Active NPI 1114037439 Individual Practitioner Male Practitioner

Dr. James A Reilly , MD

Surgery • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Dr. James Reilly, MD is a registered healthcare professional specializing in Surgery in Omaha, NE. Practice services are available at 8111 DODGE ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, partial removal of breast, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8111 Dodge St
Suite 263

Omaha, NE 681144129

Telephone 4023548163

Fax 4023542416

Associated Practice Facility / Clinic

🏢 Omaha Vascular Specialists Llc Facility NPI 1043290406

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Omaha, NE

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.4 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

156 Specialists

Practicing in Omaha, NE (239 Statewide)

Telehealth Adoption Rate

7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	176	149	$121.18	$32.21
99213 Established patient office or other outpatient visit, typically 15 minutes	160	137	$255.00	$60.01
19301 Partial removal of breast	32	27	$1891.44	$581.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$441.00	$121.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$290.00	$83.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	20	$390.00	$131.58
38900 Lymph node imaging during surgery	23	23	$390.00	$116.88
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	21	21	$41.00	$15.20
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	17	17	$1233.00	$191.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	235	184	$243.00	$60.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	170	140	$110.00	$32.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$420.00	$122.69
19301 Partial removal of breast	31	28	$1803.45	$588.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$371.00	$132.67
38900 Lymph node imaging during surgery	29	29	$396.59	$122.48
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	25	25	$1220.92	$197.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$276.00	$90.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$528.00	$166.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$274.00	$75.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	188	156	$105.00	$33.58
99213 Established patient office or other outpatient visit, typically 15 minutes	141	124	$177.56	$62.33
19301 Partial removal of breast	63	52	$1690.44	$594.65
38900 Lymph node imaging during surgery	45	45	$368.73	$124.02
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	43	43	$1143.98	$199.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	34	$353.00	$136.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$263.00	$92.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$400.00	$125.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$261.00	$77.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$503.00	$170.47
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$231.00	$62.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$105.00	$33.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	307	191	$105.13	$34.02
99213 Established patient office or other outpatient visit, typically 15 minutes	94	80	$176.84	$63.61
19301 Partial removal of breast	38	31	$1530.97	$548.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$258.00	$78.29
38900 Lymph node imaging during surgery	26	26	$349.54	$121.27
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	23	23	$1179.35	$206.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$348.57	$138.39
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	15	$49.00	$17.39
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	14	$2949.00	$255.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$488.00	$173.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$391.08	$127.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	236	159	$102.00	$24.64
99213 Established patient office or other outpatient visit, typically 15 minutes	99	87	$171.00	$49.40
19301 Partial removal of breast	38	32	$1658.55	$598.72
38900 Lymph node imaging during surgery	34	34	$363.18	$128.61
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	33	33	$1183.64	$207.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$253.00	$71.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$343.00	$107.81
19303 Total removal of breast	15	15	$3002.60	$947.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$255.00	$76.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$388.00	$123.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$488.00	$162.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	204	148	$102.00	$24.28
99213 Established patient office or other outpatient visit, typically 15 minutes	199	156	$171.00	$48.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	18	$94.00	$37.52
19301 Partial removal of breast	32	25	$1666.53	$598.16
38900 Lymph node imaging during surgery	31	31	$343.00	$123.68
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	29	29	$1159.83	$217.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$253.00	$72.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	14	$173.00	$67.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$388.00	$122.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	16	$327.00	$126.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$488.00	$152.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$255.00	$75.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$343.00	$106.10
19303 Total removal of breast	11	11	$3184.64	$867.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	296	191	$171.00	$48.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	108	$102.00	$23.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	79	33	$95.00	$36.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	28	$173.00	$68.74
38900 Lymph node imaging during surgery	35	35	$372.40	$129.32
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	32	32	$1220.63	$209.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$327.00	$128.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$488.00	$157.67
19301 Partial removal of breast	25	21	$1616.00	$579.75
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$241.00	$94.65
19303 Total removal of breast	15	15	$3836.93	$1092.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$388.00	$121.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	389	229	$171.00	$48.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	106	54	$173.00	$68.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$327.00	$128.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	28	$94.00	$36.87
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	32	32	$1118.91	$215.93
38900 Lymph node imaging during surgery	31	31	$343.00	$124.70
19301 Partial removal of breast	26	22	$1616.00	$580.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$488.00	$157.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$388.00	$115.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$253.00	$71.36
19303 Total removal of breast	14	14	$3038.36	$1039.54
36590 Removal of peripheral venous catheter for infusion	11	11	$737.00	$176.22

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NE 18448

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.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License NE 18448

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

47068731707 (NE)

Medicaid State Provider ID

1114037439 (IA)

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Steven Buda , MD

Surgery

NPI 1053351429

Doctor of Medicine (M.D.)

Dr. Scott Rose , MD

Surgery

NPI 1144330358

Doctor of Medicine (M.D.)

Dr. Brad Winterstein , MD

Surgery

NPI 1295847382

Doctor of Medicine (M.D.)

Dr. Paul Kolkman , MD

Surgery

NPI 1376754408

Doctor of Medicine (M.D.)

Dr. Donald Owen , MD

Surgery

NPI 1407965312

Doctor of Medicine (M.D.)

Dr. Gregory Eakins , MD

Surgery

NPI 1528173671

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 03, 2014

Registered at 8111 DODGE ST, SUITE 263, OMAHA, NE 681144129 (Tel: 4023548163)

📍

Updated Business Mailing Address January 03, 2014

Registered at PO BOX 3755, OMAHA, NE 681030755 (Tel: 4023542100)

👤

Provider Name / Credentials Updated January 03, 2014

Recorded as JAMES REILLY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2014

Surgery (License #18448 in NE)

🟢

Initial NPI Registration & Enumeration August 30, 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: 1114037439

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: January 03, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3755

Omaha, NE 681030755

Phone: 4023542100

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.