EMILY R KEAN PUCCIONI (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1881697944
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
70 UROLOGY in NE
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Provider Addresses for EMILY R KEAN PUCCIONI (MD)
Omaha Post Office, Collins Street, Omaha, Boone County, Arkansas, 72662, United States
OMAHA, NE 681080577
Phone: (402) 397-7989
Fax: (402) 397-8703
Type: Mailing
10707, Pacific Street, Omaha, Douglas County, Nebraska, 68124, United States
SUITE 101
OMAHA, NE 681144762
Phone: (402) 397-7989
Fax: (402) 393-7554
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,993.
Total Amount is formed as General ($1,993) + Research ($0) + Ownership ($0) = $1,993.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Valencia Technologies Corporation ($735).
Total Amount
$1,993
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,993
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Valencia Technologies Corporation | $735 |
| Sumitomo Pharma America, Inc. | $541 |
| Axonics, Inc. | $266 |
| ABBVIE INC. | $201 |
| Boston Scientific Corporation | $56 |
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: 2011-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20041015000347 | I | Urology | NE | TBD |
| I20110929000609 | I | Obstetrics/Gynecology | IA | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 5,201 | 21 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 4,450 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 613 | 416 | $0 |
| 81003 | Automated urinalysis test | 446 | 287 | $0 |
| 51701 | Insertion of temporary bladder tube | 336 | 280 | $0 |
Insurance plans in this area (ZIP 68108)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | NE | 76830 | Ultrasound pelvis through vagina | 17 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NE | |
| U R O L O G Y | NE | |
| U R O L O G Y | NE | |
| Nurse Practitioner | NE | |
| U R O L O G Y | KS | |
| U R O L O G Y | NE | |
| U R O L O G Y | NE | |
| Nurse Practitioner | NE | |
| U R O L O G Y | NE | |
| P A T H O L O G Y | NE |
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