SEAN MULLENDORE (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1821081365
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
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Provider Addresses for SEAN MULLENDORE (M.D.)
Ice Box, Omaha Boulevard, El Paso County, Colorado, 80915, United States
OMAHA, NE 681648117
Phone: (402) 717-4377
Fax: (402) 717-4317
Type: Mailing
CHI Health Clinic, 3308, Samson Way, Daniel Crossing, Bellevue, Sarpy County, Nebraska, 68123, United States
SUITE 101
BELLEVUE, NE 681233194
Phone: (402) 827-1577
Fax: (402) 898-3134
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 88 Open Payments records for all available years, with a total value of $1,688.
Total Amount is formed as General ($1,688) + Research ($0) + Ownership ($0) = $1,688.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($457).
Total Amount
$1,688
General + Research + Ownership
Payments
88
Total payment records
General Amount
$1,688
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $457 |
| Lilly USA, LLC | $239 |
| AstraZeneca Pharmaceuticals LP | $178 |
| Novo Nordisk Inc | $143 |
| PFIZER INC. | $115 |
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: 2007-09-07
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 |
|---|---|---|---|---|
| I20070907000756 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 284 | 151 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 281 | 176 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 153 | 106 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 122 | 122 | $0 |
| G0008 | Administration of influenza virus vaccine | 48 | 48 | $0 |
Insurance plans in this area (ZIP 68164)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | NE | |
| Orthopedic Surgery | NE | |
| Physician Assistant | NE | |
| Cardiovascular Disease (Cardiology) | NE | |
| H O S P I T A L I S T | CA | |
| N E U R O L O G Y | MO | |
| U R O L O G Y | NE | |
| Hospitalist, Internal Medicine | IA | |
| Family Practice | NE | |
| Orthopedic Surgery | IL |
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