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MR. DANIEL JOEL TOMES M.D.
NPI 1558345264
Neurological Surgery in Lincoln, NE

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
5620 S 27TH ST, SUITE # 100, LINCOLN, NE 68512(402) 904-4729(402) 904-5243 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2025, Aug 26, 2022 (2 updates tracked since 2022).

About Mr. Daniel Joel Tomes M.d. NPPES

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

MR. DANIEL JOEL TOMES M.D. (NPI 1558345264) is an individual neurological surgery provider in Lincoln, Nebraska, licensed in Nebraska (22345) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2003).

NPPES Registry Identity

NPI1558345264
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameMR. DANIEL JOEL TOMESCredential: M.D.
Location Address5620 S 27TH ST, SUITE # 100Lincoln, NE 68512-1612
Mailing Address5620 S 27th St, Suite # 100Lincoln, NE 68512 · (402) 904-4729 · Fax (402) 904-5243
Phone(402) 904-4729
Fax(402) 904-5243
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2003
Enumeration DateDecember 6, 2005
Last NPPES UpdateMarch 13, 20252 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1558345264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in NE · 22345
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
5620 S 27TH ST, Lincoln, NE 68512
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Other Identifiers 1

Medicaid47061995513NE

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

Mr. Daniel Joel Tomes 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 ID1052377298
PECOS Enrollment IDI20041208001074
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 Reassignment

Medicare enrollment records show Daniel Tomes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nebraska Neurosurgery Group LLC
Same address
Neurological Surgery
5620 S 27TH, SUITE 100
Lincoln, NE 68512
  • Reassigned Medicare billing, Nebraska enrollment
  • 3 clinicians in this Medicare group
NPI 1073865705 (402) 904-4729

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 15

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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
1,100 services11 patients
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.
310 services217 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
167 services167 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.
114 services59 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.
96 services96 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
84 services84 patients

Hospital Affiliations CMS Care Compare 5

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

Nemaha County Hospital

Critical Access Hospitals · Auburn, NE
OwnershipGovernment - Local
CMS Certification Number281324
Location2022 13th StreetAuburn, NE 68305 · Nemaha County
Emergency services

Johnson County Hospital

Critical Access Hospitals · Tecumseh, NE
OwnershipGovernment - Local
CMS Certification Number281350
Location202 High StTecumseh, NE 68450 · Johnson County
Emergency services

Community Medical Center, Inc.

Critical Access Hospitals · Falls City, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281352
LocationP O Box 399, 3307 Bill Schock BoulevardFalls City, NE 68355 · Richardson County
Emergency services

Jennie M Melham Memorial Medical Center

Critical Access Hospitals · Broken Bow, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281365
Location145 Memorial DriveBroken Bow, NE 68822 · Custer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68512 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
$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.

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.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%59 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%59 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DR. BENJAMIN JAMES BIXENMANN MD
Neurological Surgery
5620 S 27TH ST, SUITE 100
LINCOLN, NE 68512
Lancaster County (402) 904-4729

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 Daniel Tomes's NPI number?

The NPI number for Daniel Tomes is 1558345264. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Daniel Tomes located?

Daniel Tomes practices at 5620 S 27th St Suite # 100, Lincoln, NE 68512. The listed phone number is (402) 904-4729.

What is Daniel Tomes's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Daniel Tomes enrolled in Medicare?

Yes. Daniel Tomes 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 organization bills Medicare for Daniel Tomes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Tomes reassigns Medicare benefits to Nebraska Neurosurgery Group LLC (Lincoln, NE). The 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 Daniel Tomes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Tomes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 1 other insurer list Daniel Tomes 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 Daniel Tomes affiliated with any hospitals?

According to CMS data, Daniel Tomes is affiliated with Bryan Medical Center, Nemaha County Hospital, Johnson County Hospital, Community Medical Center, Inc. and Jennie M Melham Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Tomes was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.