TERRY MARK HIMES D.O.
NPI 1700995438
Psychiatry & Neurology - Neurology in Las Vegas, NV

Active since August 29, 2006PECOS Enrolled
243 GARDEN ARBOR CT, LAS VEGAS, NV 89148(702) 482-4551(308) 631-7979 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Terry Mark Himes D.o. NPPES

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

TERRY MARK HIMES D.O. (NPI 1700995438) is an individual neurology provider in Las Vegas, Nevada, licensed in Indiana (02005730A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700995438
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameTERRY MARK HIMESCredential: D.O.
Location Address243 GARDEN ARBOR CTLas Vegas, NV 89148-5285
Mailing Address243 Garden Arbor CtLas Vegas, NV 89148-5285 · (702) 482-4551
Fax(308) 631-7979
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateMay 21, 2024
NPPES CertifiedAugust 2, 2023
✔ NPI 1700995438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in IN · 02005730A✔ Licensed in NE · 62✔ Licensed in MT · 79956
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
243 GARDEN ARBOR CT, Las Vegas, NV 89148

Other Identifiers 3

Other41631CO · Colorado State License
Medicaid10024983100NE
Medicaid71288333 -INDIVIDUALCO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terry Mark Himes D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

9

Medicare enrollment records show Terry Himes reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
1420 ROCKY RIDGE DR STE 300
Roseville, CA 95661
  • Reassigned Medicare billing, Indiana enrollment
Critical Care Medicine
1420 ROCKY RIDGE DR STE 300
Roseville, CA 95661
  • Reassigned Medicare billing, Iowa, Indiana, Nebraska and Nevada enrollments
  • 18 clinicians in this Medicare group
Rural Health
255 W 4TH ST
Kimball, NE 69145
  • Reassigned Medicare billing, Nebraska enrollment
  • 36 clinicians in this Medicare group
Family Medicine
515 SOUTH FRONT ST
Townsend, MT 59644
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: St Peters Health
  • 304 clinicians in this Medicare group
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Multi-Specialty
1401 25TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 clinicians in this Medicare group
Rural Health
1101 N JIM DAY RD STE 107A
Salem, IN 47167
  • Reassigned Medicare billing, Indiana enrollment
  • 532 clinicians in this Medicare group
Internal Medicine
2555 PHILLIPS FIELD RD
Fairbanks, AK 99709
  • Reassigned Medicare billing, Nevada enrollment
  • Medicare enrollment name: Remote Telehealth Services, PA

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services13 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89148 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 4

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers11 claims11 services$33.23 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$90.36 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims29 services$40.74 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers14 claims84 services$2.84 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

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

Clinic/Center (Sleep Disorder Diagnostic)
243 GARDEN ARBOR CT
LAS VEGAS, NV 89148

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 Terry Himes's NPI number?

The NPI number for Terry Himes is 1700995438. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Terry Himes located?

Terry Himes practices at 243 Garden Arbor Ct, Las Vegas, NV 89148. The listed phone number is (702) 482-4551.

What is Terry Himes's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Terry Himes enrolled in Medicare?

Yes. Terry Himes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Terry Himes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terry Himes reassigns Medicare benefits to 9 organizations: Veeone Medical Group II Professional Corporation (Roseville, CA), Veeone Medical Group PA (Roseville, CA), Kimball County Hospital (Kimball, NE), St. Peter's Health (Townsend, MT), Multicare Health System (Spokane Valley, WA) and 4 more organizations, listed in the Medicare section above. 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 Terry Himes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terry Himes accept?

Health plans from Avera Health Plans and Blue Cross and Blue Shield of Nebraska list Terry Himes 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.

When was this NPI record last updated?

The NPPES record for Terry Himes was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.