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MATTHEW ANDERS FUGLESTAD M.D.
NPI 1083097836
Surgery in Omaha, NE

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
983280 NEBRASKA MEDICAL CTR, OMAHA, NE 68198(402) 559-5510(402) 559-6749 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Anders Fuglestad M.d. NPPES

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

MATTHEW ANDERS FUGLESTAD M.D. (NPI 1083097836) is an individual surgery provider in Omaha, Nebraska, licensed in Florida (154504) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of University Of Minnesota Medical School (2015).

NPPES Registry Identity

NPI1083097836
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMATTHEW ANDERS FUGLESTADCredential: M.D.
Location Address983280 NEBRASKA MEDICAL CTROmaha, NE 68198-3280
Mailing Address5443 Hamilton StreetOmaha, NE 68132 · (320) 905-1990
Phone(402) 559-5510
Fax(402) 559-6749
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2015
Enumeration DateJune 29, 2015
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1083097836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in FL · 154504✔ Licensed in NE · 30144
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
983280 NEBRASKA MEDICAL CTR, Omaha, NE 68198
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Anders Fuglestad 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 ID6406163815
PECOS Enrollment IDI20230927003307
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.

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.

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.
65 services24 patients
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.
50 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
22 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 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.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. JEFFREY DOUAIHER MD
Surgery
983280 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (312) 929-7218
PAUL JEREMY NGUYEN-LEE MD
Student in an Organized Health Care Education/Training Program
983280 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-5510
DR. VISHAL MAYUR KOTHARI M.D.
Surgery
983280 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-5248
SRINEIL VUTHALURU MD
Student in an Organized Health Care Education/Training Program
983280 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-5510
SARA BURCHFIELD CARTWRIGHT DO
Surgery
983280 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-5510
DR. GAUTAM K MALHOTRA M.D., PH.D.
Surgery
983280 NEBRASKA MEDICAL CTR, DEPARTMENT OF SURGERY
OMAHA, NE 68198
Douglas County (402) 559-5510
LUCY ROSE SUMMER
Surgery
983280 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-4000
DR. ELIZABETH MAGINOT MD
Student in an Organized Health Care Education/Training Program
983280 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-5510

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 Matthew Fuglestad's NPI number?

The NPI number for Matthew Fuglestad is 1083097836. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Matthew Fuglestad located?

Matthew Fuglestad practices at 983280 Nebraska Medical Ctr, Omaha, NE 68198. The listed phone number is (402) 559-5510.

What is Matthew Fuglestad's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Fuglestad enrolled in Medicare?

Yes. Matthew Fuglestad 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.

What insurance does Matthew Fuglestad accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Matthew Fuglestad 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 Matthew Fuglestad affiliated with any hospitals?

According to CMS data, Matthew Fuglestad is affiliated with St Lukes Regional Medical Center, The Nebraska Medical Center and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Matthew Fuglestad was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.