DR. TRISTAN J KUCKELMAN DO
NPI 1588409205
Pediatrics in Omaha, NE

Q: What is Tristan Kuckelman's NPI number?

The NPI number for Tristan Kuckelman is 1588409205. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Q: What is Tristan Kuckelman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tristan Kuckelman was last updated on June 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 25, 2024PECOS Enrolled

42ND AND EMILE ST, OMAHA, NE 68198(402) 559-4000 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Tristan J Kuckelman Do NPPES

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

DR. TRISTAN J KUCKELMAN DO (NPI 1588409205) is an individual pediatrics provider in Omaha, Nebraska, licensed in Nebraska (10095) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588409205

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. TRISTAN J KUCKELMANCredential: DO

Location Address42ND AND EMILE STOmaha, NE 68198-0001

Mailing Address42nd And Emile StOmaha, NE 68198-0001

Phone(402) 559-4000

Sole ProprietorNo

Enumeration DateJune 25, 2024

NPPES CertifiedJune 25, 2024

✔ NPI 1588409205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NE · 10095

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

42ND AND EMILE ST, Omaha, NE 68198

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tristan J Kuckelman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.