CLAIRE MARKHAM M.D.
NPI 1558743229
Obstetrics & Gynecology in Elkhorn, NE

Q: What is Claire Markham's NPI number?

The NPI number for Claire Markham is 1558743229. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Q: What is Claire Markham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Claire Markham was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 18, 2015PECOS EnrolledAccepts Medicare Assignment

717 N 190TH PLZ STE 1100, ELKHORN, NE 68022(402) 815-1700(402) 815-1959 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2019, Jul 17, 2019 (2 updates tracked since 2019).

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About Claire Markham M.d. NPPES

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

CLAIRE MARKHAM M.D. (NPI 1558743229) is an individual obstetrics & gynecology provider in Elkhorn, Nebraska, licensed in Nebraska (31573) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and is a graduate of Creighton University School Of Medicine (2015).

NPPES Registry Identity

NPI1558743229

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameCLAIRE MARKHAMCredential: M.D.

Location Address717 N 190TH PLZ STE 1100Elkhorn, NE 68022-3917

Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155

Phone(402) 815-1700

Fax(402) 815-1959

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2015

Enumeration DateJune 18, 2015

Last NPPES UpdateAugust 14, 20192 updates tracked since enumeration

✔ NPI 1558743229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in NE · 31573✔ Licensed in KS · 94-08642

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

717 N 190TH PLZ STE 1100, Elkhorn, NE 68022

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Other Identifiers 4

Medicaid10026480100NE

Medicaid417068731799NE

Medicaid1558743229IA

Medicaid10026301600NE

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

Claire Markham 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 ID2466766514

PECOS Enrollment IDI20190726000897

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

26 services26 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

26 services26 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280040

Location8303 Dodge StOmaha, NE 68114 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68022 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.

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Other Providers at the Same Location NPPES 15

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

MS. KRISTEN GRACE CALDERON PA-C

Physician Assistant