DOUGLAS PHELPS (PA-C) – Physician Assistant, NPI 1447201389
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DOUGLAS PHELPS (PA-C)
4210 PIONEER WOODS DR STE A
LINCOLN, NE 685067561
Phone: (402) 488-4321
Fax: (402) 488-4355
Type: Location
1 Mercado St
Ste 202
Durango, CO 813017300
Phone: (970) 247-5362
Fax: (970) 259-6045
Type: Location
Lincoln Road, Box Butte County, Nebraska, United States
LINCOLN, NE 685067250
Phone: (402) 328-2907
Fax: (888) 965-0959
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: 2021-11-10
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 |
|---|---|---|---|---|
| I20050802000234 | I | Physician Assistant | NE | TBD |
| I20211110000579 | I | Physician Assistant | WA | 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 | 208 | 182 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 142 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 111 | 111 | $0 |
| 73564 | X-ray of knee, 4 or more views | 61 | 59 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 56 | 55 | $0 |
Insurance plans in this area (ZIP 68506)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CO | 20610 | Aspiration and/or injection of large joint or joint capsule | 149 | 70 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Physician Assistant | NE |
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