DR. BENJAMIN JOHN BUMGARNER D.O.
NPI 1588073399
Hospitalist in Omaha, NE

Q: What is Benjamin Bumgarner's NPI number?

The NPI number for Benjamin Bumgarner is 1588073399. It was assigned to this individual provider in the NPPES registry on August 5, 2014.

Q: What is Benjamin Bumgarner's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since August 05, 2014PECOS EnrolledAccepts Medicare Assignment

6901 N 72ND ST, OMAHA, NE 68122(855) 524-4001(402) 572-3206 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2019, Aug 7, 2017, Jul 12, 2017 (3 updates tracked since 2017).

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About Dr. Benjamin John Bumgarner D.o. NPPES

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

DR. BENJAMIN JOHN BUMGARNER D.O. (NPI 1588073399) is an individual hospitalist provider in Omaha, Nebraska, licensed in Nebraska (1658) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Chi Health Missouri Valley, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2014).

NPPES Registry Identity

NPI1588073399

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. BENJAMIN JOHN BUMGARNERCredential: D.O.

Location Address6901 N 72ND STOmaha, NE 68122-1709

Mailing Address7261 Mercy RdOmaha, NE 68124-2311 · (402) 398-6255

Phone(855) 524-4001

Fax(402) 572-3206

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2014

Enumeration DateAugust 5, 2014

Last NPPES UpdateSeptember 9, 20193 updates tracked since enumeration

✔ NPI 1588073399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in NE · 1658✔ Licensed in IA · DO-04998

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 1658 (NE)

6901 N 72ND ST, Omaha, NE 68122

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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

Dr. Benjamin John Bumgarner D.o. 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 ID7416239322

PECOS Enrollment IDI20170817002757, I20170818000855

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 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.

453 services178 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.

280 services98 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.

107 services102 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.

106 services104 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

31 services18 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.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Chi Health Missouri Valley

Critical Access Hospitals · Missouri Valley, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161309

Location631 N 8th StMissouri Valley, IA 51555 · Harrison County

Emergency services

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

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280060

Location7500 Mercy RdOmaha, NE 68124 · Douglas County

Emergency services Birthing friendly

Chi Health Immanuel

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280081

Location6901 North 72nd StOmaha, NE 68122 · Douglas County

Emergency services Birthing friendly

Chi Health Midlands

Acute Care Hospitals · Papillion, NE

OwnershipVoluntary non-profit - Church

CMS Certification Number280105

Location11111 South 84th StPapillion, NE 68046 · Sarpy County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68122 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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers31 claims31 services$13.67 avg. paid by Medicare

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

2 suppliers31 claims31 services$60.16 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 20

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

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