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BENJAMIN GRAMS M.D.
NPI 1962817197
Surgery in Omaha, NE

Active since June 26, 2014PECOS EnrolledAccepts Medicare Assignment
8111 DODGE ST STE 263, OMAHA, NE 68114(402) 354-8163(402) 354-2416 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 27, 2019, Jul 19, 2019 (2 updates tracked since 2019).

About Benjamin Grams M.d. NPPES

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

BENJAMIN GRAMS M.D. (NPI 1962817197) is an individual surgery provider in Omaha, Nebraska, licensed in Nebraska (31641) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and is a graduate of University Of Nebraska College Of Medicine (2014).

NPPES Registry Identity

NPI1962817197
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBENJAMIN GRAMSCredential: M.D.
Location Address8111 DODGE ST STE 263Omaha, NE 68114-4118
Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155
Phone(402) 354-8163
Fax(402) 354-2416
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2014
Enumeration DateJune 26, 2014
Last NPPES UpdateAugust 27, 20192 updates tracked since enumeration
✔ NPI 1962817197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NE · 31641
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
8111 DODGE ST STE 263, Omaha, NE 68114
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Other Identifiers 2

Medicaid1962817197IA
Medicaid47068731707NE

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

Benjamin Grams 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 ID1759500945
PECOS Enrollment IDI20190715000555
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 8

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.

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.
62 services62 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.
31 services29 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.
23 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
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.
21 services17 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
18 services18 patients

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

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68114 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 3

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

REAGAN ANN CRAIN PA-C
Physician Assistant
8111 DODGE ST STE 263
OMAHA, NE 68114
Douglas County (402) 354-8163
LAURA TRACEY PA-C
Physician Assistant
8111 DODGE ST STE 263
OMAHA, NE 68114
Douglas County (402) 354-8163
DR. JEFFREY SCOTT CARSON MD
Surgery
8111 DODGE ST STE 263
OMAHA, NE 68114
Douglas County (402) 354-8163

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 Benjamin Grams's NPI number?

The NPI number for Benjamin Grams is 1962817197. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Benjamin Grams located?

Benjamin Grams practices at 8111 Dodge St Ste 263, Omaha, NE 68114. The listed phone number is (402) 354-8163.

What is Benjamin Grams's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Benjamin Grams enrolled in Medicare?

Yes. Benjamin Grams 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 Benjamin Grams 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 Benjamin Grams 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 Benjamin Grams affiliated with any hospitals?

According to CMS data, Benjamin Grams is affiliated with Methodist Jennie Edmundson and The Nebraska Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Grams was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.