PALVANNANATHAN GANESAN M.D.
NPI 1891716718
Internal Medicine - Pulmonary Disease in Omaha, NE

Active since July 23, 2006PECOS EnrolledAccepts Medicare Assignment
4242 FARNAM ST, #470, OMAHA, NE 68131(402) 552-9875(402) 552-9876 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Palvannanathan Ganesan M.d. NPPES

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

PALVANNANATHAN GANESAN M.D. (NPI 1891716718) is an individual pulmonary disease provider in Omaha, Nebraska, licensed in Nebraska (20048) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1891716718
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePALVANNANATHAN GANESANCredential: M.D.
Location Address4242 FARNAM ST, #470Omaha, NE 68131-2806
Mailing Address4242 Farnam St, #470Omaha, NE 68131-2806 · (402) 552-9875 · Fax (402) 552-9876
Fax(402) 552-9876
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1891716718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in NE · 20048 Licensed in IA · 33778
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
4242 FARNAM ST, Omaha, NE 68131

Other Identifiers 1

Medicare UPING26844NE

Accepted 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

Palvannanathan Ganesan 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 ID8729988480
PECOS Enrollment IDI20040219000054, I20201116000410
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 24

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.
371 services152 patients
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.
238 services169 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
188 services86 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
91 services77 patients
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.
90 services30 patients
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.
73 services49 patients

Hospital Affiliations CMS Care Compare 5

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

George C Grape Community Hospital

Critical Access Hospitals · Hamburg, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161324
Location2959 Us Highway 275Hamburg, IA 51640 · Fremont County
Emergency services

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

Shenandoah Medical Center

Critical Access Hospitals · Shenandoah, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161366
Location300 Pershing AvenueShenandoah, IA 51601 · Page County
Emergency services

Cass County Memorial Hospital

Critical Access Hospitals · Atlantic, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161376
Location1501 East Tenth StreetAtlantic, IA 50022 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68131 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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%777 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%204 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
72%521 patients3/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
75%521 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
65%521 patients5/55-star benchmark: 59%
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 32

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
12 suppliers163 claims163 services$32.45 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
4 suppliers15 claims15 services$13.21 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers201 claims201 services$74.30 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers208 claims530 services$28.20 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers111 claims582 services$15.64 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers75 claims401 services$12.16 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 20

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

Internal Medicine
4242 FARNAM ST, #142
OMAHA, NE 68131
Internal Medicine (Pulmonary Disease)
4242 FARNAM ST, #355
OMAHA, NE 68131
Psychologist
4242 FARNAM ST
OMAHA, NE 68131
Neurological Surgery
4242 FARNAM ST, SUITE 363
OMAHA, NE 68131
Clinical Neuropsychologist
4242 FARNAM ST
OMAHA, NE 68131
Clinical Neuropsychologist
4242 FARNAM ST, SUITE 655
OMAHA, NE 68131
Pharmacist
4242 FARNAM ST
OMAHA, NE 68131
Dermatology
4242 FARNAM ST, STE 360
OMAHA, NE 68131

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 Palvannanathan Ganesan's NPI number?

The NPI number for Palvannanathan Ganesan is 1891716718. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Palvannanathan Ganesan located?

Palvannanathan Ganesan practices at 4242 Farnam St #470, Omaha, NE 68131. The listed phone number is (402) 552-9875.

What is Palvannanathan Ganesan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Palvannanathan Ganesan enrolled in Medicare?

Yes. Palvannanathan Ganesan 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 Palvannanathan Ganesan accept?

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

According to CMS data, Palvannanathan Ganesan is affiliated with Methodist Jennie Edmundson, George C Grape Community Hospital, Montgomery County Memorial Hospital, Shenandoah Medical Center and Cass County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Palvannanathan Ganesan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.