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WADE FORNANDER M.D.
NPI 1053383554
Family Medicine in Lincoln, NE

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
4600 VALLEY RD, LINCOLN, NE 68510(402) 483-4571(308) 344-8369 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wade Fornander M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WADE FORNANDER M.D. (NPI 1053383554) is an individual family medicine provider in Lincoln, Nebraska, licensed in Nebraska (22563) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2002).

NPPES Registry Identity

NPI1053383554
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWADE FORNANDERCredential: M.D.
Location Address4600 VALLEY RDLincoln, NE 68510-4855
Mailing Address1401 E H StMc Cook, NE 69001-3432 · (308) 344-4110 · Fax (308) 344-8369
Phone(402) 483-4571
Fax(308) 344-8369
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2002
Enumeration DateFebruary 7, 2006
Last NPPES UpdateApril 21, 2021
NPPES CertifiedApril 21, 2021
✔ NPI 1053383554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 22563
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4600 VALLEY RD, Lincoln, NE 68510
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Other Identifiers 1

Medicaid470748011-12NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wade Fornander M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012945249
PECOS Enrollment IDI20050729000399
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Wade Fornander reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lincoln Medical Education Partnership
Same address
Family Medicine
4600 VALLEY RD, STE 200
Lincoln, NE 68510
  • Reassigned Medicare billing, Nebraska enrollment
  • 17 clinicians in this Medicare group
NPI 1891703708 (402) 483-4571
York General Hospital
49 mi
Emergency Medical Services
2222 N LINCOLN AVE
York, NE 68467
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1588764898 (Nebraska)
  • 38 clinicians in this Medicare group
NPI 1982704250 (402) 362-6671
Pender Community Hospital District
78 mi
Rural Health
212 MAIN ST
Beemer, NE 68716
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1578627196 (Nebraska)
  • 35 clinicians in this Medicare group
NPI 1629405386 (402) 528-3288
Jennie M Melham Memorial Medical Center Inc
161 mi
Nurse Anesthetist, Certified Registered
145 MEMORIAL DR
Broken Bow, NE 68822
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1538232244 (Nebraska)
  • 31 clinicians in this Medicare group
NPI 1366659773 (308) 872-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
115 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
66 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services25 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Pender Community Hospital

Critical Access Hospitals · Pender, NE
OwnershipGovernment - Local
CMS Certification Number281349
Location100 Hospital Drive, PO Box 100Pender, NE 68047 · Thurston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
67%189 patients3/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
25%349 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
73%364 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
43%141 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,386 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,556 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
9%140 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%167 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%1,180 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%1,180 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
31%1,180 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
41%1,180 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers17 claims39 services$6.24 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers25 claims25 services$192.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINCOLN MEDICAL EDUCATION PARTNERSHIP
Counselor (Addiction (Substance Use Disorder))
4600 VALLEY RD
LINCOLN, NE 68510
Lancaster County (402) 483-4581
JACK M LIONBERGER MD
Internal Medicine
4600 VALLEY RD
LINCOLN, NE 68510
Lancaster County (402) 483-4571
TIFFANY BRAUN
Family Medicine
4600 VALLEY RD
LINCOLN, NE 68510
Lancaster County (402) 483-4571
MS. KARLA NICHOLE WIEDEL MA LIMHP LADC
Counselor (Mental Health)
4600 VALLEY RD
LINCOLN, NE 68510
Lancaster County (408) 488-6511
MERVEILLE MUNDEMBO TSHITA
Family Medicine
4600 VALLEY RD
LINCOLN, NE 68510
Lancaster County (402) 483-4571
JOAN MARIE GEORGE PA
Physician Assistant (Medical)
4600 VALLEY RD, SIUTE 200
LINCOLN, NE 68510
Lancaster County (402) 483-4571
JESSICA HECKMAN MD
Family Medicine
4600 VALLEY RD, STE 200
LINCOLN, NE 68510
Lancaster County (402) 483-4571
ALANNA R. BECKMAN MD
Family Medicine
4600 VALLEY RD, STE 200
LINCOLN, NE 68510
Lancaster County (402) 483-4571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wade Fornander's NPI number?

The NPI number for Wade Fornander is 1053383554. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Wade Fornander located?

Wade Fornander practices at 4600 Valley Rd, Lincoln, NE 68510. The listed phone number is (402) 483-4571.

What is Wade Fornander's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wade Fornander enrolled in Medicare?

Yes. Wade Fornander is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Wade Fornander's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wade Fornander reassigns Medicare benefits to 4 organizations: Lincoln Medical Education Partnership (Lincoln, NE), York General Hospital (York, NE), Pender Community Hospital District (Beemer, NE) and Jennie M Melham Memorial Medical Center Inc (Broken Bow, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wade Fornander's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wade Fornander accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 1 other insurer list Wade Fornander as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Wade Fornander affiliated with any hospitals?

According to CMS data, Wade Fornander is affiliated with Bryan Medical Center, Chi Health St. Elizabeth and Pender Community Hospital.

When was this NPI record last updated?

The NPPES record for Wade Fornander was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.