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Active NPI 1487950945 Individual Practitioner Female Practitioner

Mallory Leigh Pottebaum , PA-C

Physician Assistant • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mallory Pottebaum, PA-C is a certified Physician Assistant practicing in Omaha, NE. With approximately 11 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2015, Mallory Pottebaum delivers high-quality medical care to the local community at 505 S. 45TH ST.

Mallory Pottebaum is affiliated with Unmc Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, placement of stabilizing device to back, 3-6 spine bone segments, insertion of stabilizing or separating device into lower spine at single level with open decompression. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

505 S. 45th St

Omaha, NE 681980001

Telephone 4025595600
Associated Practice Facility / Clinic
🏢 Unmc Physicians Facility NPI 1417912114

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Omaha, NE

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -0.8 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
68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pottebaum (11 Years) 11 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
105 89 $245.00 $75.78
99213 Established patient office or other outpatient visit, typically 15 minutes
41 37 $160.00 $51.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
15 15 $350.00 $112.24

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 1997

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

Unmc Physicians

Emile 42nd St, Omaha, NE 681980001

Phone: 4025594015

Unmc Physicians

987400 Nebraska Medical Ctr, Omaha, NE 681987400

Phone: 4025594000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Omar Abughanimeh , MBBS

Internal Medicine - Hematology & Oncology

NPI 1003268665

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Abbey Fingeret , MD

Surgery - Surgical Oncology

NPI 1023278827

Doctor of Medicine (M.D.)

NPI 1043369887

Doctor of Medicine (M.D.)

Dr. Michael Baine , MD

Radiology - Radiation Oncology

NPI 1043622764

Doctor of Medicine (M.D.)

Hayden Sterling , PA

Physician Assistant

NPI 1053361998

Physician Assistant

Malik Samardali

Internal Medicine - Hematology & Oncology

NPI 1073293700

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location June 25, 2019

Registered at 505 S. 45TH ST, OMAHA, NE 681980001 (Tel: 4025595600)

📍
Updated Business Mailing Address June 25, 2019

Registered at 988102 NEBRASKA MEDICAL CTR, OMAHA, NE 681988102

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2019

Physician Assistant (License #1997 in NE)

NPI Profile Active September 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2017

Registered at 13616 CALIFORNIA ST, STE 100, OMAHA, NE 681545335 (Tel: 4024960404)

📍
Updated Business Mailing Address September 21, 2017

Registered at 13616 CALIFORNIA ST, STE 100, OMAHA, NE 681545335 (Tel: 4024960404)

👤
Provider Name / Credentials Updated September 21, 2017

Recorded as MALLORY POTTEBAUM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2017

Physician Assistant

NPI Profile Active December 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2015

Registered at 13616 CALIFORNIA ST, STE 100, OMAHA, NE 681545335 (Tel: 4024960404)

📍
Updated Business Mailing Address December 23, 2015

Registered at 13616 CALIFORNIA ST, STE 100, OMAHA, NE 681545335 (Tel: 4024960404)

👤
Provider Name / Credentials Updated December 23, 2015

Recorded as MALLORY JOHNSON, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2015

Physician Assistant

🟢
Initial NPI Registration & Enumeration February 01, 2011

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: 1487950945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2011
Last Update: June 25, 2019
Sole Proprietor: No

Mailing Address

988102 Nebraska Medical Ctr

Omaha, NE 681988102

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.