Active NPI 1093729063 Individual Practitioner Male Practitioner

Andrew P Dibelka , PA-C

Physician Assistant • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Andrew Dibelka, PA-C is a certified Physician Assistant practicing in Omaha, NE. With approximately 22 years of clinical experience since completing medical education in 2004, Andrew Dibelka delivers high-quality medical care to the local community at 2725 S 144TH ST STE 212.

Andrew Dibelka is affiliated with Orthowest, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, x-ray of shoulder, minimum of 2 views, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2725 S 144th St Ste 212

Omaha, NE 681445253

Telephone 4026370800

Fax 4026370808

Associated Practice Facility / Clinic

🏢 Orthowest Llc Facility NPI 1275641904

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Omaha, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +10.2 yrs vs City Avg

City Avg: 11.8 Yrs

State Avg: 14.6 Yrs

Regional Practice Density

552 Specialists

Practicing in Omaha, NE (1366 Statewide)

Telehealth Adoption Rate

12.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dibelka (22 Years) 22 Yrs

Omaha Specialty Average (11.8 Years) 11.8 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
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	138	52	$12.00	$7.01
73030 X-ray of shoulder, minimum of 2 views	64	55	$73.00	$26.83
20610 Aspiration and/or injection of fluid from large joint	59	54	$198.98	$53.78
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	58	57	$137.55	$20.30
23472 Prosthetic repair of shoulder joint, total shoulder	54	53	$1032.00	$173.30
29827 Repair of shoulder rotator cuff using an endoscope	54	53	$760.81	$128.88
99213 Established patient office or other outpatient visit, typically 15 minutes	48	45	$186.67	$69.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$255.97	$86.43
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$477.00	$32.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$109.85	$43.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	132	42	$12.00	$6.55
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	67	65	$125.00	$21.03
29827 Repair of shoulder rotator cuff using an endoscope	67	65	$791.93	$132.48
23472 Prosthetic repair of shoulder joint, total shoulder	66	64	$1032.00	$178.30
20610 Aspiration and/or injection of fluid from large joint	57	43	$197.00	$54.62
73030 X-ray of shoulder, minimum of 2 views	52	43	$73.00	$27.48
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$163.00	$72.03
29824 Partial removal of collar bone at shoulder using an endoscope	26	25	$477.00	$28.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$240.00	$102.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$232.07	$88.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$99.00	$44.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	128	53	$12.00	$6.70
99213 Established patient office or other outpatient visit, typically 15 minutes	73	71	$160.00	$72.83
23472 Prosthetic repair of shoulder joint, total shoulder	73	72	$1012.00	$179.45
29827 Repair of shoulder rotator cuff using an endoscope	67	67	$776.27	$132.10
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	66	66	$123.00	$21.11
20610 Aspiration and/or injection of fluid from large joint	60	53	$178.13	$53.35
73030 X-ray of shoulder, minimum of 2 views	51	48	$72.00	$27.69
29823 Removal of extensive shoulder joint tissue using an endoscope	27	25	$433.00	$21.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$232.00	$86.14
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$468.00	$25.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	147	60	$12.00	$7.01
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	75	74	$123.00	$21.66
29827 Repair of shoulder rotator cuff using an endoscope	73	72	$745.55	$134.68
20610 Aspiration and/or injection of fluid from large joint	69	60	$183.94	$53.24
73030 X-ray of shoulder, minimum of 2 views	63	55	$72.00	$27.27
99213 Established patient office or other outpatient visit, typically 15 minutes	52	50	$160.00	$73.63
23472 Prosthetic repair of shoulder joint, total shoulder	44	43	$1012.00	$181.65
29823 Removal of extensive shoulder joint tissue using an endoscope	26	26	$433.00	$15.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$232.00	$90.00
29824 Partial removal of collar bone at shoulder using an endoscope	22	22	$468.00	$31.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$97.00	$45.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	219	54	$12.00	$7.08
73030 X-ray of shoulder, minimum of 2 views	78	67	$72.00	$25.91
99213 Established patient office or other outpatient visit, typically 15 minutes	77	76	$151.43	$59.06
29827 Repair of shoulder rotator cuff using an endoscope	67	65	$809.54	$134.92
23472 Prosthetic repair of shoulder joint, total shoulder	65	65	$1012.00	$181.24
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	65	62	$123.00	$21.99
20610 Aspiration and/or injection of fluid from large joint	62	55	$193.94	$53.63
29823 Removal of extensive shoulder joint tissue using an endoscope	38	38	$433.00	$26.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$215.24	$85.50
73020 X-ray of shoulder, 1 view	19	19	$56.00	$6.36
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$468.00	$30.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	202	45	$12.00	$6.78
23472 Prosthetic repair of shoulder joint, total shoulder	77	75	$1012.00	$182.20
29827 Repair of shoulder rotator cuff using an endoscope	71	67	$769.20	$134.62
99213 Established patient office or other outpatient visit, typically 15 minutes	69	63	$150.00	$58.86
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	67	63	$417.24	$23.94
73030 X-ray of shoulder, minimum of 2 views	66	56	$72.00	$23.25
20610 Aspiration and/or injection of fluid from large joint	54	46	$176.28	$46.77
29823 Removal of extensive shoulder joint tissue using an endoscope	47	46	$433.00	$21.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$218.13	$86.20
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$468.00	$25.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	177	42	$12.00	$6.81
29827 Repair of shoulder rotator cuff using an endoscope	73	71	$750.22	$131.66
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	67	65	$526.00	$21.60
23472 Prosthetic repair of shoulder joint, total shoulder	62	60	$1012.00	$179.17
99213 Established patient office or other outpatient visit, typically 15 minutes	61	56	$150.00	$57.17
73030 X-ray of shoulder, minimum of 2 views	52	49	$72.00	$22.89
29823 Removal of extensive shoulder joint tissue using an endoscope	50	49	$437.34	$21.11
20610 Aspiration and/or injection of fluid from large joint	45	42	$185.56	$47.94
29824 Partial removal of collar bone at shoulder using an endoscope	23	23	$468.00	$30.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$214.29	$84.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	118	29	$12.00	$6.32
29827 Repair of shoulder rotator cuff using an endoscope	60	58	$774.00	$127.79
23472 Prosthetic repair of shoulder joint, total shoulder	57	55	$1012.00	$174.66
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	57	56	$526.00	$20.93
99213 Established patient office or other outpatient visit, typically 15 minutes	53	53	$150.00	$57.77
73030 X-ray of shoulder, minimum of 2 views	50	45	$72.00	$22.54
29823 Removal of extensive shoulder joint tissue using an endoscope	34	34	$433.00	$18.04
20610 Aspiration and/or injection of fluid from large joint	29	27	$167.00	$46.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$210.00	$82.57
29824 Partial removal of collar bone at shoulder using an endoscope	17	17	$468.00	$28.39

Medical Specialties & State Licenses

CMS Verified: 2020-12-30

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 1139

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs Of Nebraska

38531 (NE)

Commercial Insurance / Payer ID Medicare Railroad

P00157396 (NE)

Hospital & Practice Group Affiliations

Orthowest, Llc

2725 S 144th St, Omaha, NE 681445253

Phone: 4026093000

Practice Associates & Co-Workers

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

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Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 30, 2020

Registered at 2725 S 144TH ST STE 212, OMAHA, NE 681445253 (Tel: 4026370800)

📍

Updated Business Mailing Address December 30, 2020

Registered at 2725 S 144TH ST STE 212, OMAHA, NE 681445253 (Tel: 4026370800)

👤

Provider Name / Credentials Updated December 30, 2020

Recorded as ANDREW DIBELKA, PAC

✅

NPI Profile Active August 02, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 02, 2013

Registered at 2725 SOUTH 144TH STREET, SUITE 212, OMAHA, NE 681445253 (Tel: 4026370800)

📍

Updated Business Mailing Address August 02, 2013

Registered at 2725 SOUTH 144TH STREET, SUITE 212, OMAHA, NE 681445253 (Tel: 4026370800)

👤

Provider Name / Credentials Updated August 02, 2013

Recorded as ANDREW DIBELKA, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2013

Physician Assistant (License #1139 in NE)

🟢

Initial NPI Registration & Enumeration July 28, 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: 1093729063

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 28, 2006

Last Update: December 30, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2725 S 144th St Ste 212

Omaha, NE 681445253

Phone: 4026370800

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.