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Active NPI 1780397018 Individual Practitioner Male Practitioner

Kyle Rotherham , PA-C

Physician Assistant - Surgical • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kyle Rotherham, PA-C is a certified Physician Assistant - Surgical practicing in Omaha, NE. With approximately 4 years of clinical experience since graduating from Creighton University School Of Medicine in 2022, Kyle Rotherham delivers high-quality medical care to the local community at 8005 FARNAM DR STE 305.

Kyle Rotherham is affiliated with Md West One, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, injection, ketorolac tromethamine, per 15 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8005 Farnam Dr Ste 305

Omaha, NE 681143426

Telephone 4023904111
Fax 4023904115
Associated Practice Facility / Clinic
🏢 Md West One, Pc Facility NPI 1588616767

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Omaha, NE

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -10.2 yrs vs City Avg
City Avg: 14.2 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
52 Specialists

Practicing in Omaha, NE (127 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rotherham (4 Years) 4 Yrs
Omaha Specialty Average (14.2 Years) 14.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
604 62 $7.00 $0.98
99213 Established patient office or other outpatient visit, typically 15 minutes
92 87 $219.16 $69.83
J1885 Injection, ketorolac tromethamine, per 15 mg
86 34 $18.00 $0.64
20610 Aspiration and/or injection of fluid from large joint
66 57 $281.82 $52.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
61 58 $320.00 $100.39
73562 X-ray of knee, 3 views
31 31 $143.68 $33.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
29 29 $494.00 $130.24
73502 X-ray of hip, 2-3 views
27 27 $152.00 $35.61
27447 Replacement of knee joint, both sides of knee
26 26 $4103.15 $155.17
27130 Replacement of thigh bone and hip joint with prosthesis
24 23 $4112.71 $155.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
22 22 $325.00 $86.88
72100 X-ray of lower and sacral spine, 2-3 views
22 22 $129.00 $30.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes
19 15 $150.00 $38.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
17 17 $520.00 $101.25
73564 X-ray of knee, 4 or more views
15 15 $165.47 $41.27
73030 X-ray of shoulder, minimum of 2 views
13 13 $106.00 $26.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
11 11 $132.00 $44.06

Medical Specialties & State Licenses

CMS Verified: 2025-10-30
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License NE 2867

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NE 1204103

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NE 2867

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IA 118173

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Md West One, Pc

8005 Farnam Dr, Omaha, NE 681143426

Phone: 4023904111

Md West One, Pc

7915 Farnam Dr, Omaha, NE 681144504

Phone: 4023991900

Md West One, Pc

8303 Dodge St, Omaha, NE 681144108

Phone: 4023544000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Samuel Phillips , MD

Orthopaedic Surgery

NPI 1033150610

Doctor of Medicine (M.D.)

Jessalyn Cochran , APRN

Nurse Practitioner

NPI 1073962700

Advanced Practice Registered Nurse

Dr. Alison Johnson , OTD

Occupational Therapist

NPI 1083349336

Doctor of Occupational Therapy

Christopher Miller , PA-C

Physician Assistant - Surgical

NPI 1124185061

Physician Assistant (Certified)

Dr. Trent Mcmullen , DPT

Physical Therapist

NPI 1124888995

Doctor of Physical Therapy

Dr. Kayvon Izadi , MD

Orthopaedic Surgery - Hand Surgery

NPI 1144369182

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2025

Physician Assistant (License #2867 in NE)

📍
Updated Business Mailing Address December 15, 2023

Registered at 8005 FARNAM DR STE 305, OMAHA, NE 681143426 (Tel: 4023904111)

NPI Profile Active January 02, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2023

Registered at 8005 FARNAM DR STE 305, OMAHA, NE 681143426 (Tel: 3083403154)

📍
Updated Business Mailing Address January 02, 2023

Registered at 4012 HARNEY ST, OMAHA, NE 681313719 (Tel: 3083403154)

👤
Provider Name / Credentials Updated January 02, 2023

Recorded as KYLE ROTHERHAM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2023

Physician Assistant (License #1204103 in NE)

🟢
Initial NPI Registration & Enumeration January 02, 2023

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: 1780397018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2023
Last Update: October 30, 2025
Sole Proprietor: No

Mailing Address

8005 Farnam Dr Ste 305

Omaha, NE 681143426

Phone: 4023904111

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.