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POPP COSMETIC SURGERY PC
NPI 1093979163
Surgery - Plastic and Reconstructive Surgery in Omaha, NE

Active since July 17, 2008
11919 GRANT ST, SUITE 100, OMAHA, NE 68164(402) 391-4558(402) 391-7401 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Popp Cosmetic Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POPP COSMETIC SURGERY PC (NPI 1093979163) is a healthcare organization registered as a plastic and reconstructive surgery in Omaha, Nebraska and active in the NPI registry since July 2008. The organization lists Jeffrey Collins Popp, President/owner, as its authorized official.

NPPES Registry Identity

NPI1093979163
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NamePOPP COSMETIC SURGERY PC
Location Address11919 GRANT ST, SUITE 100Omaha, NE 68164-3475
Mailing Address11919 Grant St, Suite 100Omaha, NE 68164-3475 · (402) 391-4558 · Fax (402) 391-7401
Phone(402) 391-4558
Fax(402) 391-7401
Organization SubpartNo
Authorized OfficialJeffrey Collins PoppPresident/owner · (402) 391-4558
Enumeration DateJuly 17, 2008
✔ NPI 1093979163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in NE · 15046
Definition
A surgeon who specializes in plastic and reconstructive surgery.
11919 GRANT ST, Omaha, NE 68164
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Other Identifiers 11

Other180011030NE · Railroad Medicare
Medicare UPINB67895NE
Other01644NE · Bluecross Blueshield
OtherF235478NE · Midlands Choice
Medicare PIN099093NE
Other03330NE · Bluecross Blueshield
Other497NE · Midlands Choice
Medicaid=========01NE
Other13-00055NE · United Healthcare
Medicaid=========00NE
Medicare PIN095556NE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Popp Cosmetic Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Popp Cosmetic Surgery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Popp, MD
Plastic and Reconstructive Surgery
NPI 1417924051
11919 GRANT ST SUITE 100
Omaha, NE 68164
(402) 391-4558
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Popp Cosmetic Surgery PC's NPI number?

The NPI number for Popp Cosmetic Surgery PC is 1093979163. It was assigned to this organization in the NPPES registry on July 17, 2008.

Where is Popp Cosmetic Surgery PC located?

Popp Cosmetic Surgery PC is located at 11919 Grant St Suite 100, Omaha, NE 68164. The listed phone number is (402) 391-4558.

What is Popp Cosmetic Surgery PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Popp Cosmetic Surgery PC enrolled in Medicare?

Yes. Popp Cosmetic Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Popp Cosmetic Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Popp Cosmetic Surgery PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Popp Cosmetic Surgery PC was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.