DR. PETER JOHN GIANNINI D.D.S., M.S.
NPI 1508839341
Dentist - Oral and Maxillofacial Pathology in Lincoln, NE
NPI Status: Active since February 10, 2006
Contact Information
40TH AND HOLDREGE STREETS
BOX 830740
LINCOLN, NE
ZIP 68583
Phone: (402) 472-4160
Fax: (402) 472-2551
- Individual
- Male
- Years of Experience 29
- Dentist
- Oral and Maxillofacial Pathology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About PETER GIANNINI
This page provides the complete NPI Profile along with additional information for Peter Giannini, a provider established in Lincoln, Nebraska with a medical specialization in Dentist, focusing in oral and maxillofacial pathology and more than 29 years of experience. He graduated from University Of California, San Francisco School Of Medicine in 1997. The healthcare provider is registered in the NPI registry with number 1508839341 assigned on February 2006. The practitioner's primary taxonomy code is 1223P0106X with license number 6584 (NE). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1508839341
- Provider Name
- DR. PETER JOHN GIANNINI D.D.S., M.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 40TH AND HOLDREGE STREETS BOX 830740 LINCOLN, NE 68583
- Location Phone
- (402) 472-4160
- Location Fax
- (402) 472-2551
- Mailing Address
- 128 N 13TH ST #1005 LINCOLN, NE 68508
- Mailing Phone
- (402) 438-8569
- Medical School Name
- UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
- Graduation Year
- 1997
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-10-2006
- Last Update Date
- 01-18-2008
- Code Navigator
A dentist like Peter Giannini is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Pathology
- Taxonomy Code
- 1223P0106X
- Type
- Dental Providers
- License No.
- 6584
- License State
- NE
- Taxonomy Description
- The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47078998500 | MEDICAID (05) | NE | |
| 4505 | OTHER (01) | NE | BCBS |
| V06831 | MEDICARE UPIN (02) | NE | |
| 278837 | MEDICARE PIN (08) | NE | |
| P00253376 | OTHER (01) | NE | RAILROAD MEDICARE |
Medicare Participation & PECOS Enrollment Status
Peter Giannini is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Peter Giannini is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7517983844
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20051017000596
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 30-44 minutes
Pathology examination of tissue using a microscope, intermediate complexity
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.
This service was performed 32 times for 21 patientsThis 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.
This service was performed 27 times for 27 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 240 times for 144 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.3 for a new patient copayment and $16.5 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 68583 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.2
- Minimum New Patient Price $52.69
- Maximum New Patient Price $160.21
- Average New Patient Copayment $20.3
- Minimum New Patient Copayment $13.17
- Maximum New Patient Copayment $40.05
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $131.25
- Average Established Patient Copayment $16.5
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.81
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Peter Giannini is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| THE NEBRASKA MEDICAL CENTER | 987400 NEBRASKA MEDICAL CENTER OMAHA, NE 68198 | (402) 552-2040 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 8 | 3 | 9 | 3 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 16 | 3 | 18 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 6 + 3 + 1 + 8 + 3 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1508839341 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710081716 | MR. GERARD BYRNE DDS MSD Individual | Dentist (Prosthodontics) | 40TH AND HOLDREGE STREETS UNIVERSITY OF NEBRASKA MEDICAL CENTER, COLLEGE OF DENTI LINCOLN, NE 68583 (402) 472-1631 |
| 1508947516 | DR. JEFFREY BRUCE PAYNE D.D.S. Individual | Dentist (Periodontics) | 40TH AND HOLDREGE STREETS ROOM 137 LINCOLN, NE 68583 (402) 472-8900 |
| 1295818938 | DR. JOHN REINHARDT D.D.S Individual | Dentist (General Practice) | 40TH AND HOLDREGE STREETS LINCOLN, NE 68583 (402) 472-1344 |
| 1780746669 | DR. LAURA R IWASAKI DDS, PHD Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 40TH AND HOLDREGE STREETS LINCOLN, NE 68583 (402) 472-8900 |
| 1326328600 | DR. CORWYN D HOPKE DDS Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 40TH AND HOLDREGE STREETS UNMC COLLEGE OF DENTISTRY LINCOLN, NE 68583 (402) 472-4919 |
| 1619105509 | DR. NICHOLAS J. LYONS D.D.S. Individual | Dentist | 40TH AND HOLDREGE STREETS LINCOLN, NE 68583 (406) 720-0523 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508839341, enumerated in the NPI registry as an "individual" on February 10, 2006
The provider is located at 40th And Holdrege Streets Box 830740 Lincoln, Ne 68583 and the phone number is (402) 472-4160
The provider's speciality is Dentist with taxonomy code 1223P0106X with a focus in Oral and Maxillofacial Pathology
The provider has more than 29 years of experience. He graduated from University Of California, San Francisco School Of Medicine in 1997.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $81.2 with an average copayment of $20.3 for new patient appointments. Established patients should expect a typical charge of $66 and an average copayment of 16.5. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, New patient office or other outpatient visit, 30-44 minutes and Pathology examination of tissue using a microscope, intermediate complexity.
The practitioner is affiliated to the following hospital(s): THE NEBRASKA MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on February 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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