1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Internal Medicine
  6. NPI Profile

THERESA A. TOWNLEY M.D.
NPI 1699881177
Internal Medicine in Omaha, NE

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
4628 S 25TH ST, OMAHA, NE 68107(402) 449-5750 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theresa A. Townley M.d. NPPES

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

THERESA A. TOWNLEY M.D. (NPI 1699881177) is an individual internal medicine provider in Omaha, Nebraska, licensed in Nebraska (21971) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Chi Health Mercy Council Bluffs, and is a graduate of University Of Minnesota Medical School (1992).

NPPES Registry Identity

NPI1699881177
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTHERESA A. TOWNLEYCredential: M.D.
Location Address4628 S 25TH STOmaha, NE 68107-1764
Mailing AddressPo Box 2159Omaha, NE 68103-2159 · (402) 449-5750
Phone(402) 449-5750
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1992
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 28, 2008
✔ NPI 1699881177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NE · 21971
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4628 S 25TH ST, Omaha, NE 68107
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN110241068NE
Medicare PIN275703NE
Medicare PIN086032NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, 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

Theresa A. Townley 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 ID5294757753
PECOS Enrollment IDI20051227000399
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 11

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.

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.
168 services105 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
129 services94 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
82 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
76 services76 patients
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.
70 services31 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
67 services32 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 Mercy Council Bluffs

Acute Care Hospitals · Council Bluffs, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160028
Location800 Mercy DriveCouncil Bluffs, IA 51503 · Pottawattamie 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

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280130
Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68107 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 9

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers16 claims96 services$1.58 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier14 claims495 services$11.19 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier14 claims99 services$278.52 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier14 claims99 services$7.97 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier14 claims99 services$24.90 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$14.15 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 2

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

MARY K MEAGHER A.P.R.N.
Nurse Practitioner
4628 S 25TH ST
OMAHA, NE 68107
Douglas County (402) 449-5750
JULIE ANNE MANZ A.P.R.N.
Nurse Practitioner
4628 S 25TH ST
OMAHA, NE 68107
Douglas County (402) 449-5750

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 Theresa Townley's NPI number?

The NPI number for Theresa Townley is 1699881177. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Theresa Townley located?

Theresa Townley practices at 4628 S 25th St, Omaha, NE 68107. The listed phone number is (402) 449-5750.

What is Theresa Townley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theresa Townley enrolled in Medicare?

Yes. Theresa Townley 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 Theresa Townley accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Theresa Townley 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 Theresa Townley affiliated with any hospitals?

According to CMS data, Theresa Townley is affiliated with Chi Health Mercy Council Bluffs, Chi Health Bergan Mercy, Chi Health Immanuel, Chi Health Midlands and Chi Health Lakeside.

When was this NPI record last updated?

The NPPES record for Theresa Townley was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.