MR. BRETT VAN KETTELHUT (M.D.) – Allergy & Immunology Physician, NPI 1538151204
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
34 ALLERGY/IMMUNOLOGY in NE
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Provider Addresses for MR. BRETT VAN KETTELHUT (M.D.)
S, Orville Plaza, Omaha, Douglas County, Nebraska, 68110, United States
STE 210
OMAHA, NE 681243253
Phone: (402) 391-1800
Fax: (402) 391-1563
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)
CMS reports 113 Open Payments records for all available years, with a total value of $4,446.
Total Amount is formed as General ($4,446) + Research ($0) + Ownership ($0) = $4,446.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,643).
Total Amount
$4,446
General + Research + Ownership
Payments
113
Total payment records
General Amount
$4,446
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,643 |
| GENZYME CORPORATION | $661 |
| Amgen Inc. | $195 |
| Regeneron Healthcare Solutions, Inc. | $189 |
| CSL Behring | $187 |
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: 2010-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20101116000635 | I | Allergy/Immunology | NE | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 68124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | NE | |
| - | NE | |
| - | NE | |
| Qualified Audiologist | NE | |
| Qualified Speech Language Pathologist | KS | |
| - | CA | |
| Physical Therapist In Private Practice | NE | |
| Qualified Audiologist | NE | |
| P S Y C H I A T R Y | NE | |
| Qualified Audiologist | NE |
Reviews
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