DR. ANTHONY P KUSEK MD
NPI 1760417901
Family Medicine in Albion, NE

Q: What is Anthony Kusek's NPI number?

The NPI number for Anthony Kusek is 1760417901. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Anthony Kusek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Kusek was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment

92.39/100

CMS Quality Rating

1019 SOUTH 8TH ST, ALBION, NE 68620(402) 395-5013(402) 395-2327 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Anthony P Kusek Md NPPES

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

DR. ANTHONY P KUSEK MD (NPI 1760417901) is an individual family medicine provider in Albion, Nebraska, licensed in Nebraska (17023) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Creighton University School Of Medicine (1984).

NPPES Registry Identity

NPI1760417901

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ANTHONY P KUSEKCredential: MD

Location Address1019 SOUTH 8TH STAlbion, NE 68620-1760

Mailing AddressPo Box 151Albion, NE 68620-0151 · (402) 395-3213 · Fax (402) 395-3173

Phone(402) 395-5013

Fax(402) 395-2327

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1984

Enumeration DateJuly 12, 2006

Last NPPES UpdateJuly 16, 2020

NPPES CertifiedJuly 16, 2020

✔ NPI 1760417901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NE · 17023

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1019 SOUTH 8TH ST, Albion, NE 68620

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Other Identifiers 3

Other956NE · Bcbs Of Nebraska

OtherB90940NE · Mutual Of Omaha

Other2508NE · Midlands Choice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony P Kusek Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901873199

PECOS Enrollment IDI20040916000341

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.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Kusek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boone County Health Center

Same address

Family Medicine

723 W FAIRVIEW ST
Albion, NE 68620

Reassigned Medicare billing, Nebraska enrollment
Also billed through NPI 1679508816 (Nebraska)
18 clinicians in this Medicare group

NPI 1669407821 (402) 395-2191

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

66 services25 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

31 services24 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280013

Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County

Emergency services Birthing friendly

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number280125

Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County

Emergency services Birthing friendly

Boone County Health Center

Critical Access Hospitals · Albion, NE

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number281334

LocationP O Box 151, 723 West Fairview StAlbion, NE 68620 · Boone County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68620 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.79

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers61 claims118 services$5.41 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers20 claims21 services$0.86 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier15 claims15 services$8.56 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier21 claims270 services$6.00 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers56 claims56 services$44.30 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$59.00 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers20 claims20 services$112.58 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers29 claims74 services$42.33 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

4 suppliers24 claims83 services$24.66 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers22 claims112 services$18.94 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers41 claims41 services$70.76 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers49 claims49 services$23.68 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers11 claims11 services$22.59 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers59 claims314 services$3.19 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers30 claims30 services$13.77 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier11 claims11 services$56.74 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers11 claims11 services$53.11 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers19 claims23 services$7.48 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers55 claims60 services$49.16 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers24 claims24 services$110.81 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

1 supplier13 claims3,300 services$0.03 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier15 claims1,202 services$0.81 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier46 claims48 services$207.88 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$38.23 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier27 claims33 services$26.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Anthony Kusek's NPI number?

The NPI number for Anthony Kusek is 1760417901. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Anthony Kusek located?

Anthony Kusek practices at 1019 South 8th St, Albion, NE 68620. The listed phone number is (402) 395-5013.

What is Anthony Kusek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Kusek enrolled in Medicare?

Yes. Anthony Kusek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Anthony Kusek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Kusek reassigns Medicare benefits to Boone County Health Center (Albion, NE). The 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 Anthony Kusek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Kusek accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 1 other insurer list Anthony Kusek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Kusek affiliated with any hospitals?

According to CMS data, Anthony Kusek is affiliated with The Nebraska Medical Center, Faith Regional Health Services and Boone County Health Center.

When was this NPI record last updated?

The NPPES record for Anthony Kusek was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.