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JEFFREY S CARSTENS MD
NPI 1730265976
Internal Medicine - Cardiovascular Disease in Omaha, NE

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
7500 MERCY RD, OMAHA, NE 68124(402) 398-5880(402) 398-6716 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeffrey S Carstens Md NPPES

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

JEFFREY S CARSTENS MD (NPI 1730265976) is an individual cardiovascular disease provider in Omaha, Nebraska, licensed in Iowa (33532) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of Creighton University School Of Medicine (1986).

NPPES Registry Identity

NPI1730265976
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJEFFREY S CARSTENSCredential: MD
Location Address7500 MERCY RDOmaha, NE 68124-2319
Mailing Address7261 Mercy RdOmaha, NE 68124-2311
Phone(402) 398-5880
Fax(402) 398-6716
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1986
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 2, 2023
NPPES CertifiedOctober 2, 2023
✔ NPI 1730265976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IA · 33532
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 33532 (IA)
7500 MERCY RD, Omaha, NE 68124
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Other Identifiers 3

Medicaid3521492IA
Medicaid200086440BKS
Medicaid47070592313NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

Jeffrey S Carstens Md 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 ID42285140
PECOS Enrollment IDI20041012001454, I20090515000090
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

3

Medicare enrollment records show Jeffrey Carstens reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iowa Physicians Clinic Medical Foundation
80 mi
Rural Health
307 E MAIN ST
Anthon, IA 51004
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group
NPI 1053203927 (712) 373-5711
Central Iowa Hospital Corporation
118 mi
Family Medicine
6010 MILLS CIVIC PKWY, SUITE 200
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 545 clinicians in this Medicare group
NPI 1659322246 (515) 224-9666
Trinity Regional Medical Center
128 mi
Emergency Medicine
802 KENYON RD
Fort Dodge, IA 50501
  • Reassigned Medicare billing, Iowa and Nebraska enrollments
  • 387 clinicians in this Medicare group
NPI 1073594156 (515) 573-3101

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 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.

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.
151 services144 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
78 services76 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
30 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 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.
15 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160016
Location802 Kenyon RdFort Dodge, IA 50501 · Webster County
Emergency services Birthing friendly

Pocahontas Community Hospital

Critical Access Hospitals · Pocahontas, IA
OwnershipGovernment - Local
CMS Certification Number161305
Location606 N W 7th StreetPocahontas, IA 50574 · Pocahontas County
Emergency services

Humboldt County Memorial Hospital

Critical Access Hospitals · Humboldt, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161334
Location1000 North 15th StreetHumboldt, IA 50548 · Humboldt County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68124 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
$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 20

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

MATTHEW JOHN KAPALIS DO
Internal Medicine (Clinical Cardiac Electrophysiology)
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6255
DR. JOHN FRANCIS GUYNAN M.D.
Radiology (Diagnostic Radiology)
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 597-8775
OLIVIA B TEDESCO APRN
Nurse Practitioner (Neonatal, Critical Care)
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6014
AUSTIN TYLER CAMPBELL CRNA
Nurse Anesthetist, Certified Registered
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6060
MS. ELISE ANN PLAUTZ APRN
Nurse Practitioner
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6060
JASON CROMER CRNA
Nurse Anesthetist, Certified Registered
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6060
ZACHARY KNICKY
Nurse Anesthetist, Certified Registered
7500 MERCY RD
OMAHA, NE 68124
Douglas County (402) 398-6060
DR. SAHIL MULLICK M.D.
Hospitalist
7500 MERCY RD, CU DEPARTMENT OF FAMILY MEDICINE
OMAHA, NE 68124
Douglas County (855) 524-4001

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 Jeffrey Carstens's NPI number?

The NPI number for Jeffrey Carstens is 1730265976. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Jeffrey Carstens located?

Jeffrey Carstens practices at 7500 Mercy Rd, Omaha, NE 68124. The listed phone number is (402) 398-5880.

What is Jeffrey Carstens's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jeffrey Carstens enrolled in Medicare?

Yes. Jeffrey Carstens 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 Jeffrey Carstens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Carstens reassigns Medicare benefits to 3 organizations: Iowa Physicians Clinic Medical Foundation (Anthon, IA), Central Iowa Hospital Corporation (West Des Moines, IA) and Trinity Regional Medical Center (Fort Dodge, IA). 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 Jeffrey Carstens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Carstens accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Jeffrey Carstens 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 Jeffrey Carstens affiliated with any hospitals?

According to CMS data, Jeffrey Carstens is affiliated with Trinity Regional Medical Center, Pocahontas Community Hospital and Humboldt County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Carstens was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.