DR. ADAIR DEBERRY-CARLISLE (D.O.) – Surgery Physician, NPI 1730110651

DR. ADAIR DEBERRY-CARLISLE (D.O.) is a healthcare provider. based in Bellevue, Nebraska. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials D.O.. They hold a License No. 1974 (NE). The NPI Number for DR. ADAIR DEBERRY-CARLISLE (D.O.) is 1730110651

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADAIR DEBERRY-CARLISLE (D.O.)
NPI
1730110651
Phone
(402) 763-3410
Address
2500 Bellevue Medical Center Dr
Enumeration Date
6 July 2006
Last Update Date
2 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
0941373617
Group Practice PAC ID
3173433265
Professional Enrollment ID
I20250630001582
Address ID
TX770251168HO4009XBLVD301

Contacts

Secure Messaging
adeberrycarlisle432471@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience93
Completeness85
Years active:19State licenses:5Other namesUpdated within 12 months

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080715000166IGeneral SurgeryTXTBD
I20190213000478IGeneral SurgeryNETBD
I20220827000271IGeneral SurgeryCOTBD
I20220914000271IGeneral SurgeryWITBD
I20231221004018IGeneral SurgeryWVTBD
I20231227001088IGeneral SurgerySCTBD
I20240530000032IGeneral SurgeryNDTBD
I20250630001582IGeneral SurgeryFLTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1713$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1414$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 68123)

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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: 3173433265View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Internal MedicineTX
Internal MedicineTX
Physical Medicine And RehabilitationTX
Internal MedicineTX
Nurse PractitionerTX
Orthopedic SurgeryTX
Family PracticeTX
Geriatric Medicine, Internal MedicineTX

Reviews

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Frequently asked questions

What NPI should I save for DR. ADAIR DEBERRY-CARLISLE (D.O.)?
Save NPI 1730110651 if you need a stable reference for DR. ADAIR DEBERRY-CARLISLE (D.O.).
Is DR. ADAIR DEBERRY-CARLISLE (D.O.) currently active in the NPI registry?
CMS-published data lists DR. ADAIR DEBERRY-CARLISLE (D.O.) as an active registrant.
What kind of provider is DR. ADAIR DEBERRY-CARLISLE (D.O.)?
The page reflects Surgery Physician for DR. ADAIR DEBERRY-CARLISLE (D.O.). Clinical services aligned with this taxonomy classification.
Does DR. ADAIR DEBERRY-CARLISLE (D.O.) practice in Nebraska?
You will see Bellevue, Nebraska on file for DR. ADAIR DEBERRY-CARLISLE (D.O.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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