LOUIS SULLY (PA) – Medical Physician Assistant, NPI 1346212966
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,406 PHYSICIAN ASSISTANT in NE
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Provider Addresses for LOUIS SULLY (PA)
North 129th Street, Omaha, Douglas County, Nebraska, 68164, United States
OMAHA, NE 681546109
Phone: (402) 397-0670
Fax: (402) 397-0713
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 $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2024-07-03 • Largest payer in this snapshot: Optinose US, Inc. ($76).
Total Amount
$141
General + Research + Ownership
Payments
7
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optinose US, Inc. | $76 |
| Acclarent, Inc | $38 |
| Merck Sharp & Dohme LLC | $27 |
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: 2010-09-29
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20100929000500 | I | Physician Assistant | 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 | 535 | 322 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 240 | 240 | $0 |
| 30901 | Simple control of nose bleed | 47 | 37 | $0 |
| 92504 | Exam of ear using a microscope | 47 | 45 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 30 | 30 | $0 |
Insurance plans in this area (ZIP 68154)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | NE | |
| Physician Assistant | NE | |
| O T O L A R Y N G O L O G Y | NE | |
| Physician Assistant | NE | |
| Plastic And Reconstructive Surgery, Otolaryngology | NE | |
| O T O L A R Y N G O L O G Y | NE | |
| Qualified Audiologist | NE |
Reviews
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