MR. DONALD PAUL SCARBOROUGH PA-C
NPI 1720186109
Physician Assistant in Omaha, NE

Q: What is Donald Scarborough's NPI number?

The NPI number for Donald Scarborough is 1720186109. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Donald Scarborough's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

11810 NICHOLAS ST, OMAHA, NE 68154(402) 401-4404(402) 999-7698 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2019, Sep 25, 2018 (2 updates tracked since 2018).

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About Mr. Donald Paul Scarborough Pa-c NPPES

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

MR. DONALD PAUL SCARBOROUGH PA-C (NPI 1720186109) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (2071) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1720186109

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. DONALD PAUL SCARBOROUGHCredential: PA-C

Location Address11810 NICHOLAS STOmaha, NE 68154-4449

Mailing Address105 South 90th St. Suite 201Omaha, NE 68114 · (402) 779-8400 · Fax (402) 779-8401

Phone(402) 401-4404

Fax(402) 999-7698

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 31, 20192 updates tracked since enumeration

✔ NPI 1720186109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NE · 2071✔ Licensed in IA · 001018

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11810 NICHOLAS ST, Omaha, NE 68154

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Other Identifiers 1

Medicaid47068731777NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Mr. Donald Paul Scarborough Pa-c 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 ID1850339805

PECOS Enrollment IDI20161228000385

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.

Hospital Affiliations CMS Care Compare 2

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

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160047

Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County

Emergency services Birthing friendly

Montgomery County Memorial Hospital

Critical Access Hospitals · Red Oak, IA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161363

Location2301 Eastern AvenueRed Oak, IA 51566 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68154 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

$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.

Other Providers at the Same Location NPPES 5

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

TRANSFORMATIVE HEALTHCARE

Nurse Practitioner (Family)

11810 NICHOLAS ST
OMAHA, NE 68154

Douglas County (402) 307-5510

NOVIS HEALTH PC

Internal Medicine

11810 NICHOLAS ST
OMAHA, NE 68154

Douglas County (402) 983-9181

CASSIE L KRAUSE APRN

Nurse Practitioner (Primary Care)

11810 NICHOLAS ST, SUITE 101
OMAHA, NE 68154

Douglas County (402) 307-5510

MICHELLE DIANNE KENTFIELD PA-C

Physician Assistant (Medical)

11810 NICHOLAS ST
OMAHA, NE 68154

Douglas County (402) 779-8400

LAURA ELIZABETH PERRYMAN APRN, FNP-C

Nurse Practitioner (Family)

11810 NICHOLAS ST
OMAHA, NE 68154

Douglas County (402) 983-9181

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 Donald Scarborough's NPI number?

The NPI number for Donald Scarborough is 1720186109. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Donald Scarborough located?

Donald Scarborough practices at 11810 Nicholas St, Omaha, NE 68154. The listed phone number is (402) 401-4404.

What is Donald Scarborough's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Donald Scarborough enrolled in Medicare?

Yes. Donald Scarborough 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 Donald Scarborough accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Donald Scarborough 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 Donald Scarborough affiliated with any hospitals?

According to CMS data, Donald Scarborough is affiliated with Methodist Jennie Edmundson and Montgomery County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donald Scarborough was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.