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

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: November 01, 2026.

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 The Nebraska 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 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

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.

Medicare Billing Reassignments

4

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

Quality Urgent Care
57 mi
Urgent Care
3 BISON HOLIDAY DRIVE
Mccook, NE 69001
  • Reassigned Medicare billing, Nebraska enrollment
NPI 1437384260 (308) 345-8860
First Care Medical, PC
58 mi
Clinic/Center
2605 2ND AVE
Kearney, NE 68847
  • Reassigned Medicare billing, Nebraska enrollment
  • 4 clinicians in this Medicare group
NPI 1295834968 (308) 236-7016
Avera St Anthonys Hospital
131 mi
Critical Access
300 N 2ND ST
O'neill, NE 68763
  • Reassigned Medicare billing, Nebraska enrollment
  • 86 clinicians in this Medicare group
NPI 1891738936 (402) 336-2611
Fillmore County Hospital
137 mi
Orthopaedic Surgery
1900 F ST
Geneva, NE 68361
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1689769382 (Nebraska)
  • 54 clinicians in this Medicare group
NPI 1508956467 (402) 759-3167

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 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.

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

York General Hospital

Critical Access Hospitals · York, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281336
Location2222 N Lincoln AveYork, NE 68467 · York 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
Quality99.31
Improvement Activities0
Cost86.69

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
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
CAROL SHACKLETON, M.D., P.C.
Family Medicine
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
DR. CAROL L SHACKLETON M.D.
Family Medicine
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
GOTHENBURG FAMILY PRACTICE RURAL HEALTH CLINIC LLC
Clinic/Center
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
MR. AARON I SALOMON PAC
Physician Assistant
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
FAMILY AND SPORT MEDICINE, PC
Family Medicine (Sports Medicine)
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131

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 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.

Where is Gerald Matzke located?

Gerald Matzke practices at 918 20th Street, Gothenburg, NE 69138. The listed phone number is (308) 537-7131.

What is Gerald Matzke's specialty?

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

Is Gerald Matzke enrolled in Medicare?

Yes. Gerald Matzke 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 Gerald Matzke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Matzke reassigns Medicare benefits to 4 organizations: Quality Urgent Care (Mccook, NE), First Care Medical, PC (Kearney, NE), Avera St Anthonys Hospital (O'neill, NE) and Fillmore County Hospital (Geneva, 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 Gerald Matzke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerald Matzke 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 Gerald Matzke 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 Gerald Matzke affiliated with any hospitals?

According to CMS data, Gerald Matzke is affiliated with The Nebraska Medical Center, Avera St Anthony's Hospital, York General Hospital and Community Hospital.

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.