VALMONT P DESA (MD, DDS) – Prosthodontics, NPI 1891753067

VALMONT P DESA (MD, DDS) is a healthcare provider. based in Omaha, Nebraska. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY. They hold the professional credentials MD, DDS. They hold a License No. 22875 (NE). The NPI Number for VALMONT P DESA (MD, DDS) is 1891753067

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
VALMONT P DESA (MD, DDS)
NPI
1891753067
Phone
(402) 559-5999
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
3 May 2006
Last Update Date
5 October 2011

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4025527928
Graduation Year
2001 (25 years ago)
PAC ID
6800861295
Group Practice PAC ID
6002728391
Professional Enrollment ID
I20040830000468
Address ID
NE681051053OM4014XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

12 MAXILLOFACIAL SURGERY in NE

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Provider Addresses for VALMONT P DESA (MD, DDS)

  • University of Nebraska Medical Center, South 46th Street, Omaha, Douglas County, Nebraska, 68132, United States

    OMAHA, NE 681988102

    Phone: (402) 559-5999

    Fax: (402) 559-3499

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-03-02 • Largest payer in this snapshot: Stryker Corporation ($69).

Total Amount

$84

General + Research + Ownership

Payments

4

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040830000468IMaxillofacial SurgeryNETBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes2020$0
99212Established patient office or other outpatient visit, 10-19 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 68198)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002728391View full group profile
NameSpecialtyState
Physician AssistantNE
Infectious DiseaseNE
N E U R O L O G YNE
P A T H O L O G YNE
Medical Oncology, Hematology/OncologyNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
G A S T R O E N T E R O L O G YNE
Internal MedicineNE
N E U R O S U R G E R YNE

Reviews

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Frequently asked questions

What number should I use to identify VALMONT P DESA (MD, DDS) for billing?
Administrative and clinical systems typically use NPI 1891753067 for VALMONT P DESA (MD, DDS).
Should I treat VALMONT P DESA (MD, DDS) as an active provider?
Patients and plans typically see VALMONT P DESA (MD, DDS) as active in the national extract.
How should patients interpret VALMONT P DESA (MD, DDS)'s specialty?
The extract shows Prosthodontics for VALMONT P DESA (MD, DDS). Clinical services aligned with this taxonomy classification.
What city is tied to VALMONT P DESA (MD, DDS)?
The directory associates VALMONT P DESA (MD, DDS) with Omaha, Nebraska. Check all listed addresses for suites or satellite offices.
Who maintains VALMONT P DESA (MD, DDS)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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