KATHRYN THELEN (D.O.) – Family Medicine Physician, NPI 1104209337
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
Provider Addresses for KATHRYN THELEN (D.O.)
4600 VALLEY ROAD
STE 200
LINCOLN, NE 685104882
Phone: (402) 483-4571
Fax: (402) 483-5079
Type: Location
516 W 14TH AVE STE 100
HOLDREGE, NE 689491215
Phone: (089) 955-4431
Fax: (308) 995-3247
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,090.
Total Amount is formed as General ($1,090) + Research ($0) + Ownership ($0) = $1,090.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($477).
Total Amount
$1,090
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,090
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 |
|---|---|
| AstraZeneca Pharmaceuticals LP | $477 |
| ABBVIE INC. | $218 |
| AIMMUNE THERAPEUTICS, INC. | $111 |
| Abbott Laboratories | $71 |
| Novo Nordisk Inc | $62 |
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: 2018-05-07
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 |
|---|---|---|---|---|
| I20180507000739 | I | Family Practice | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 17,041 | 19 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 452 | 172 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 436 | 191 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 343 | 159 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 335 | 159 | $0 |
Insurance plans in this area (ZIP 68510)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Family Practice | SD | |
| Family Practice | KS | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Family Practice | NE |
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