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BRIAN KEITH BUHLKE D.O.
NPI 1598870255
Family Medicine in Central City, NE

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
2510 18TH AVE, CENTRAL CITY, NE 68826(308) 946-3845(308) 946-2357 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brian Keith Buhlke D.o. NPPES

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

BRIAN KEITH BUHLKE D.O. (NPI 1598870255) is an individual family medicine provider in Central City, Nebraska, licensed in Nebraska (321) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Grand Island Regional Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1999).

NPPES Registry Identity

NPI1598870255
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRIAN KEITH BUHLKECredential: D.O.
Location Address2510 18TH AVECentral City, NE 68826-2123
Mailing Address2510 18th AveCentral City, NE 68826-2123 · (308) 946-3845 · Fax (308) 946-2357
Phone(308) 946-3845
Fax(308) 946-2357
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1999
Enumeration DateAugust 20, 2006
Last NPPES UpdateApril 29, 2013
✔ NPI 1598870255 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 · 321
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.
2510 18TH AVE, Central City, NE 68826
Open in Google Maps ↗

Other Identifiers 5

Other080185989NE · Railroad Medicare
Medicare ID-Type Unspecified275604NE
Other03046NE · Bluecross Blueshield
Other21956NE · Midlands Choice
Medicare UPINH30613

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

Brian Keith Buhlke 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 ID5890696785
PECOS Enrollment IDI20041209000864
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 Brian Buhlke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Merrick Medical Center
0.2 mi
Emergency Medicine
2802 28TH ST
Central City, NE 68826
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1386175164 (Nebraska)
  • 11 clinicians in this Medicare group
NPI 1790216174 (308) 946-3015
City Of Genoa
18 mi
Multi-Specialty
303 BROADWAY ST
Fullerton, NE 68638
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1649228511 (Nebraska)
  • 9 clinicians in this Medicare group
NPI 1386157071 (402) 993-2283

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 5

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.
88 services47 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.
37 services35 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.
35 services30 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.
20 services20 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.
19 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Grand Island Regional Medical Center

Acute Care Hospitals · Grand Island, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280139
Location3533 Prairieview StreetGrand Island, NE 68803 · Hall County
Emergency services Birthing friendly

Genoa Community Hospital

Critical Access Hospitals · Genoa, NE
OwnershipGovernment - Local
CMS Certification Number281312
LocationP O Box 310, 706 Ewing AveGenoa, NE 68640 · Platte County
Emergency services

Merrick Medical Center

Critical Access Hospitals · Central City, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281328
LocationPO Box 417, 2802 28th StCentral City, NE 68826 · Merrick County
Emergency services

Boone County Health Center

Critical Access Hospitals · Albion, NE
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number281334
LocationP O Box 151, 723 West Fairview StAlbion, NE 68620 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68826 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.

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

e-Prescribing
99%332 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
46%81 patients2/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 20

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
11 suppliers61 claims110 services$6.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers16 claims19 services$1.03 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers21 claims21 services$38.81 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims14 services$108.00 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers14 claims38 services$36.18 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers32 claims177 services$22.50 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 8

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

JEROME THOMAS GACKE M.D.
Family Medicine
2510 18TH AVE
CENTRAL CITY, NE 68826
Merrick County (308) 946-3845
MR. BRANDON LEE MCLAUGHLIN P.A.
Physician Assistant
2510 18TH AVE
CENTRAL CITY, NE 68826
Merrick County (308) 946-3845
TINA LYNN SCHNITZLER
Licensed Practical Nurse
2510 18TH AVE
CENTRAL CITY, NE 68826
Merrick County (308) 946-3845
LITZENBERG MEMORIAL MERRICK COUNTY
Clinic/Center (Rural Health)
2510 18TH AVE
CENTRAL CITY, NE 68826
Merrick County (308) 946-3845
LITZENBERG MEMORIAL MERRICK COUNTY
Clinic/Center (Rural Health)
2510 18TH AVE
CENTRAL CITY, NE 68826
Merrick County (308) 946-3845
STEVEN SCOT MAHNKE M.D.
Family Medicine
2510 18TH AVE
CENTRAL CITY, NE 68826
Merrick County (308) 946-3845
LONE TREE MEDICAL ASSOCIATES, P.C.
Family Medicine
2510 18TH AVE
CENTRAL CITY, NE 68826
Merrick County (308) 946-3845
NATALIE H PEARSON PA-C
Physician Assistant
2510 18TH AVE
CENTRAL CITY, NE 68826
Merrick County (308) 946-3845

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 Brian Buhlke's NPI number?

The NPI number for Brian Buhlke is 1598870255. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Brian Buhlke located?

Brian Buhlke practices at 2510 18th Ave, Central City, NE 68826. The listed phone number is (308) 946-3845.

What is Brian Buhlke's specialty?

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

Is Brian Buhlke enrolled in Medicare?

Yes. Brian Buhlke 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 Brian Buhlke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Buhlke reassigns Medicare benefits to 2 organizations: Merrick Medical Center (Central City, NE) and City Of Genoa (Fullerton, NE). 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 Brian Buhlke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Buhlke 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 Brian Buhlke 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 Brian Buhlke affiliated with any hospitals?

According to CMS data, Brian Buhlke is affiliated with Grand Island Regional Medical Center, Genoa Community Hospital, Merrick Medical Center and Boone County Health Center.

When was this NPI record last updated?

The NPPES record for Brian Buhlke was last updated on April 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.