DR. STEPHEN JOSEPH KRUSZKA (D.O.) – Obstetrics & Gynecology Physician, NPI 1568416428
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 OBSTETRICS/GYNECOLOGY in NE
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Provider Addresses for DR. STEPHEN JOSEPH KRUSZKA (D.O.)
Candlewood Church, 8701, Pacific Street, Omaha, Douglas County, Nebraska, 68114, United States
OMAHA, NE 681246963
Phone: (402) 391-5022
Fax: (402) 496-3561
Type: Mailing
CHI Health Clinic Plastic & Reconstructive Surgery (CUMC-Bergan Mercy), 7710, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States
SUITE 201
OMAHA, NE 681242346
Phone: (402) 391-5022
Fax: (402) 496-3561
Type: Location
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: 2024-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20040609000983 | I | Obstetrics/Gynecology | NE | TBD |
| I20220428002676 | I | Obstetrics/Gynecology | AR | TBD |
| I20220506001171 | I | Obstetrics/Gynecology | IL | TBD |
| I20221227000027 | I | Obstetrics/Gynecology | TX | TBD |
| I20230719002363 | I | Obstetrics/Gynecology | OK | TBD |
| I20240226003330 | I | Obstetrics/Gynecology | MO | 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 68124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Physician Assistant | NE |
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