BRUCE LYNN KOHTZ (PA-C) – Surgical Physician Assistant, NPI 1023059565

BRUCE LYNN KOHTZ (PA-C) is a healthcare provider. based in Kearney, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 785 (NE). The NPI Number for BRUCE LYNN KOHTZ (PA-C) is 1023059565

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
BRUCE LYNN KOHTZ (PA-C)
NPI
1023059565
Phone
(308) 865-2570
Address
2810 W 35TH ST
Enumeration Date
8 June 2006
Last Update Date
6 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3088652570
Graduation Year
1997 (29 years ago)
PAC ID
2769511864
Group Practice PAC ID
6800861014
Professional Enrollment ID
I20100528000130
Address ID
NE688452909KE2810XSTXX402

Contacts

Secure Messaging
nolanmay@nwsmos.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,397 PHYSICIAN ASSISTANT in NE

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Provider Addresses for BRUCE LYNN KOHTZ (PA-C)

  • New West Sports Medicine & Orthopaedic Surgery, 2810, West 35th Street, Kearney, Buffalo County, Nebraska, 68845, United States

    KEARNEY, NE 688452909

    Phone: (308) 865-2570

    Fax: (308) 865-2508

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-05-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100528000130IPhysician AssistantNETBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
29826Shaving of part of shoulder bone and repair of ligament using an endoscope6565$0
29824Partial removal of collar bone at shoulder using an endoscope5858$0
29827Repair of shoulder rotator cuff using an endoscope5454$0
23430Anchoring of biceps tendon4545$0
29823Removal of extensive shoulder joint tissue using an endoscope3030$0
View full utilization report →

Insurance plans in this area (ZIP 68845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800861014View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryNE
Orthopedic SurgeryNE
Physician AssistantNE
Physician AssistantNE
Physician AssistantNE
Physician AssistantNE
-NE
Physician AssistantNE
Physician AssistantMO
Sports Medicine, Orthopedic SurgeryNE

Reviews

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Frequently asked questions

Does BRUCE LYNN KOHTZ (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRUCE LYNN KOHTZ (PA-C) uses 1023059565.
Does the file indicate BRUCE LYNN KOHTZ (PA-C) is practicing under active NPI?
Directory data currently reports BRUCE LYNN KOHTZ (PA-C) as active.
What is BRUCE LYNN KOHTZ (PA-C)'s primary classification?
Surgical Physician Assistant is the headline specialty for BRUCE LYNN KOHTZ (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for BRUCE LYNN KOHTZ (PA-C)?
BRUCE LYNN KOHTZ (PA-C)'s geographic hint is Kearney, Nebraska in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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