DR. CRYSTAL DAWN SELUK (D.O.) – Otolaryngology Physician, NPI 1568689420
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
138 OTOLARYNGOLOGY in IA
Provider Addresses for DR. CRYSTAL DAWN SELUK (D.O.)
1 Edmundson Pl
Council Bluffs, IA 515034658
Phone: (712) 396-4130
Fax: (402) 396-4145
Type: Location
PO BOX 9
KINGSPORT, TN 376620009
Phone: (423) 857-2066
Type: Mailing
105 W STONE DR STE 4D
KINGSPORT, TN 376603365
Phone: (423) 392-6299
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $1,072.
Total Amount is formed as General ($1,072) + Research ($0) + Ownership ($0) = $1,072.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($993).
Total Amount
$1,072
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,072
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170906002199 | I | Otolaryngology | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 103 | 88 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 91 | 91 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 67 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 54 | 46 | $0 |
| 95117 | Professional service for multiple injections of allergen | 48 | 15 | $0 |
Insurance plans in this area (ZIP 51503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Family Practice | VA | |
| - | TN |
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