LARRY G KISBY (PA-C) – Physician Assistant, NPI 1639127517
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,397 PHYSICIAN ASSISTANT in NE
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Provider Addresses for LARRY G KISBY (PA-C)
710, Reynolds Road, Fremont, Dodge County, Nebraska, 68025, United States
FREMONT, NE 680252300
Phone: (402) 727-1091
Fax: (402) 727-7628
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 79 Open Payments records for all available years, with a total value of $1,182.
Total Amount is formed as General ($1,182) + Research ($0) + Ownership ($0) = $1,182.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($180).
Total Amount
$1,182
General + Research + Ownership
Payments
79
Total payment records
General Amount
$1,182
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $180 |
| PFIZER INC. | $172 |
| Novo Nordisk Inc | $158 |
| GlaxoSmithKline, LLC. | $147 |
| Lilly USA, LLC | $144 |
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: 2008-09-02
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 |
|---|---|---|---|---|
| I20080902000109 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 480 | 281 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 281 | 169 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 216 | 134 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 100 | 100 | $0 |
| 81003 | Automated urinalysis test | 83 | 56 | $0 |
Insurance plans in this area (ZIP 68025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| N E U R O L O G Y | NE | |
| Family Practice, Hospitalist | IA | |
| Nurse Practitioner | NE | |
| Internal Medicine | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| Infectious Disease | NE | |
| - | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NE |
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