AMANDA KATHLEEN GILMORE (PA) – Physician Assistant, NPI 1043586274
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,397 PHYSICIAN ASSISTANT in NE
Provider Addresses for AMANDA KATHLEEN GILMORE (PA)
1600 S 48TH ST
STE 600
LINCOLN, NE 685061283
Phone: (402) 483-3333
Fax: (402) 483-3297
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)
CMS reports 18 Open Payments records for all available years, with a total value of $677.
Total Amount is formed as General ($677) + Research ($0) + Ownership ($0) = $677.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($228).
Total Amount
$677
General + Research + Ownership
Payments
18
Total payment records
General Amount
$677
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $228 |
| Baxter Healthcare | $73 |
| Haemonetics Corporation | $66 |
| Stryker Corporation | $45 |
| Dilon Technologies, Inc. | $43 |
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: 2017-12-29
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 |
|---|---|---|---|---|
| I20171229000041 | I | Physician Assistant | CO | 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 68506)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NE | 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 15 | 15 |
| PHYSICIAN ASSISTANT | NE | 33518 | Combined multiple vein and artery heart artery bypasses | 13 | 13 |
| PHYSICIAN ASSISTANT | NE | 33533 | Heart artery bypass to repair one artery | 34 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KS | |
| - | WY | |
| General Surgery | CO | |
| - | OK | |
| N E U R O S U R G E R Y | CO | |
| - | CO | |
| - | OH | |
| Cardiac Surgery, Thoracic Surgery, Vascular Surgery | CO | |
| Physician Assistant | CO | |
| Orthopedic Surgery | TX |
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