JOHN J PALOUCEK (OD) – Optometrist, NPI 1700872405
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
338 OPTOMETRY in NE
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Provider Addresses for JOHN J PALOUCEK (OD)
211, North Spruce Street, Ogallala, Keith County, Nebraska, 69153, United States
PO BOX 568
OGALLALA, NE 691532552
Phone: (308) 284-4384
Fax: (308) 284-4123
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 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-05-08 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Carl Zeiss Meditec USA, Inc. | $19 |
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: 2004-11-15
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 |
|---|---|---|---|---|
| I20041115000568 | I | Optometry | 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 | 378 | 311 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 53 | 53 | $0 |
| 92134 | Imaging of retina | 46 | 45 | $0 |
| 92083 | Exam of visual field with extended testing | 34 | 34 | $0 |
| 92133 | Imaging of optic nerve | 32 | 32 | $0 |
Insurance plans in this area (ZIP 69153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NE |
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