MR. BENJAMIN BRIAN PETERSEN (D.P.T.) – Physical Therapist, NPI 1356314413
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE
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Provider Addresses for MR. BENJAMIN BRIAN PETERSEN (D.P.T.)
North 26th Street, Clinton, Lincoln, Lancaster County, Nebraska, 68503, United States
SUITE 100
LINCOLN, NE 685214739
Phone: (402) 477-3110
Fax: (402) 477-4990
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: 2005-03-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20050315000948 | I | Physical Therapist In Private Practice | NE | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2,645 | 123 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 1,426 | 97 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 666 | 68 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 179 | 23 | $0 |
| 97035 | Application of ultrasound, each 15 minutes | 130 | 19 | $0 |
Insurance plans in this area (ZIP 68521)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NE | |
| Physical Therapist In Private Practice | NE | |
| Physical Therapist In Private Practice | NE | |
| Occupational Therapist In Private Practice | NE | |
| - | NE | |
| Physical Therapist In Private Practice | NE | |
| Occupational Therapist In Private Practice | NE | |
| Physical Therapist In Private Practice | NE | |
| Physical Therapist In Private Practice | NE | |
| Physical Therapist In Private Practice | MT |
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