WALLACE CARY JR. PETERSON (MD) – Hematology & Oncology Physician, NPI 1760472039
Hematology & Oncology Physician
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Profile Insights
NPPES metrics only — not quality of care.
57 HEMATOLOGY/ONCOLOGY in NE
Provider Addresses for WALLACE CARY JR. PETERSON (MD)
201, South 68th Street Place, Lincoln, Lancaster County, Nebraska, 68510, United States
SUITE 200
LINCOLN, NE 685102496
Phone: (402) 420-7000
Fax: (402) 420-7240
Type: Mailing
4101 TIGER LILY RD STE 100
LINCOLN, NE 685165587
Phone: (402) 420-7000
Fax: (402) 420-6969
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 128 Open Payments records for all available years, with a total value of $2,145.
Total Amount is formed as General ($2,145) + Research ($0) + Ownership ($0) = $2,145.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: PFIZER INC. ($256).
Total Amount
$2,145
General + Research + Ownership
Payments
128
Total payment records
General Amount
$2,145
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $256 |
| Celgene Corporation | $184 |
| ABBVIE INC. | $147 |
| Pharmacyclics LLC, an AbbVie Company | $136 |
| Lilly USA, LLC | $109 |
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: 2005-07-20
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 |
|---|---|---|---|---|
| I20050720000742 | I | Hematology/Oncology | 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 |
|---|---|---|---|---|
| J1439 | Injection, ferric carboxymaltose, 1 mg | 21,750 | 20 | $0 |
| J9299 | Injection, nivolumab, 1 mg | 18,280 | 17 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 10,650 | 99 | $0 |
| J0897 | Injection, denosumab, 1 mg | 10,080 | 50 | $0 |
| J1453 | Injection, fosaprepitant, 1 mg | 9,900 | 36 | $0 |
Insurance plans in this area (ZIP 68510)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HEMATOLOGY/ONCOLOGY | NE | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 62 | 57 |
| HEMATOLOGY/ONCOLOGY | NE | 85610 | Blood test, clotting time | 125 | 47 |
| HEMATOLOGY/ONCOLOGY | NE | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 363 | 88 |
| HEMATOLOGY/ONCOLOGY | NE | 96415 | Infusion of chemotherapy into a vein | 103 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NE | |
| Occupational Therapist In Private Practice | NE | |
| Radiation Oncology | NE | |
| H E M A T O L O G Y/ O N C O L O G Y | NE | |
| - | NE | |
| Nurse Practitioner | NE | |
| - | NE | |
| Hematology/Oncology, Internal Medicine | NE | |
| Radiation Oncology | NE | |
| Radiation Oncology | NE |
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