DR. JEFFREY P. KASSELMAN (M.D.) – Family Medicine Physician, NPI 1316005366
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
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Provider Addresses for DR. JEFFREY P. KASSELMAN (M.D.)
9717, Q Street, Millard, Omaha, Douglas County, Nebraska, 68127, United States
OMAHA, NE 681273272
Phone: (402) 537-1740
Fax: (402) 537-1706
Type: Location
Ice Box, Omaha Boulevard, El Paso County, Colorado, 80915, United States
OMAHA, NE 681648117
Phone: (402) 717-4377
Fax: (402) 717-4317
Type: Mailing
200 S MAIN ST
RUSSELL, KS 676652920
Phone: (785) 483-3333
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-09-06 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $14 |
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: 2006-01-13
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 |
|---|---|---|---|---|
| I20050624000990 | I | Family Practice | KS | TBD |
| I20060113000820 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68127)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KS | |
| Family Practice | KS | |
| - | KS | |
| - | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS |
Reviews
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