NPIMap

Individual provider Active NPI

Gerald E Matzke Jr., M.D.

  • Sports Medicine (Family Medicine) Physician
  • Gothenburg, NE
National Provider Identifier
1154345973
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
16542 Issued in NE
Practice address
918 20TH Street
Gothenburg, NE 69138-1237
Phone
(308) 537-7131
Fax
(308) 537-7310
NPI assigned
Jul 26, 2006
Last updated
Apr 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0436174 KS
Sports Medicine (Family Medicine) Physician 207QS0010X 16542 NE Primary

Addresses

Primary practice location

918 20TH Street
Gothenburg, NE 69138-1237

Mailing address

918 20TH Street
Gothenburg, NE 69138
Phone (308) 537-2174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060828000109 NE Practitioner - Family Practice 7113921552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Care Medical PCGroup PAC ID 6305901513, 6 clinicians
Quality Urgent CareGroup PAC ID 5799823423, 4 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as apm
Quality
68.82
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16542NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical, PC CurrentSince Oct 1, 2025 Accepting new patients
First Care Medical, PC CurrentSince Oct 1, 2025 Accepting new patients
Quality Urgent Care CurrentSince Sep 15, 2009 Accepting new patients
Hays Medical Center, Inc. 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

  • Direct secure messaging: gerald.matzke@haysmeddirect.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1154345973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 20TH STREET",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "69138",
            "telephone_number": "308-537-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 20TH STREET",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691381237",
            "telephone_number": "308-537-7131",
            "fax_number": "308-537-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZKE",
        "first_name": "GERALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0436174",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NE",
            "license": "16542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gothenburg, NE

Sources for this page

Verify at the official NPI Registry.