Active NPI 1588073399 Individual Practitioner Male Practitioner

Dr. Benjamin John Bumgarner , DO

Hospitalist • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Bumgarner, DO is a certified Hospitalist practicing in Omaha, NE. With approximately 12 years of clinical experience since graduating from Lake Erie College Of Osteopathic Medicine, Erie in 2014, Dr. Bumgarner delivers high-quality medical care to the local community at 6901 N 72ND ST.

Dr. Bumgarner is affiliated with Alegent Creighton Clinic 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, initial hospital care with moderate level of medical decision making, if using time, at least, 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

6901 N 72nd St

Omaha, NE 681221709

Telephone 8555244001

Fax 4025723206

Associated Practice Facility / Clinic

🏢 Emergency Clinicians Associates, Llc Facility NPI 1265498661

Medicare Profile & Education

Medical School

Lake Erie College Of Osteopathic Medicine, Erie

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Omaha, NE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -3.9 yrs vs City Avg

City Avg: 15.9 Yrs

State Avg: 15.8 Yrs

Regional Practice Density

91 Specialists

Practicing in Omaha, NE (124 Statewide)

Telehealth Adoption Rate

11.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bumgarner (12 Years) 12 Yrs

Omaha Specialty Average (15.9 Years) 15.9 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	453	178	$336.00	$107.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	280	98	$223.00	$71.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	107	102	$490.00	$157.71
99239 Hospital discharge day management, more than 30 minutes	106	104	$323.00	$104.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	18	$139.00	$45.05
99291 Critical care, first 30-74 minutes	12	11	$767.00	$193.33

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	501	178	$288.00	$110.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	332	103	$200.00	$73.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	132	126	$557.00	$160.79
99239 Hospital discharge day management, more than 30 minutes	90	86	$296.00	$105.79
99291 Critical care, first 30-74 minutes	11	11	$784.00	$196.14

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	381	129	$224.00	$95.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	277	86	$157.00	$66.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	68	$435.00	$183.80
99239 Hospital discharge day management, more than 30 minutes	64	62	$231.00	$97.89
99226 Subsequent observation care, typically 35 minutes per day	51	38	$226.00	$94.30
99220 Hospital observation care, typically 70 minutes	36	36	$400.00	$166.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	12	$85.00	$35.80
99217 Hospital observation care on day of discharge	14	14	$157.00	$66.14

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	352	130	$224.00	$96.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	304	96	$157.00	$67.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	75	$435.00	$186.71
99239 Hospital discharge day management, more than 30 minutes	66	64	$231.00	$99.68
99226 Subsequent observation care, typically 35 minutes per day	43	34	$226.00	$96.91
99220 Hospital observation care, typically 70 minutes	38	38	$400.00	$170.63
99225 Subsequent observation care, typically 25 minutes per day	24	12	$157.00	$67.38
99217 Hospital observation care on day of discharge	18	18	$157.00	$67.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$85.00	$36.12
99497 Advance care planning, first 30 minutes	14	14	$183.00	$73.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$232.00	$94.12

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	715	182	$157.00	$68.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	523	181	$224.00	$99.19
99239 Hospital discharge day management, more than 30 minutes	129	128	$231.00	$101.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	123	120	$435.00	$192.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	120	53	$85.00	$37.41
99226 Subsequent observation care, typically 35 minutes per day	37	28	$226.00	$93.00
99220 Hospital observation care, typically 70 minutes	34	32	$400.00	$176.47
99217 Hospital observation care on day of discharge	27	26	$157.00	$66.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$294.00	$130.86
99497 Advance care planning, first 30 minutes	23	20	$183.00	$76.03

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	548	163	$148.95	$68.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	281	144	$216.65	$98.02
99239 Hospital discharge day management, more than 30 minutes	134	126	$221.69	$101.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	112	$416.17	$190.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	22	$80.50	$36.99
99217 Hospital observation care on day of discharge	32	31	$149.69	$66.60
99225 Subsequent observation care, typically 25 minutes per day	25	16	$148.00	$68.81
99220 Hospital observation care, typically 70 minutes	17	17	$382.41	$175.13
99226 Subsequent observation care, typically 35 minutes per day	14	12	$217.43	$98.86
99219 Hospital observation care, typically 50 minutes	11	11	$281.82	$128.04

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	786	235	$147.00	$68.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	398	169	$212.00	$97.97
99239 Hospital discharge day management, more than 30 minutes	170	158	$218.00	$101.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	136	129	$411.00	$188.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	119	30	$80.00	$36.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$277.00	$128.01
99217 Hospital observation care on day of discharge	35	34	$148.00	$66.05
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	30	28	$29.00	$11.57
99225 Subsequent observation care, typically 25 minutes per day	19	12	$148.00	$64.02
99220 Hospital observation care, typically 70 minutes	18	17	$377.00	$175.78

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	240	92	$147.00	$68.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	35	$212.00	$98.31
99239 Hospital discharge day management, more than 30 minutes	59	57	$218.00	$101.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$277.00	$128.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	19	$80.00	$36.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	28	$411.00	$190.51
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$29.00	$11.55

Medical Specialties & State Licenses

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License NE 1658

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NE 1658

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License IA DO-04998

Hospital & Practice Group Affiliations

Alegent Creighton Clinic

6901 N 72nd St, Omaha, NE 681221709

Phone: 4025722346

Alegent Creighton Clinic

800 Mercy Dr, Council Bluffs, IA 515033128

Phone: 7123285490

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Sahil Mullick , MD

Hospitalist

NPI 1033550421

Doctor of Medicine (M.D.)

Kayden Reilly , PA-C

Physician Assistant

NPI 1043091804

Physician Assistant (Certified)

Dr. Artem Ryazantsev , DO

Hospitalist

NPI 1043653108

Doctor of Osteopathic Medicine (D.O.)

Courtney Brackin , PA-C

Physician Assistant

NPI 1053017335

Physician Assistant (Certified)

Dr. Alexa Johnson , DNP

Nurse Practitioner - Acute Care

NPI 1073246187

Doctor of Nursing Practice

Mary Hall , PA-C

Physician Assistant

NPI 1104285865

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active August 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2017

Registered at 6901 N 72ND ST, OMAHA, NE 681221709 (Tel: 8555244001)

📍

Updated Business Mailing Address August 07, 2017

Registered at 7261 MERCY RD, OMAHA, NE 681242311 (Tel: (402) 398-6255)

👤

Provider Name / Credentials Updated August 07, 2017

Recorded as BENJAMIN BUMGARNER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

Internal Medicine (License #1658 in NE)

✅

NPI Profile Active August 05, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2014

Registered at 601 N 30TH ST, CU DEPARTMENT OF INTERNAL MEDICINE, OMAHA, NE 681312137 (Tel: 4022804180)

📍

Updated Business Mailing Address August 05, 2014

Registered at 601 N 30TH ST, CU DEPARTMENT OF INTERNAL MEDICINE, OMAHA, NE 681312137 (Tel: 4022804180)

👤

Provider Name / Credentials Updated August 05, 2014

Recorded as BENJAMIN BUMGARNER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2014

Internal Medicine (License #7225 in NE)

🟢

Initial NPI Registration & Enumeration August 05, 2014

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: 1588073399

Entity Type:

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

Enumeration Date: August 05, 2014

Last Update: September 09, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7261 Mercy Rd

Omaha, NE 681242311

Phone: 4023986255

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.