ROBERT G. BONEBRAKE (M.D.) – Maternal & Fetal Medicine Physician, NPI 1386758761
Maternal & Fetal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 OBSTETRICS/GYNECOLOGY in NE
Provider Addresses for ROBERT G. BONEBRAKE (M.D.)
717 N 190TH PLZ
SUITE 2400
ELKHORN, NE 680223913
Phone: (402) 815-1970
Fax: (402) 815-1595
Type: Location
Omaha Post Office, Collins Street, Omaha, Boone County, Arkansas, 72662, United States
OMAHA, NE 681032797
Phone: (402) 354-4230
Fax: (402) 354-6171
Type: Mailing
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20071031000426 | I | Obstetrics/Gynecology | NE | TBD |
| I20160406000261 | I | Obstetrics/Gynecology | IA | TBD |
| I20220105002431 | I | Obstetrics/Gynecology | SD | 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 68022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| Physician Assistant | VA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NE | |
| P A T H O L O G Y | NE | |
| Nurse Practitioner | NE | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NE | |
| Nurse Practitioner | NE | |
| Maxillofacial Surgery | NE | |
| P A T H O L O G Y | NE | |
| - | NE |
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