Unknown Individual – Urology Physician, NPI 1285657551
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
70 UROLOGY in NE
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Provider Addresses for Unknown Individual
Pine Lake Road, Pine Lake, Lincoln, Lancaster County, Nebraska, 68526-0736, United States
LINCOLN, NE 685163389
Phone: (402) 489-8888
Fax: (402) 421-1945
Type: Mailing
PO BOX 277
FAIRBURY, NE 683520277
Phone: (402) 729-3351
Type: Mailing
2200 H ST
FAIRBURY, NE 683521119
Phone: (402) 729-3351
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,898.
Total Amount is formed as General ($1,898) + Research ($0) + Ownership ($0) = $1,898.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teleflex LLC ($600).
Total Amount
$1,898
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,898
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $600 |
| Sumitomo Pharma America, Inc. | $240 |
| Telix Pharmaceuticals | $173 |
| IsoRay, Inc | $116 |
| Janssen Biotech, Inc. | $94 |
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: 2010-06-17
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 |
|---|---|---|---|---|
| I20100617000747 | I | Urology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 454 | 373 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 179 | 151 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 179 | 156 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 171 | 150 | $0 |
| 84153 | Psa (prostate specific antigen) measurement, total | 158 | 135 | $0 |
Insurance plans in this area (ZIP 68516)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Nurse Practitioner | NE | |
| Family Practice | NE | |
| Family Practice | NE | |
| Physician Assistant | NE |
Reviews
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