Zackary Bryan Gangwer, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

356 Issued in NE

Practice address

2701 W Norfolk Ave
Norfolk, NE 68701-4407

Phone

(402) 844-8158

Fax

(402) 844-8159

NPI assigned

Apr 10, 2012

Last updated

Mar 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Faith Health Hospital, Norfolk, NE, CCN 280125
• Providence Medical Center Hospital, Wayne, NE, CCN 281345
• Antelope Memorial Hospital Hospital, Neligh, NE, CCN 281326
• West Holt Memorial Hospital Hospital, Atkinson, NE, CCN 281343

Merit-based Incentive Payment System (MIPS)

Final score

80.77 of 100Reported as group

Quality

67.03

Promoting interoperability

96

Improvement activities

40

Cost

72.22

Merit-based Incentive Payment System (MIPS)

Final score

88.09 of 100Reported as group

Quality

78.34

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Faith Regional Physician Services, LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1265489157
  Medicare reassignment Care Compare group NPD
• Faith Regional Physician Services, LLC

  • Anesthesiology Physician
  • Norfolk, NE
  • NPI 1275074577
  NPD

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

• Antelope Memorial Hospital

  • Critical Access Hospital
  • Neligh, NE
  • NPI 1083790893
  Care Compare affiliation
• Faith Regional Health Services

  dba Faith Health

  • General Acute Care Hospital
  • Norfolk, NE
  • NPI 1285676544
  Care Compare affiliation
• Providence Medical Center

  • Critical Access Hospital
  • Wayne, NE
  • NPI 1801867494
  Care Compare affiliation
• West Holt Memorial Hospital

  • Critical Access Hospital
  • Atkinson, NE
  • NPI 1295785442
  Care Compare affiliation

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1962768325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "address_2": "STE 5",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014401",
            "telephone_number": "402-844-8158",
            "fax_number": "402-844-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014407",
            "telephone_number": "402-844-8158",
            "fax_number": "402-844-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGWER",
        "first_name": "ZACKARY",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Gallup
• James R Galyen, MD
• Kari L Galyen, MD
• Katherine M. Gamerl, AU.D.
• Maria D Gamez Contreras
• Hayley Gansebom
• Ayasha Garcia
• Beatriz Adriana Garcia
• Briana Garcia
• Jazmyn Garcia

• Foot & Ankle Surgery Podiatrist in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Foot & Ankle Surgery Podiatrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.