MR. MARTY PAUL JR. USSERY (PA-C) – Physician Assistant, NPI 1003540154
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,406 PHYSICIAN ASSISTANT in NE
Provider Addresses for MR. MARTY PAUL JR. USSERY (PA-C)
816 N ELM ST
GRAND ISLAND, NE 688014207
Phone: (308) 850-0895
Type: Mailing
PO BOX 3755
OMAHA, NE 681030755
Phone: (402) 354-2100
Fax: (402) 354-2155
Type: Mailing
515 N 162ND AVE STE 300
OMAHA, NE 681182540
Phone: (402) 354-1200
Fax: (402) 354-1205
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $418.
Total Amount is formed as General ($418) + Research ($0) + Ownership ($0) = $418.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Teleflex LLC ($163).
Total Amount
$418
General + Research + Ownership
Payments
11
Total payment records
General Amount
$418
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $163 |
| Axonics, Inc. | $124 |
| Sumitomo Pharma America, Inc. | $30 |
| Endo USA, Inc. | $23 |
| Bayer Healthcare Pharmaceuticals Inc. | $22 |
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: 2024-08-09
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240521002034 | I | Physician Assistant | NE | TBD |
| I20240809002764 | I | Physician Assistant | IA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NE | |
| U R O L O G Y | NE | |
| U R O L O G Y | NE | |
| Nurse Practitioner | NE | |
| U R O L O G Y | KS | |
| U R O L O G Y | NE | |
| U R O L O G Y | NE | |
| Nurse Practitioner | NE | |
| U R O L O G Y | NE | |
| P A T H O L O G Y | NE |
Reviews
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