MR. MARK J. DIERCKS (M.D.) – Psychiatry Physician, NPI 1134283567
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
171 PSYCHIATRY in NE
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Provider Addresses for MR. MARK J. DIERCKS (M.D.)
The Mastercraft, 1111, North 13th Street, NoDo, Omaha, Douglas County, Nebraska, 68102, United States
SUITE 207
OMAHA, NE 681024251
Phone: (402) 348-1996
Fax: (402) 348-1879
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 32 Open Payments records for all available years, with a total value of $297.
Total Amount is formed as General ($297) + Research ($0) + Ownership ($0) = $297.
Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Alkermes, Inc. ($151).
Total Amount
$297
General + Research + Ownership
Payments
32
Total payment records
General Amount
$297
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $151 |
| Janssen Pharmaceuticals, Inc | $145 |
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: 2009-08-25
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 |
|---|---|---|---|---|
| I20090825000423 | I | Psychiatry | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 187 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 161 | 57 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 35 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 13 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 68102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| Mental Health Counselor | NE | |
| - | NE | |
| Clinical Social Worker | NE | |
| - | NE | |
| P S Y C H I A T R Y | OH | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| - | NE | |
| - | NE |
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