Doctor profile · Federal record

Dr. Andrew Dibelka, PAC

Physician Assistant · Omaha, NE

  • NPI 1093729063
  • Accepts Medicare
  • 22 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2725 S 144Th St Ste 212
Omaha, NE 681445253
(402) 637-0800
fax (402) 637-0808

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
December 30, 2020
Year of graduation
2004 — 22 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Nebraska #1139

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1093729063. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
552
Distinct HCPCS
10
Medicare allowed
$34,662
HCPCS Description Services Patients Avg allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 132 42 $7
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope 67 65 $21
29827 Repair of shoulder rotator cuff using an endoscope 67 65 $132
23472 Prosthetic repair of shoulder joint, total shoulder 66 64 $178
20610 Aspiration and/or injection of fluid from large joint 57 43 $55
73030 X-ray of shoulder, minimum of 2 views 52 43 $27
99213 Established patient office or other outpatient visit, 20-29 minutes 40 37 $72
29824 Partial removal of collar bone at shoulder using an endoscope 26 25 $28
99214 Established patient office or other outpatient visit, 30-39 minutes 16 16 $102
99203 New patient office or other outpatient visit, 30-44 minutes 15 15 $89

In context: peer comparison

Among 130 peers in this city , average services per provider: 176. This provider delivers 3.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
306
Patients
258
Total drug cost
$2,656
Drug Type Claims Patients Total cost
Oxycodone Hcl Generic 96 82 $798
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 84 67 $1,207
Meloxicam Generic 57 50 $359
Tramadol Hcl Generic 39 30 $155
Naproxen Generic 15 14 $91
Prednisone Generic 15 15 $46

Frequently asked questions

Auto-generated from federal data
What is Dr. Andrew Dibelka's medical specialty?
Dr. Andrew Dibelka practices Physician Assistant in Omaha, NE.
Where does Dr. Andrew Dibelka practice?
Dr. Andrew Dibelka practices at 2725 S 144Th St Ste 212, Omaha, NE 681445253. Office phone: 4026370800.
What is Dr. Andrew Dibelka's NPI?
Dr. Andrew Dibelka's National Provider Identifier (NPI) is 1093729063, issued by NPPES.
Does Dr. Andrew Dibelka accept Medicare assignment?
Yes. Dr. Andrew Dibelka accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Andrew Dibelka commonly perform?
Top Medicare-reported procedures in 2023: Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS J0702); Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS 29826); Repair of shoulder rotator cuff using an endoscope (HCPCS 29827). Source: CMS Medicare Physician & Other Practitioners file.