SCOTT WILLIAM LUNDGREN (DO) – Advanced Heart Failure and Transplant Cardiology Physician, NPI 1487092086

SCOTT WILLIAM LUNDGREN (DO) is a healthcare provider. based in Omaha, Nebraska. specializing in HOSPITALIST, ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY. They hold the professional credentials DO. They hold a License No. 1339 (NE). The NPI Number for SCOTT WILLIAM LUNDGREN (DO) is 1487092086

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT WILLIAM LUNDGREN (DO)
NPI
1487092086
Phone
Not provided
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
6 June 2013
Last Update Date
13 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4025596195
Graduation Year
2013 (13 years ago)
PAC ID
9436372737
Group Practice PAC ID
6002728391
Professional Enrollment ID
I20220323000487
Address ID
IA516012355SH300XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

304 HOSPITALIST in NE

Provider Addresses for SCOTT WILLIAM LUNDGREN (DO)

  • 988102 NEBRASKA MEDICAL CTR

    OMAHA, NE 681988102

    Phone:

    Type: Mailing

  • EMILE @ 42ND ST

    OMAHA, NE 681980001

    Phone: (402) 559-8888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 196 Open Payments records for all available years, with a total value of $66,891.

Total Amount is formed as General ($66,891) + Research ($0) + Ownership ($0) = $66,891.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Abbott Laboratories ($62,453).

Total Amount

$66,891

General + Research + Ownership

Payments

196

Total payment records

General Amount

$66,891

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-03-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161010000122IAdvanced Heart Failure And Transplant CardiologyNETBD
I20220323000487IAdvanced Heart Failure And Transplant CardiologyIATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function202197$0
99214Established patient office or other outpatient visit, 30-39 minutes196111$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes17946$0
93264Remote monitoring of pulmonary artery pressure sensor, up to 30 days12617$0
99291Critical care, first 30-74 minutes7028$0
View full utilization report →

Insurance plans in this area (ZIP 68198)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002728391View full group profile
NameSpecialtyState
Physician AssistantNE
Infectious DiseaseNE
N E U R O L O G YNE
P A T H O L O G YNE
Medical Oncology, Hematology/OncologyNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
G A S T R O E N T E R O L O G YNE
Internal MedicineNE
N E U R O S U R G E R YNE

Reviews

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Frequently asked questions

Is SCOTT WILLIAM LUNDGREN (DO) listed with a National Provider Identifier?
Yes — SCOTT WILLIAM LUNDGREN (DO) has NPI 1487092086 on file in the registry.
Is there an active status for SCOTT WILLIAM LUNDGREN (DO)?
For scheduling context, SCOTT WILLIAM LUNDGREN (DO) is shown as active in the registry.
What area of care is associated with SCOTT WILLIAM LUNDGREN (DO)?
SCOTT WILLIAM LUNDGREN (DO)'s record emphasizes Advanced Heart Failure and Transplant Cardiology Physician. Clinical services aligned with this taxonomy classification.
Is SCOTT WILLIAM LUNDGREN (DO) located near Omaha?
SCOTT WILLIAM LUNDGREN (DO) currently maps to Omaha, Nebraska in this extract.
When was this NPI issued?
Enumeration for SCOTT WILLIAM LUNDGREN (DO) is noted as June 6, 2013 where the registry provides it.

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