Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kimberly J Dierks , PA-C

Physician Assistant โ€ข Omaha, NE

Active NPI 1750374666 Individual Practitioner Female Practitioner
Practice location in NPPES

139 S 40th St
Omaha, NE 681313003

Call 4025953939 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

139 S 40th St

Omaha, NE 681313003

Telephone 4025953939
Fax 4025953898
Organization at the Same NPPES Address or Phone
New Century Physicians Of Nebraska Llc Facility NPI 1013916600

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Omaha, NE. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare patients

57 people with Original Medicare in 2019

Different Original Medicare patients in 2019; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2019.

Medicare-allowed amount

About $1,201 in 2019

The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2019.

Paid by Medicare

About $940 in 2019

The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2019.

30-day fills

28 standardized 30-day fills in 2019

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$168 in 2019

The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2019.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $14.66 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kimberly Dierks has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kimberly Dierks as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Omaha and Nebraska

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Kimberly Dierks are from 2019.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Kimberly Dierks are from 2019.

552 active clinicians are listed under Physician Assistant with a practice address in Omaha, NE (1,371 in Nebraska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Omaha

12.5% of these 552 clinicians have the CMS telehealth indicator.

67.4% of these 552 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2019), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $14.66.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
IMBRUVICA General $14.66

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2019.

CMS Part B ยท Data Year 2019
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018โ€“2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
25 25 $160.00 $48.04

Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2019.

CMS Part D ยท Data Year 2019
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 14 44 $69.49 14
Cephalexin Cephalexin 14 118 $98.67 14

Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NE 1108

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IA 001733

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nebraska State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20040428001373

Enrollment State Jurisdiction

NE

PECOS Control ID

3274520507

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

16901 Lakeside Hills Ct

Omaha, NE 681302318

Phone: 4027173769

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

22 listed
NPI 1710472428

Doctor of Medicine (M.D.)

Tara Callison , PA

Physician Assistant

NPI 1639577547

Physician Assistant

Dr. Ian Cormier , MBBS

Internal Medicine

NPI 1689109332

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

Dr. Lorinda Covell , MD

Internal Medicine

NPI 1568802155

Doctor of Medicine (M.D.)

Dr. Jonathon Demuth , MD

Internal Medicine

NPI 1497160006

Doctor of Medicine (M.D.)

Dr. Joseph Dougherty , MD

Internal Medicine

NPI 1144711706

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
๐Ÿ“
Updated Business Mailing Address July 23, 2026

Registered at 16901 LAKESIDE HILLS CT, OMAHA, NE 681302318 (Tel: 4027173769)

๐Ÿข
Secondary Practice Location Registered July 23, 2026

Additional practice office at 16901 Lakeside Hills Ct, Omaha, NE 681302318

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2026

Physician Assistant (license number reported to NPPES: IA 001733)

โœ…
NPI Profile Active August 17, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location August 17, 2017

Registered at 139 S 40TH ST, OMAHA, NE 681313003 (Tel: 4025953939)

๐Ÿ“
Updated Business Mailing Address August 17, 2017

Registered at 988102 NEBRASKA MEDICAL CTR, OMAHA, NE 681988102

๐Ÿ‘ค
Provider Name / Credentials Updated August 17, 2017

Recorded as KIMBERLY DIERKS, P.A.-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2017

Physician Assistant (license number reported to NPPES: IA 001733)

โœ…
NPI Profile Active June 03, 2013

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 03, 2013

Registered at 933 EAST PIERCE ST., COUNCIL BLUFFS, IA 51503 (Tel: 7123966111)

๐Ÿ“
Business Mailing Address (Initial Record) June 03, 2013

Registered at PO BOX 2797, OMAHA, NE 681032797

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 03, 2013

Recorded as KIMBERLY DIERKS, P.A.-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2013

Physician Assistant (license number reported to NPPES: IA 001733)

๐ŸŸข
Initial NPI Registration & Enumeration August 25, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750374666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2005
Last Update: July 23, 2026
Sole Proprietor: No

Other Physician Assistants in Omaha

All Physician Assistants in Omaha

Mailing Address

16901 Lakeside Hills Ct

Omaha, NE 681302318

Phone: 4027173769

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.