SALLY J GUTHMILLER (PA) – Physician Assistant, NPI 1265480537
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
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Provider Addresses for SALLY J GUTHMILLER (PA)
South 144th Street, Millard, Omaha, Douglas County, Nebraska, 68137, United States
OMAHA, NE 681445253
Phone: (402) 637-0800
Fax: (402) 637-0808
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)
No Open Payments data available for this provider.
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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: 2014-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040603000684 | I | Physician Assistant | NE | TBD |
| I20141205001794 | I | Physician Assistant | IA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 15 | $0 |
| 25447 | Removal of bone joints between wrist and fingers | 13 | 13 | $0 |
| 26480 | Transfer of tendon to back of hand | 13 | 13 | $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 | |
| Physician Assistant | NE | |
| - | NE | |
| Sports Medicine, Orthopedic Surgery | NE | |
| Orthopedic Surgery | NE | |
| Hand Surgery, Orthopedic Surgery | NE |
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