Active NPI 1285655795 Individual Practitioner Male Practitioner

Dr. Greg A Gillham , MD

Internal Medicine • Lincoln, NE

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Greg Gillham, MD is a registered Internal Medicine practitioner in Lincoln, NE. With approximately 34 years of clinical practice since completing medical education in 1992, Dr. Gillham provides healthcare services at the registered practice location at 555 S 70TH ST.

Dr. Gillham is affiliated with Chi Health Clinic Specialty Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

555 S 70th St

Lincoln, NE 685102462

Telephone 4022198747

Fax 4022198748

Associated Practice Facility / Clinic

🏢 Lincoln Anesthesiology Group Pc Facility NPI 1659347946

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lincoln, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +10.3 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

88 Specialists

Practicing in Lincoln, NE (834 Statewide)

Telehealth Adoption Rate

14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gillham (34 Years) 34 Yrs

Lincoln Specialty Average (23.7 Years) 23.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	456	202	$223.00	$71.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	93	50	$139.00	$44.87
99239 Hospital discharge day management, more than 30 minutes	90	89	$323.00	$104.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$490.00	$155.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$366.00	$118.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	36	$336.00	$108.37
99238 Hospital discharge day management, 30 minutes or less	24	24	$228.00	$74.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	371	184	$200.00	$73.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99	66	$288.00	$110.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	86	30	$108.00	$45.51
99239 Hospital discharge day management, more than 30 minutes	79	78	$296.00	$105.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$557.00	$160.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$378.00	$117.94
99238 Hospital discharge day management, 30 minutes or less	20	20	$202.00	$74.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	331	165	$157.00	$65.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	250	135	$224.00	$94.77
99239 Hospital discharge day management, more than 30 minutes	77	75	$231.00	$97.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	56	$435.00	$181.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	14	$85.00	$35.44
99217 Hospital observation care on day of discharge	23	23	$157.00	$66.53
99226 Subsequent observation care, typically 35 minutes per day	17	16	$226.00	$94.43
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$158.00	$62.23
99238 Hospital discharge day management, 30 minutes or less	12	12	$157.00	$66.53
99220 Hospital observation care, typically 70 minutes	11	11	$400.00	$166.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	477	200	$224.00	$96.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	268	155	$157.00	$66.57
99239 Hospital discharge day management, more than 30 minutes	132	129	$231.00	$99.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	63	$435.00	$187.68
99217 Hospital observation care on day of discharge	35	35	$157.00	$67.58
99226 Subsequent observation care, typically 35 minutes per day	29	21	$226.00	$94.56
99291 Critical care, first 30-74 minutes	28	18	$591.00	$205.37
99220 Hospital observation care, typically 70 minutes	23	23	$400.00	$170.63
99225 Subsequent observation care, typically 25 minutes per day	22	13	$157.00	$67.38
99238 Hospital discharge day management, 30 minutes or less	11	11	$157.00	$67.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	553	236	$224.00	$99.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	375	197	$157.00	$68.91
99239 Hospital discharge day management, more than 30 minutes	185	175	$231.00	$102.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	112	28	$85.00	$37.23
99291 Critical care, first 30-74 minutes	85	39	$591.00	$210.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	75	$435.00	$191.74
99217 Hospital observation care on day of discharge	40	40	$157.00	$68.98
99220 Hospital observation care, typically 70 minutes	28	28	$400.00	$176.20
99225 Subsequent observation care, typically 25 minutes per day	22	18	$157.00	$69.21
99238 Hospital discharge day management, 30 minutes or less	17	17	$157.00	$69.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$294.00	$129.99
99226 Subsequent observation care, typically 35 minutes per day	15	14	$226.00	$99.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	562	263	$145.62	$69.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	350	173	$215.77	$97.81
99239 Hospital discharge day management, more than 30 minutes	141	131	$219.79	$102.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	82	$404.35	$193.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	24	$81.12	$37.50
99217 Hospital observation care on day of discharge	56	56	$149.13	$69.63
99225 Subsequent observation care, typically 25 minutes per day	54	34	$147.65	$69.76
99238 Hospital discharge day management, 30 minutes or less	46	44	$143.83	$69.62
99220 Hospital observation care, typically 70 minutes	44	44	$377.16	$177.34
99291 Critical care, first 30-74 minutes	30	28	$547.90	$211.79
99226 Subsequent observation care, typically 35 minutes per day	16	16	$217.75	$100.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$292.25	$130.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	673	324	$139.00	$68.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	148	103	$200.00	$96.70
99239 Hospital discharge day management, more than 30 minutes	124	122	$206.00	$101.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	108	$387.00	$189.64
99217 Hospital observation care on day of discharge	49	49	$139.00	$68.94
99220 Hospital observation care, typically 70 minutes	48	48	$356.00	$176.05
99238 Hospital discharge day management, 30 minutes or less	43	42	$139.00	$68.83
99291 Critical care, first 30-74 minutes	35	28	$519.00	$209.23
99213 Established patient office or other outpatient visit, typically 15 minutes	35	23	$138.00	$46.33
99225 Subsequent observation care, typically 25 minutes per day	28	23	$140.00	$69.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	15	$75.00	$36.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	773	339	$138.43	$68.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	156	110	$198.67	$98.32
99239 Hospital discharge day management, more than 30 minutes	145	139	$204.41	$100.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	102	100	$384.99	$189.17
99238 Hospital discharge day management, 30 minutes or less	83	81	$137.94	$67.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	80	62	$76.53	$36.89
99220 Hospital observation care, typically 70 minutes	48	48	$353.25	$175.27
99217 Hospital observation care on day of discharge	47	46	$138.06	$68.51
99225 Subsequent observation care, typically 25 minutes per day	40	29	$139.45	$68.81
99291 Critical care, first 30-74 minutes	25	23	$516.60	$209.50
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$190.55	$94.48

Medical Specialties & State Licenses

CMS Verified: 2021-01-27

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NE 19515

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100380010A (KS)

Medicaid State Provider ID

2959239 (IA)

Medicaid State Provider ID

470780857 23 (NE)

Commercial Insurance / Payer ID Midlands Choice

2663

Commercial Insurance / Payer ID Uhc

76-00113 (NE)

Commercial Insurance / Payer ID Bcbs

03636 (NE)

Hospital & Practice Group Affiliations

Chi Health Clinic Specialty Llc

555 S 70th St, Lincoln, NE 685102462

Phone: 4022198000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Dr. Ted Triggs , DO

Internal Medicine

NPI 1003837626

Doctor of Osteopathic Medicine (D.O.)

Dr. Tracy Slocum Farritor , MD

Internal Medicine

NPI 1023028172

Doctor of Medicine (M.D.)

Jessica Taylor

Physician Assistant

NPI 1063878445

Dr. Siju Michael , MD

Family Medicine

NPI 1104302918

Doctor of Medicine (M.D.)

Emalie Petersen , RN

Nurse Practitioner

NPI 1275983678

Registered Nurse

Dr. Bradette Varilek , MD

Internal Medicine

NPI 1346267176

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address January 27, 2021

Registered at 555 S 70TH ST, LINCOLN, NE 685102462 (Tel: 4024210904)

✅

NPI Profile Active September 26, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address September 26, 2017

Registered at 2000 Q STREET, SUITE 500, LINCOLN, NE 685033610 (Tel: 4024210904)

📍

Updated Practice Location September 26, 2017

Registered at 555 S 70TH ST, LINCOLN, NE 685102462 (Tel: 4022198747)

👤

Provider Name / Credentials Updated September 26, 2017

Recorded as GREG GILLHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2017

Internal Medicine (License #19515 in NE)

✅

NPI Profile Active February 28, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 28, 2008

Registered at 555 S 70TH ST, LINCOLN, NE 685102462 (Tel: 4022198747)

📍

Updated Business Mailing Address February 28, 2008

Registered at 8055 O ST, STE 300, LINCOLN, NE 685102580 (Tel: 4024210896)

👤

Provider Name / Credentials Updated February 28, 2008

Recorded as GREG GILLHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2008

Internal Medicine (License #19515 in NE)

🟢

Initial NPI Registration & Enumeration July 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285655795

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 21, 2006

Last Update: January 27, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

555 S 70th St

Lincoln, NE 685102462

Phone: 4024210904

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.