KEVIN C SISK (D.O.) – Family Medicine Physician, NPI 1629330535

KEVIN C SISK (D.O.) is a healthcare provider. based in Blair, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 2015015493 (MO). The NPI Number for KEVIN C SISK (D.O.) is 1629330535

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN C SISK (D.O.)
NPI
1629330535
Phone
(402) 426-2182
Address
810 N 22ND ST
Enumeration Date
15 June 2012
Last Update Date
17 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
4024684655
Graduation Year
2012 (14 years ago)
PAC ID
3779716824
Group Practice PAC ID
0749190775
Professional Enrollment ID
I20151012001153
Address ID
NE680235066FO4929XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

953 FAMILY PRACTICE in NE

Provider Addresses for KEVIN C SISK (D.O.)

  • 810 N 22ND ST

    BLAIR, NE 680081128

    Phone: (402) 426-2182

    Type: Mailing

  • 812 N 22ND ST

    BLAIR, NE 680081128

    Phone: (402) 426-4611

    Fax: (402) 426-4642

    Type: Location

  • 2501 Capehart Rd

    Offutt AFB, NE 681131043

    Phone: (402) 294-2056

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $589.

Total Amount is formed as General ($589) + Research ($0) + Ownership ($0) = $589.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($131).

Total Amount

$589

General + Research + Ownership

Payments

34

Total payment records

General Amount

$589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2016-07-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160728000154IFamily PracticeNETBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3232$0
45380Biopsy of large bowel using a flexible endoscope3030$0
View full utilization report →

Insurance plans in this area (ZIP 68008)

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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: 0749190775View full group profile
NameSpecialtyState
Physician AssistantNE
Family PracticeNE
Physician AssistantNE
Family PracticeNE
Nurse PractitionerNE
Physician AssistantNE
Internal Medicine, RheumatologyNE
-NE
Physician AssistantNE
-NE

Reviews

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Frequently asked questions

How do payers reference KEVIN C SISK (D.O.)?
For KEVIN C SISK (D.O.), use NPI 1629330535 as the unique 10-digit identifier.
Is KEVIN C SISK (D.O.) still an active registrant?
KEVIN C SISK (D.O.) carries an active NPI according to the public dataset.
What area of care is associated with KEVIN C SISK (D.O.)?
KEVIN C SISK (D.O.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Nebraska is KEVIN C SISK (D.O.) registered?
Use Blair, Nebraska as the headline location for KEVIN C SISK (D.O.) here.
Can I trust this NPI listing for KEVIN C SISK (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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