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SEAN MULLENDORE M.D.
NPI 1821081365
Family Medicine - Sports Medicine in Bellevue, NE

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
3308 SAMSON WAY, SUITE 101, BELLEVUE, NE 68123(402) 827-1577(402) 898-3134 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sean Mullendore M.d. NPPES

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

SEAN MULLENDORE M.D. (NPI 1821081365) is an individual sports medicine provider in Bellevue, Nebraska, licensed in Nebraska (21562) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and is a graduate of Wayne State University School Of Medicine (1997).

NPPES Registry Identity

NPI1821081365
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameSEAN MULLENDORECredential: M.D.
Location Address3308 SAMSON WAY, SUITE 101Bellevue, NE 68123-3194
Mailing AddressPo Box 642117Omaha, NE 68164-8117 · (402) 717-4377 · Fax (402) 717-4317
Phone(402) 827-1577
Fax(402) 898-3134
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1997
Enumeration DateAugust 30, 2005
Last NPPES UpdateSeptember 4, 2008
✔ NPI 1821081365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in NE · 21562
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
3308 SAMSON WAY, Bellevue, NE 68123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company.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

Sean Mullendore M.d. 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 ID5991898850
PECOS Enrollment IDI20070907000756
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 Sean Mullendore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alegent Creighton Clinic
7.7 mi
Family Medicine
7500 MERCY RD
Omaha, NE 68124
  • Reassigned Medicare billing, Nebraska enrollment
  • 1,045 clinicians in this Medicare group
NPI 1548287907 (402) 717-2500

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 12

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
350 services197 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
329 services184 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
135 services135 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services82 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
57 services55 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
50 services50 patients

Hospital Affiliations CMS Care Compare 3

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

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Chi Health Midlands

Acute Care Hospitals · Papillion, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number280105
Location11111 South 84th StPapillion, NE 68046 · Sarpy County
Emergency services

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280130
Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68123 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.

Referred Medical Equipment & Supplies CMS DME claims

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
6 suppliers17 claims29 services$5.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIM GROENJES APRN
Nurse Practitioner
3308 SAMSON WAY, SUITE 203
BELLEVUE, NE 68123
Sarpy County (402) 717-7681
JOHN HARRIS M.D.
Internal Medicine
3308 SAMSON WAY
BELLEVUE, NE 68123
Sarpy County (402) 827-1577
EARL R THOMPSON PA-C
Physician Assistant
3308 SAMSON WAY
BELLEVUE, NE 68123
Sarpy County (402) 291-3373
DR. PEGGY HELEN JONES M.D.
Obstetrics & Gynecology
3308 SAMSON WAY
BELLEVUE, NE 68123
Sarpy County (402) 898-3180
JEFFREY STEARNES M.D.
Obstetrics & Gynecology
3308 SAMSON WAY, SUITE 201
BELLEVUE, NE 68123
Sarpy County (402) 898-3180
DR. KHALIL JOHN BURHAN M.D.
Family Medicine
3308 SAMSON WAY
BELLEVUE, NE 68123
Sarpy County (402) 827-1577
JOHN E NUNAMAKER LIMHP
Counselor (Mental Health)
3308 SAMSON WAY, SUITE 203
BELLEVUE, NE 68123
Sarpy County (402) 717-7681
MARK WEILAGE PHD
Psychologist
3308 SAMSON WAY, SUITE 101
BELLEVUE, NE 68123
Sarpy County (402) 827-1577

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 Sean Mullendore's NPI number?

The NPI number for Sean Mullendore is 1821081365. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Sean Mullendore located?

Sean Mullendore practices at 3308 Samson Way Suite 101, Bellevue, NE 68123. The listed phone number is (402) 827-1577.

What is Sean Mullendore's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Sean Mullendore enrolled in Medicare?

Yes. Sean Mullendore 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 Sean Mullendore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Mullendore reassigns Medicare benefits to Alegent Creighton Clinic (Omaha, 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 Sean Mullendore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Mullendore accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Sean Mullendore 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 Sean Mullendore affiliated with any hospitals?

According to CMS data, Sean Mullendore is affiliated with Chi Health Bergan Mercy, Chi Health Midlands and Chi Health Lakeside.

When was this NPI record last updated?

The NPPES record for Sean Mullendore was last updated on September 4, 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.