DR. ADAIR DEBERRY-CARLISLE (D.O.) – Surgery Physician, NPI 1730110651
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
202 GENERAL SURGERY in NE
Provider Addresses for DR. ADAIR DEBERRY-CARLISLE (D.O.)
2500 Bellevue Medical Center Dr
Bellevue, NE 68123
Phone: (402) 763-3410
Type: Location
4007 James Casey St
Suite B-140
Austin, TX 787453369
Phone: (737) 202-3871
Type: Location
1200 N Beaver St
Flagstaff, AZ 860013118
Phone: (928) 779-3366
Type: Location
630 S FLEISHEL AVE
TYLER, TX 757012041
Phone: (903) 606-5560
Type: Location
700 S Park St
Madison, WI 537151830
Phone: (608) 251-6100
Fax: (608) 260-2976
Type: Location
2701 Hospital Dr
Victoria, TX 779015748
Phone: (361) 582-5771
Fax: (361) 582-5745
Type: Location
Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States
OMAHA, NE 681988102
Phone:
Type: Mailing
Nebraska Medicine – Bellevue, 2500, BMC Drive, Bellevue, Sarpy County, Nebraska, 68123, United States
BELLEVUE, NE 68123
Phone: (402) 763-3410
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: 2025-06-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20080715000166 | I | General Surgery | TX | TBD |
| I20190213000478 | I | General Surgery | NE | TBD |
| I20220827000271 | I | General Surgery | CO | TBD |
| I20220914000271 | I | General Surgery | WI | TBD |
| I20231221004018 | I | General Surgery | WV | TBD |
| I20231227001088 | I | General Surgery | SC | TBD |
| I20240530000032 | I | General Surgery | ND | TBD |
| I20250630001582 | I | General Surgery | FL | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 17 | 13 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 14 | 14 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 68123)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | TX | |
| Internal Medicine | TX | |
| Internal Medicine | TX | |
| Physical Medicine And Rehabilitation | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Family Practice | TX | |
| Geriatric Medicine, Internal Medicine | TX |
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