Doctor profile · Federal record
Dr. Kyle Rotherham, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Physician Assistant · Physician Assistant · Physician Assistant · Omaha, NE
- NPI 1780397018
- Accepts Medicare
- 4 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8005 Farnam Dr Ste 305
Omaha, NE 681143426
(402) 390-4111
fax (402) 390-4115
Credentials & registration
- NPI registered
- January 2023 — 3 yrs on file
- Profile last updated
- October 30, 2025
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (3)
- Nebraska #2867 · Nebraska #1204103 · Iowa #118173
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1780397018. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
910
Distinct HCPCS
10
Medicare allowed
$23,109
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 560 | 58 | $1 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 64 | 57 | $71 | |
J1885 |
Injection, ketorolac tromethamine, per 15 mg | 54 | 25 | $1 | |
20610 |
Aspiration and/or injection of fluid from large joint | 49 | 46 | $51 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 36 | 34 | $101 | |
27447 |
Replacement of knee joint, both sides of knee | 26 | 25 | $157 | |
73562 |
X-ray of knee, 3 views | 25 | 25 | $27 | |
73502 |
X-ray of hip, 2-3 views | 18 | 16 | $29 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $85 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $131 |
In context: peer comparison
Among 13 peers in this city , average services per provider: 77. This provider delivers 12× the peer median.Open Payments
Industry payments received
All-time total
$1,177
Transactions
10
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Conetic Solutions, Inc. | 3 | $687.19 | |
| Arthrex, Inc. | 7 | $489.90 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
426
Patients
278
Total drug cost
$3,903
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tramadol Hcl | Generic | 91 | 66 | $345 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 89 | 64 | $1,084 |
| Cyclobenzaprine Hcl | Generic | 75 | 58 | $464 |
| Ondansetron Hcl | Generic | 53 | 51 | $579 |
| Diclofenac Sodium | Generic | 39 | 0 | $417 |
| Dexamethasone | Generic | 23 | 22 | $305 |
| Celecoxib | Generic | 22 | 0 | $408 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 21 | 17 | $265 |
| Meloxicam | Generic | 13 | 0 | $37 |
Hospital affiliations
Frequently asked questions
What is Dr. Kyle Rotherham's medical specialty?
Dr. Kyle Rotherham practices Surgical Physician Assistant in Omaha, NE.
Where does Dr. Kyle Rotherham practice?
Dr. Kyle Rotherham practices at 8005 Farnam Dr Ste 305, Omaha, NE 681143426. Office phone: 4023904111.
What is Dr. Kyle Rotherham's NPI?
Dr. Kyle Rotherham's National Provider Identifier (NPI) is 1780397018, issued by NPPES.
Does Dr. Kyle Rotherham accept Medicare assignment?
Yes. Dr. Kyle Rotherham accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kyle Rotherham commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Established patient office or other outpatient visit (HCPCS 99213); Injection, ketorolac tromethamine, per 15 mg (HCPCS J1885). Source: CMS Medicare Physician & Other Practitioners file.