DR. JESSE BARONDEAU (MD) – Pediatric Adolescent Medicine Physician, NPI 1760683585

DR. JESSE BARONDEAU (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in Pediatric Adolescent Medicine Physician. They hold the professional credentials MD. They hold a License No. 24022 (NE). The NPI Number for DR. JESSE BARONDEAU (MD) is 1760683585

Main info

Male
Name
DR. JESSE BARONDEAU (MD)
NPI
1760683585
Phone
(402) 955-6935
Address
PO BOX 247037
Enumeration Date
30 May 2007
Last Update Date
28 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. JESSE BARONDEAU (MD)

  • PO BOX 247037

    OMAHA, NE 681247037

    Phone: (402) 955-6935

    Fax: (402) 955-6931

    Type: Mailing

  • 1900 GRASSLAND DR

    MITCHELL, SD 573016205

    Phone: (605) 995-7000

    Type: Mailing

  • 9040 Jackson Ave

    Tacoma, WA 984310001

    Phone: (253) 968-1980

    Type: Location

  • 8552 CASS ST

    OMAHA, NE 681143567

    Phone: (402) 955-4140

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-05-23 • Largest payer in this snapshot: ABBVIE INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$17
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: 2021-07-01

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180103001281IPediatric MedicineSDTBD
I20210701001089IPediatric MedicineNETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68124)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Can I cross-check DR. JESSE BARONDEAU (MD) using NPI 1760683585?
NPI 1760683585 belongs to DR. JESSE BARONDEAU (MD); compare other details if you need extra assurance.
Is DR. JESSE BARONDEAU (MD) shown as active in public data?
Registry records indicate DR. JESSE BARONDEAU (MD) maintains an active NPI.
What kind of doctor is DR. JESSE BARONDEAU (MD)?
DR. JESSE BARONDEAU (MD) is associated with Pediatric Adolescent Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JESSE BARONDEAU (MD)?
Travel planning: use Omaha, Nebraska as the reference point for DR. JESSE BARONDEAU (MD), then confirm.
When was this NPI issued?
Enumeration for DR. JESSE BARONDEAU (MD) is noted as May 30, 2007 where the registry provides it.

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