SHAUN C HORAK (PA-C) – Surgical Physician Assistant, NPI 1457330748
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
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Provider Addresses for SHAUN C HORAK (PA-C)
8005, Farnam Drive, Omaha, Douglas County, Nebraska, 68114, United States
STE 305
OMAHA, NE 681143426
Phone: (402) 390-4111
Fax: (402) 399-8455
Type: Mailing
Methodist HealthWest, 16120, West Dodge Road, Omaha, Douglas County, Nebraska, 68118, United States
OMAHA, NE 681182049
Phone: (402) 354-0707
Fax: (402) 354-0711
Type: Location
8005 FARNAM DR STE 305
OMAHA, NE 681143426
Phone: (402) 390-4111
Fax: (402) 390-4115
Type: Mailing
222 N 192ND ST
ELKHORN, NE 680225363
Phone: (402) 390-4111
Fax: (402) 390-4115
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2023-11-07 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($142).
Total Amount
$142
General + Research + Ownership
Payments
2
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $142 |
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: 2021-04-01
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 |
|---|---|---|---|---|
| I20071219000416 | I | Physician Assistant | NE | TBD |
| I20210401002167 | I | Physician Assistant | IA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 210 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 54 | $0 |
| 73564 | X-ray of knee, 4 or more views | 30 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 28 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 26 | 26 | $0 |
Insurance plans in this area (ZIP 68114)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NE | 20610 | Aspiration and/or injection of large joint or joint capsule | 50 | 34 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| Orthopedic Surgery | NE | |
| Nurse Practitioner | IA | |
| Physician Assistant | NE | |
| Orthopedic Surgery, Orthopedic Surgery, Hand Surgery | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Physician Assistant | NE | |
| A N E S T H E S I O L O G Y | NE | |
| Physician Assistant | NE |
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