DR. JAMES BRIAN GILL MD
NPI 1962551440
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Omaha, NE

Q: What is James Gill's NPI number?

The NPI number for James Gill is 1962551440. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is James Gill's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for James Gill was last updated on August 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment

76.81/100

CMS Quality Rating

13616 CALIFORNIA ST, STE 100, OMAHA, NE 68154(402) 496-0404(402) 496-0517 Get Directions Write a Review

NPPES record last updated: August 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. James Brian Gill Md NPPES

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

DR. JAMES BRIAN GILL MD (NPI 1962551440) is an individual orthopaedic surgery of the spine provider in Omaha, Nebraska, licensed in North Carolina (148495) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2003).

NPPES Registry Identity

NPI1962551440

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. JAMES BRIAN GILLCredential: MD

Location Address13616 CALIFORNIA ST, STE 100Omaha, NE 68154-5335

Mailing Address13616 California St, Ste 100Omaha, NE 68154-5335 · (402) 496-0404 · Fax (402) 496-0517

Phone(402) 496-0404

Fax(402) 496-0517

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2003

Enumeration DateJanuary 10, 2007

Last NPPES UpdateAugust 13, 2009

✔ NPI 1962551440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

Licenses✔ Licensed in NC · 148495✔ Licensed in NE · 24619

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License M4792 (TX)

13616 CALIFORNIA ST, Omaha, NE 68154

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Other Identifiers 3

Medicare PIN098775002NE

Other1962551440IA · Ia Medicaid

Medicaid47081304012NE

Accepted Insurance

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

Dr. James Brian Gill 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 ID3971655408

PECOS Enrollment IDI20090715000127, I20250320000673

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 22

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.

246 services160 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

133 services65 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.

130 services130 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

91 services50 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

82 services82 patients

X-ray of entire middle and lower spine, 2-3 views 72082

An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.

55 services37 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

52 services50 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

45 services44 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

43 services37 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

41 services11 patients

Fusion of additional segment of spine with partial removal of spine bone and disc 22634

This procedure involves merging an extra part of your spine with a partial removal of your spine bone and disc. It's done to provide stability, reduce pain, and correct deformities. It's like creating a natural bridge of bone that stabilizes the spine.

39 services25 patients

Incision or removal of spine bone segment, each additional segment 22216

This procedure involves making an incision to remove a portion of the spine bone, often to alleviate pressure or pain. If more segments need to be removed, the process is repeated for each additional segment. This is done under general anesthesia.

38 services25 patients

Incision or removal of lower spine bone segment 22214

This procedure involves making a small incision in the lower back to access the spine. A segment of bone may be removed to relieve pressure on nerves, improve mobility, or treat conditions like herniated discs or spinal stenosis. Recovery varies, but physical therapy may follow.

37 services37 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

28 services28 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

28 services24 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

24 services24 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

20 services20 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

20 services15 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.

18 services17 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

16 services12 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

14 services14 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.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury 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

Nebraska Spine Hospital, LLC

Acute Care Hospitals · Omaha, NE

OwnershipProprietary

CMS Certification Number280133

Location6901 North 72nd St, Ste 20300Omaha, NE 68122 · Douglas County

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.

76.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

69.31

Promoting Interoperability

Improvement Activities

Cost

92.57

Reported Quality Measures

Advance Care Plan

100%397 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

99%1,819 patients4/55-star benchmark: 100%

Functional Outcome Assessment

87%1,471 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

98%1,101 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

96%964 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 446 patients

Patients screened: 100% · 446 patients

100%50 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

41%1,246 patients1/55-star benchmark: 100%

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

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

Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849

DME-Other DME · category DE000N

1 supplier11 claims11 services$30.50 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 18

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

DR. JONATHAN ELLIS FULLER M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154

Douglas County (402) 496-0404

SHANNON L NOLAN PA-C

Physician Assistant (Surgical)

13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154

Douglas County (402) 496-0404

RACHEL A GUSSE PT

Physical Therapist

13616 CALIFORNIA ST
OMAHA, NE 68154

Douglas County (402) 496-0404

DR. JOHN WILLIAM MCCLELLAN III M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154

Douglas County (402) 496-0404

MICHELLE WHITE ATC, CSCS

Specialist/Technologist (Athletic Trainer)

13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154

Douglas County (402) 496-0404

DR. COREY JOSEPH CAMPBELL D.C.

Chiropractor

13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154

Douglas County (402) 496-0404

MS. SARAH STAMM PA-C

Physician Assistant (Surgical)

13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154

Douglas County (402) 496-0404

PATRICK MCCLAUGHRY PA-C

Physician Assistant (Surgical)

13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154

Douglas County (402) 496-0404

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 James Gill's NPI number?

The NPI number for James Gill is 1962551440. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is James Gill located?

James Gill practices at 13616 California St Ste 100, Omaha, NE 68154. The listed phone number is (402) 496-0404.

What is James Gill's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is James Gill enrolled in Medicare?

Yes. James Gill 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 James Gill accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list James Gill 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 James Gill affiliated with any hospitals?

According to CMS data, James Gill is affiliated with St Lukes Regional Medical Center, Chi Health Immanuel and Nebraska Spine Hospital, LLC.

When was this NPI record last updated?

The NPPES record for James Gill was last updated on August 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.