEWARD, NE 68434
Seward County (402) 643-4800
STACIE DYER PHARMD
Pharmacist (Ambulatory Care)
250 N COLUMBIA AVE
SEWARD, NE 68434
Seward County (402) 646-4607

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 Joel Gabriel's NPI number?

The NPI number for Joel Gabriel is 1538313895. It was assigned to this individual provider in the NPPES registry on November 12, 2008.

Where is Joel Gabriel located?

Joel Gabriel practices at 250 N Columbia Ave, Seward, NE 68434. The listed phone number is (402) 643-4800.

What is Joel Gabriel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joel Gabriel enrolled in Medicare?

Yes. Joel Gabriel 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 Joel Gabriel 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 Joel Gabriel 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 Joel Gabriel affiliated with any hospitals?

According to CMS data, Joel Gabriel is affiliated with Bryan Medical Center, The Nebraska Medical Center, Butler County Health and Memorial Health Care Systems.

When was this NPI record last updated?

The NPPES record for Joel Gabriel was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.