MARY OTTEMAN (PA) – Physician Assistant, NPI 1821541905
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,397 PHYSICIAN ASSISTANT in NE
Provider Addresses for MARY OTTEMAN (PA)
16910 FRANCES ST
OMAHA, NE 681302398
Phone: (402) 505-8777
Fax: (402) 933-7767
Type: Location
Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States
OMAHA, NE 681988102
Phone: (402) 559-6195
Type: Mailing
EMILE 42ND ST
OMAHA, NE 681980001
Phone: (402) 559-8000
Fax: (402) 559-8746
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 167 Open Payments records for all available years, with a total value of $3,649.
Total Amount is formed as General ($3,649) + Research ($0) + Ownership ($0) = $3,649.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: ABBVIE INC. ($551).
Total Amount
$3,649
General + Research + Ownership
Payments
167
Total payment records
General Amount
$3,649
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $551 |
| Incyte Corporation | $362 |
| GENZYME CORPORATION | $358 |
| Janssen Biotech, Inc. | $261 |
| Amgen Inc. | $192 |
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: 2016-10-17
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 |
|---|---|---|---|---|
| I20161017001621 | 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 | 172 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 105 | 80 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 68 | 40 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 53 | 39 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 43 | 32 | $0 |
Insurance plans in this area (ZIP 68130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | SD |
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