MICHAEL L KOEBERNICK (PA-C) – Surgical Physician Assistant, NPI 1053396457
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,397 PHYSICIAN ASSISTANT in NE
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Provider Addresses for MICHAEL L KOEBERNICK (PA-C)
South 16th Street, Capitol View, Haymarket, Lincoln, Lancaster County, Nebraska, 68502, United States
MEDICAL TOWER B, #305
LINCOLN, NE 68502
Phone: (402) 488-3002
Fax: (402) 483-8787
Type: Mailing
575, South 70th Street, Lincoln, Lancaster County, Nebraska, 68510, United States
#400
LINCOLN, NE 685102471
Phone: (402) 488-3002
Fax: (402) 483-8787
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $1,546.
Total Amount is formed as General ($1,546) + Research ($0) + Ownership ($0) = $1,546.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Conetic Solutions, Inc. ($727).
Total Amount
$1,546
General + Research + Ownership
Payments
24
Total payment records
General Amount
$1,546
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Conetic Solutions, Inc. | $727 |
| Arthrex, Inc. | $614 |
| ABBVIE INC. | $131 |
| Vericel Corporation | $54 |
| Bioventus LLC | $20 |
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: 2010-05-24
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 |
|---|---|---|---|---|
| I20100524000229 | I | Physician Assistant | NE | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 612 | 45 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 224 | 86 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 75 | $0 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 62 | 17 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 48 | 43 | $0 |
Insurance plans in this area (ZIP 68502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Orthopedic Surgery, Hand Surgery | NE | |
| Orthopedic Surgery | NE | |
| - | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Nurse Practitioner | NE | |
| Orthopedic Surgery | NE | |
| Orthopedic Surgery | NE |
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