DR. GERALD E MATZKE JR. M.D.
NPI 1154345973
Family Medicine - Sports Medicine in Gothenburg, NE

Q: What is Gerald Matzke's NPI number?

The NPI number for Gerald Matzke is 1154345973. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Gerald Matzke's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Matzke was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment

87.3/100

CMS Quality Rating

918 20TH STREET, GOTHENBURG, NE 69138(308) 537-7131(308) 537-7310 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gerald E Matzke Jr. M.d. NPPES

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

DR. GERALD E MATZKE JR. M.D. (NPI 1154345973) is an individual sports medicine provider in Gothenburg, Nebraska, licensed in Nebraska (16542) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hays Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1154345973

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. GERALD E MATZKE JR.Credential: M.D.

Location Address918 20TH STREETGothenburg, NE 69138-1237

Mailing Address918 20th StreetGothenburg, NE 69138 · (308) 537-2174

Phone(308) 537-7131

Fax(308) 537-7310

Sole ProprietorYes

Medical School CMSOtherGraduated 1983

Enumeration DateJuly 26, 2006

Last NPPES UpdateApril 14, 2015

✔ NPI 1154345973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in NE · 16542

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 0436174 (KS)

918 20TH STREET, Gothenburg, NE 69138

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Other Identifiers 6

Other07025NE · Bc/bs

Medicare NSC6095070001NE

Medicaid10026082600NE

Medicare PIN280395

Medicare UPINE60084

Medicare UPINE60084NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska, Medica 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

Dr. Gerald E Matzke Jr. 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 ID7113921552

PECOS Enrollment IDI20060828000109

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 7

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

348 services312 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

328 services294 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

68 services11 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

66 services64 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.

51 services50 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.

17 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Hays Medical Center

Acute Care Hospitals · Hays, KS

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number170013

Location2220 Canterbury DriveHays, KS 67601 · Ellis 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

Avera St Anthony's Hospital

Critical Access Hospitals · O' Neill, NE

OwnershipVoluntary non-profit - Church

CMS Certification Number281329

Location300 North 2nd StO' Neill, NE 68763 · Holt County

Emergency services

Community Hospital

Critical Access Hospitals · Mccook, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number281363

LocationP O Box 1328, 1301 East H StMccook, NE 69001 · Red Willow County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69138 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.

87.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

99.31

Improvement Activities

Cost

86.69

Other Providers at the Same Location NPPES 6

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

DAVID HULT, M.D., P.C.

Family Medicine