NPIMap

Individual provider Active NPI

Matthew Williamson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lincoln, NE
National Provider Identifier
1487069100
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
366 Issued in NE
Practice address
1150 N 83Rd St
Lincoln, NE 68505-2094
Phone
(402) 483-4485
Fax
(402) 483-5372
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2014019083 MO
Foot & Ankle Surgery Podiatrist 213ES0103X 366 NE Primary

Addresses

Primary practice location

1150 N 83Rd St
Lincoln, NE 68505-2094

Mailing address

1150 N 83Rd St
Lincoln, NE 68505-2094
Phone (402) 483-4485

Other practice location 1

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7000

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
I20170810001931 NE Practitioner - Podiatry 2668743519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

1600 S 48TH St
Lincoln, NE 68506-1299

2200 H St
Fairbury, NE 68352-1119
Phone (402) 729-3351

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

2910 Betten Dr
Crete, NE 68333-3084
Phone (402) 826-2102

5055 A St
Lincoln, NE 68510-4970

Hospital & facility affiliations

  • Beatrice Community Hospital & Health Center, Inc Hospital, Beatrice, NE, CCN 281364
  • Jefferson Community Health & Life Hospital, Fairbury, NE, CCN 281319
  • Crete Area Medical Center Hospital, Crete, NE, CCN 281354
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • Community Memorial Healthcare, Inc. Hospital, Marysville, KS, CCN 171363

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue52
Removal of skin lesions1-10
Removal of nail tissue464
Removal or shaving of skin growth228
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
366NEMDRegistered Dietitian
2014019083MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network Foot & Ankle Surgery PastSince Jan 1, 2021 Accepting new patients
Northwoods Surgery Center LLC PastSince Jul 3, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mwilliamson15011@hisp.bryanhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487069100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 83RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052094",
            "telephone_number": "402-483-4485",
            "fax_number": "402-483-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 83RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052094",
            "telephone_number": "402-483-4485",
            "fax_number": "402-483-5372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Lees Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641391236",
            "country_code": "US",
            "telephone_number": "816-404-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2014019083",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.