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Deactivated NPI 1538277223 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry W Tanner , MD

Ophthalmology • Lincoln, NE

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Tanner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2006
NPI Deactivation Date March 19, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Tanner, MD was a registered Ophthalmology practicing in Lincoln, NE. Throughout an active medical career spanning 20 years, Dr. Tanner provided care at the practice location at 1101 S 70TH ST until profile deactivation on 2026-03-19.

Historical Medicare Part B clinical services included established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1101 S 70th St
Suite 200

Lincoln, NE 685104278

Telephone 4024863132
Fax 4024863187
Associated Practice Facility / Clinic
🏢 Somnos Laboratories Inc Facility NPI 1184676306

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Lincoln, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.3 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Lincoln, NE (125 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
23 23 $100.00 $99.05

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NE 14880

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Mario Mota , MD

Ophthalmology

NPI 1053321026

Doctor of Medicine (M.D.)

John Bader

Ophthalmology

NPI 1124588413
NPI 1629186317

Doctor of Medicine (M.D.)

NPI 1649280611

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 19, 2026

Record deactivated on March 19, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1101 S 70TH ST, SUITE 200, LINCOLN, NE 685104278 (Tel: 4024863132)

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Updated Business Mailing Address July 08, 2007

Registered at 1101 SOUTH 70TH STREET, SUITE 200, LINCOLN, NE 68510 (Tel: 4024863132)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY TANNER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #14880 in NE)

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Initial NPI Registration & Enumeration August 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538277223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2006
Last Update: July 08, 2007
Deactivation Date: March 19, 2026

Mailing Address

1101 South 70th Street, Suite 200

Lincoln, NE 68510

Phone: 4024863132

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.