PATRICK T HURLBUT M.D.
NPI 1225060015
Orthopaedic Surgery in Lincoln, NE

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
85.91/100
CMS Quality Rating
4130 PIONEER WOODS DR STE 1, LINCOLN, NE 68506(402) 489-4700(402) 489-5220 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2021, Mar 30, 2016 (2 updates tracked since 2016).

About Patrick T Hurlbut M.d. NPPES

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

PATRICK T HURLBUT M.D. (NPI 1225060015) is an individual orthopaedic surgery provider in Lincoln, Nebraska, licensed in Nebraska (19446) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1225060015
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePATRICK T HURLBUTCredential: M.D.
Location Address4130 PIONEER WOODS DR STE 1Lincoln, NE 68506-7552
Mailing Address4130 Pioneer Woods Dr Ste 1Lincoln, NE 68506-7552 · (402) 489-4700 · Fax (402) 489-5220
Fax(402) 489-5220
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 6, 2006
Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
NPI 1225060015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NE · 19446
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 19446 (NE)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 19446 (NE)
4130 PIONEER WOODS DR STE 1, Lincoln, NE 68506

Other Identifiers 3

Other35577NE · Bcbs
OtherP00410005Rrm
Other4329NE · Midlands Choice

Accepted 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

Patrick T Hurlbut 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 ID941304422
PECOS Enrollment IDI20070323000204
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 18

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.

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.
576 services70 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.
196 services132 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.
86 services76 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
82 services60 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
55 services55 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.
50 services50 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

Lincoln Surgical Hospital

Acute Care Hospitals · Lincoln, NE
OwnershipProprietary
CMS Certification Number280127
Location1710 South 70th StreetLincoln, NE 68506 · Lancaster County

Thayer County Health Services

Critical Access Hospitals · Hebron, NE
OwnershipGovernment - Local
CMS Certification Number281304
Location120 Park AveHebron, NE 68370 · Thayer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 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.

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.

85.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.75
Promoting Interoperability70
Improvement Activities40

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
83%162 patients4/55-star benchmark: 100%
Communication with the Physician or Other Clinician Managing On-going Care Post-Fracture for Men and Women Aged 50 Years and Older
Percentage of patients aged 50 years and older treated for a fracture with documentation of communication, between the physician treating the fracture and the physician or other clinician managing the patient's on-going care, that a fracture occurred and that…
83%81 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
81%426 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
92%426 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 certified EHR technology to the patient (or the patient-authorized representative), or in…
1%426 patients1/55-star benchmark: 77%
Total Knee Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy
Percentage of patients regardless of age undergoing a total knee replacement with documented shared decision-making with discussion of conservative (non-surgical) therapy (e.g. nonsteroidal anti-inflammatory drug (NSAIDs), analgesics, weight loss, exercise…
37%30 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

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$46.48 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 20

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

Physician Assistant
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Podiatrist (Foot & Ankle Surgery)
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physical Therapist
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physical Therapist
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physician Assistant
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physician Assistant
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physician Assistant (Medical)
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Plastic Surgery
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506

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 Patrick Hurlbut's NPI number?

The NPI number for Patrick Hurlbut is 1225060015. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Patrick Hurlbut located?

Patrick Hurlbut practices at 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506. The listed phone number is (402) 489-4700.

What is Patrick Hurlbut's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Patrick Hurlbut enrolled in Medicare?

Yes. Patrick Hurlbut 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 Patrick Hurlbut 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 3 other insurers list Patrick Hurlbut 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 Patrick Hurlbut affiliated with any hospitals?

According to CMS data, Patrick Hurlbut is affiliated with Bryan Medical Center, Lincoln Surgical Hospital and Thayer County Health Services.

When was this NPI record last updated?

The NPPES record for Patrick Hurlbut was last updated on February 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.