Matthew Forest Appenzeller – Ophthalmology Physician

Key facts

NPI: 1235340522
Entity type: Individual (NPI type 1)
Primary specialty: Ophthalmology Physician 207W00000X
License: 28330 (NE)
Practice address: 4353 Dodge St
Omaha, NE 68131-2709
Phone: (402) 552-2020
Fax: (402) 552-2367
NPI assigned: May 25, 2007
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

Midwest Eye Care, PC Ophthalmology Physician · Omaha, NE · NPI 1750360897

Medicare reassignment Care Compare group NPD IA · NE · OPHTHALMOLOGY
Physicians Clinic Inc Family Medicine Physician · Omaha, NE · NPI 1821049156

Medicare reassignment Care Compare group NPD IA · NE
Physicians Clinic Inc Ambulatory Surgical Clinic/Center · Omaha, NE · NPI 1720606932

Care Compare group
Physicians Clinic, Inc. Durable Medical Equipment & Medical Supplies · Omaha, NE · NPI 1124118385

Care Compare group
Physicians Clinic, Inc. Durable Medical Equipment & Medical Supplies · Omaha, NE · NPI 1790874790

Care Compare group
Physicians Clinic, Inc. Durable Medical Equipment & Medical Supplies · Omaha, NE · NPI 1831286673

Care Compare group
Midwest Eye Care PC Optician · Fremont, NE · NPI 1669585196

NPD
Midwest Eye Care, PC Optometrist · Council Bluffs, IA · NPI 1013996156

NPD (past) OPHTHALMOLOGY

Hospital & facility affiliations 1

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

Nebraska Methodist Hospital General Acute Care Hospital · Omaha, NE · NPI 1427147883

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Ophthalmology
Education: Medical University of South Carolina College of Medicine, 2004
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Physicians Clinic Inc (557 clinicians)
Midwest Eye Care PC (24 clinicians)

Practice addresses (Care Compare)

1 Edmundson PL
Council Bluffs, IA 51503-4658
Phone (712) 396-4000

1001 Risen Son Blvd
Council Bluffs, IA 51503-1910
Phone (712) 256-8600

10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570

320 Ebaugh St
Methodist Physicians Clinic Glenwood
Glenwood, IA 51534-1811
Phone (712) 527-5204

4353 Dodge St
Omaha, NE 68131-2709
Phone (402) 552-2020

715 Harmony St
Suite 300
Council Bluffs, IA 51503-3147
Phone (402) 552-2020

Hospital & facility affiliations

The Nebraska Methodist Hospital Hospital · Omaha, NE · CCN 280040

Procedures performed for Medicare patients

Procedure	Number of procedures
Cataract surgery	48

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in NE, IA
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
I20150420000729	NE	Practitioner - Ophthalmology	9931279387	Reassigns benefits to 2 organizations
I20150507000150	IA	Practitioner - Ophthalmology	9931279387	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): No
HHS exclusion list flag: The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Midwest Eye Care PC		Current since Apr 6, 2015	Accepting new patients
Physicians Clinic Inc		Current since Feb 1, 2018	Accepting new patients
Midwest Eye Care, PC	Ophthalmology	Current since Apr 6, 2015	Accepting new patients
Midwest Eye Care, PC	Ophthalmology	Past	Accepting new patients

Locations

201 Ridge St
Ste 312
Council Bluffs, IA 51503
Phone (402) 815-1970

715 Harmony St
Ste 300
Council Bluffs, IA 51503
Phone (712) 388-2600

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

320 Ebaugh St
Glenwood, IA 51534
Phone (712) 527-5204

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

11946 Standing Stone Dr
Gretna, NE 68028
Phone (402) 815-4500

8901 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-8600

13500 California St
Omaha, NE 68154

4353 Dodge St
Omaha, NE 68131
Phone (402) 502-5599

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

17675 Welch Plz
Omaha, NE 68135
Phone (402) 354-7600

16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550

101 E Centennial Rd
Papillion, NE 68046
Phone (402) 354-7750

625 S Pine St
Valley, NE 68064
Phone (402) 359-2277

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ophthalmology Physician	207W00000X	42480	IA
Retina Specialist (Ophthalmology) Physician	207WX0107X	28330	NE
Ophthalmology Physician	207W00000X	28330	NE	Yes

Addresses

Primary practice location

4353 Dodge St
Omaha, NE 68131-2709

Mailing address

4353 Dodge St
Omaha, NE 68131-2709
Phone (402) 552-2020

Other identifiers

Identifier	Type	State	Issuer
2837845	Medicaid	OH
200900370	Medicaid	IN

Other providers in Omaha, NE

All providers in Omaha, NE · Ophthalmology 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 16, 2019. 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.

Verify at the official NPI Registry.