MR. ANDREW P DIBELKA (PAC) – Physician Assistant, NPI 1093729063
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
Provider Addresses for MR. ANDREW P DIBELKA (PAC)
2725, South 144th Street, Millard, Omaha, Douglas County, Nebraska, 68144, United States
SUITE 212
OMAHA, NE 681445253
Phone: (402) 637-0800
Fax: (402) 637-0852
Type: Mailing
2725 S 144TH ST STE 212
OMAHA, NE 681445253
Phone: (402) 637-0800
Fax: (402) 637-0808
Type: Mailing
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: 2004-07-08
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 |
|---|---|---|---|---|
| I20040708000962 | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 132 | 42 | $0 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 67 | 65 | $0 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 67 | 65 | $0 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 66 | 64 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 57 | 43 | $0 |
Insurance plans in this area (ZIP 68144)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Sports Medicine, Orthopedic Surgery | NE | |
| - | NE | |
| P O D I A T R Y | IA | |
| Physician Assistant | NE | |
| Nurse Practitioner | NE | |
| - | NE | |
| Sports Medicine, Orthopedic Surgery | NE | |
| Orthopedic Surgery | NE | |
| Hand Surgery, Orthopedic Surgery | NE | |
| Physical Medicine And Rehabilitation | NE |
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