Matthew James Stottle, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

26359 Issued in NE

Practice address

13340 California St Ste 201
Omaha, NE 68154-5255

Phone

(402) 614-1999

Fax

(402) 934-8119

NPI assigned

Jun 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: Anesthesiology

Education

University of Nebraska College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pain Centers of the Midlands LLCGroup PAC ID 1658680020, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

Merit-based Incentive Payment System (MIPS)

Final score

83.01 of 100Reported as individual

Quality

75.15

Promoting interoperability

100

Improvement activities

40

Cost

68.21

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.stottle.1@12153.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12153/brand/1/csg/1/fhir/r4

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.

• Pain Centers of the Midlands LLC

  • Pain Medicine (Anesthesiology) Physician
  • Omaha, NE
  • NPI 1750759361
  Medicare reassignment Care Compare group NPD Authorized official
• Dr Glenn J Bricken & Assoc P C

  • Clinical Psychologist
  • The Woodlands, TX
  • NPI 1528088077
  NPD
• Heartland Anesthesia Services PC

  • Anesthesiology Physician
  • Omaha, NE
  • NPI 1124124227
  NPD (past)
• Neurology Consultants of Nebraska PC

  • Neurology Physician
  • Omaha, NE
  • NPI 1811941073
  NPD (past)

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

• Alegent Creighton Health

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1649355132
  Care Compare affiliation
• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1871753087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 CALIFORNIA ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545255",
            "telephone_number": "402-614-1999",
            "fax_number": "402-934-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 CALIFORNIA ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545255",
            "telephone_number": "402-614-1999",
            "fax_number": "402-934-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTTLE",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "26359",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NE",
            "license": "26359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylon Story
• Kimberly Story, LIMHP
• Kristine T Story, APRN
• Shannon Story
• James Storz, RBT
• Raven Stoudamire-Fuller
• Rachel Leigh Stouffer
• Alexander J Stoupa, PA-C
• Darian Carl Stout
• Jordan Stout, MD

• Pain Medicine (Anesthesiology) Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Pain Medicine (Anesthesiology) Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.