Doctor profile · Federal record
Dr. Jaclyn Grevengoed, PT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Omaha, NE
- NPI 1144650482
- Accepts Medicare
- 13 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
13616 California St Ste 100
Omaha, NE 681545336
(402) 496-0404 - Mailing address
-
7505 Country Club Dr
Golden Valley, MN 554274501
Credentials & registration
- NPI registered
- November 2013 — 13 yrs on file
- Profile last updated
- September 11, 2023
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Nebraska #3922
- Medicaid
- NE #47081304012
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1144650482. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,224
Distinct HCPCS
6
Medicare allowed
$40,236
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 666 | 112 | $22 | |
97530 |
Therapy procedure using functional activities | 426 | 94 | $32 | |
97163 |
Evaluation for physical therapy, typically 45 minutes | 53 | 46 | $95 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 44 | 40 | $95 | |
97164 |
Re-evaluation for physical therapy, typically 20 minutes | 24 | 24 | $64 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 11 | 11 | $89 |
In context: peer comparison
Among 97 peers in this city , average services per provider: 386. This provider delivers 3.2× the peer median.Frequently asked questions
What is Dr. Jaclyn Grevengoed's medical specialty?
Dr. Jaclyn Grevengoed practices Physical Therapist in Omaha, NE.
Where does Dr. Jaclyn Grevengoed practice?
Dr. Jaclyn Grevengoed practices at 13616 California St Ste 100, Omaha, NE 681545336. Office phone: 4024960404.
What is Dr. Jaclyn Grevengoed's NPI?
Dr. Jaclyn Grevengoed's National Provider Identifier (NPI) is 1144650482, issued by NPPES.
Does Dr. Jaclyn Grevengoed accept Medicare assignment?
Yes. Dr. Jaclyn Grevengoed accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jaclyn Grevengoed commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using functional activities (HCPCS 97530); Evaluation for physical therapy, typically 45 minutes (HCPCS 97163). Source: CMS Medicare Physician & Other Practitioners file.