TROY J PLUMB (MD) – Nephrology Physician, NPI 1295786671

TROY J PLUMB (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 22836 (NE). The NPI Number for TROY J PLUMB (MD) is 1295786671

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
TROY J PLUMB (MD)
NPI
1295786671
Phone
(402) 559-4015
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
12 May 2006
Last Update Date
23 June 2011

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4025596195
Graduation Year
1997 (29 years ago)
PAC ID
4880674019
Group Practice PAC ID
6002728391
Professional Enrollment ID
I20050301000467
Address ID
IA516012355SH300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

752 INTERNAL MEDICINE in NE

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Provider Addresses for TROY J PLUMB (MD)

  • Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681988102

    Phone: (402) 559-4015

    Fax: (402) 559-8715

    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 7 Open Payments records for all available years, with a total value of $1,159.

Total Amount is formed as General ($1,159) + Research ($0) + Ownership ($0) = $1,159.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: NxStage Medical, Inc. ($1,050).

Total Amount

$1,159

General + Research + Ownership

Payments

7

Total payment records

General Amount

$1,159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-03-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040720001190INephrologyNETBD
I20050301000467INephrologyIATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90966Home dialysis services per month (20 years or older)23743$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14373$0
99214Established patient office or other outpatient visit, 30-39 minutes9066$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6543$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4743$0
View full utilization report →

Insurance plans in this area (ZIP 68198)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002728391View full group profile
NameSpecialtyState
Physician AssistantNE
Infectious DiseaseNE
N E U R O L O G YNE
P A T H O L O G YNE
Medical Oncology, Hematology/OncologyNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
G A S T R O E N T E R O L O G YNE
Internal MedicineNE
N E U R O S U R G E R YNE

Reviews

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Frequently asked questions

What number should I use to identify TROY J PLUMB (MD) for billing?
Administrative and clinical systems typically use NPI 1295786671 for TROY J PLUMB (MD).
Is TROY J PLUMB (MD) currently accepting referrals based on NPI status?
Registry metadata lists TROY J PLUMB (MD) as active.
How should patients interpret TROY J PLUMB (MD)'s specialty?
The extract shows Nephrology Physician for TROY J PLUMB (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to TROY J PLUMB (MD)?
TROY J PLUMB (MD) is associated with Omaha, Nebraska in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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