LYNDSEY G DEGENHARDT (PA) – Physician Assistant, NPI 1760623086
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
Provider Addresses for LYNDSEY G DEGENHARDT (PA)
909 N 96TH ST
OMAHA, NE 681142497
Phone: (402) 330-4555
Fax: (402) 330-4626
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
1825 N 205TH ST
ELKHORN, NE 680224761
Phone: (402) 330-4555
Fax: (402) 330-4626
Type: Location
Veterans Drive, Elkhorn, Omaha, Douglas County, Nebraska, 68022, United States
ELKHORN, NE 680226912
Phone: (402) 916-5665
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 273 Open Payments records for all available years, with a total value of $4,640.
Total Amount is formed as General ($4,640) + Research ($0) + Ownership ($0) = $4,640.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,138).
Total Amount
$4,640
General + Research + Ownership
Payments
273
Total payment records
General Amount
$4,640
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,138 |
| GENZYME CORPORATION | $520 |
| Lilly USA, LLC | $495 |
| Regeneron Healthcare Solutions, Inc. | $332 |
| Incyte Corporation | $199 |
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: 2009-05-28
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 |
|---|---|---|---|---|
| I20090528000166 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 487 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 209 | 155 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 119 | 97 | $0 |
| 11300 | Shaving of skin growth of body, arms, or legs, 0.5 cm or less | 58 | 42 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 52 | 45 | $0 |
Insurance plans in this area (ZIP 68114)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NE | 17003 | Destruction of 2-14 skin growths | 119 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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