Gerald E Matzke Jr., M.D.
Individual provider Active NPI Sports Medicine (Family Medicine) Physician · Gothenburg, NE
NPI 1154345973 · NPPES record last updated Apr 14, 2015
Key facts
- NPI
- 1154345973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- 16542 (NE)
- Practice address
- 918 20TH Street
Gothenburg, NE 69138-1237 - Phone
- (308) 537-7131
- Fax
- (308) 537-7310
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Care Medical PC
Quality Urgent Care
Practice addresses (Care Compare)
2605 2ND Ave
Kearney, NE 68847-4416
Phone (308) 236-7016
3 Bison Holiday Dr
McCook, NE 69001-2824
Phone (308) 345-7036
Hospital & facility affiliations
- Avera St Anthony'S Hospital
- The Nebraska Medical Center
- York General Health Care Services
- Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.72 of 100
- Quality
- 68.82
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060828000109 | NE | Practitioner - Family Practice | 7113921552 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16542 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hays Medical Center, Inc. | Current | Accepting new patients | |
| First Care Medical, PC | Current |
Accepting new patients | |
| Quality Urgent Care | Current |
Accepting new patients | |
| First Care Medical, PC | Current |
Accepting new patients | |
| Hays Medical Center, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000
2605 2nd Ave
Kearney, NE 68847
Phone (308) 236-7016
3 Holiday Bison Dr
McCook, NE 69001
Phone (308) 345-7036
104 W Seneca St
Ravenna, NE 68869
Phone (308) 236-7016
Interoperability endpoints
- gerald.matzke@haysmeddirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0436174 | KS | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 16542 | NE | Yes |
Addresses
Primary practice location
918 20TH Street
Gothenburg, NE 69138-1237
Mailing address
918 20TH Street
Gothenburg, NE 69138
Phone (308) 537-2174
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07025 | Other | NE | BC/BS |
| 10026082600 | Medicaid | NE |
Other providers in Gothenburg, NE
- Amanda Lathrop
- Life Transitions
- Carolyn Sue Lowitz
- Susan Lunkwitz
- Brett Mann
- Diane McCoy
- Meadows Counseling LLC
- Trystan Rain Meadows
- Meyer Chiropractic, LLC
- Tracy Lynn Meyer
All providers in Gothenburg, NE · Sports Medicine (Family Medicine) Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.