Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MATTHEW JOSHUA WHEELER MD
NPI 1265608939
Surgery in Kearney, NE

Active since May 02, 2008PECOS Enrolled
92.39/100
CMS Quality Rating
816 22ND AVE STE 100, KEARNEY, NE 68845(308) 865-2263(308) 865-2541 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 20, 2026, Aug 26, 2019 (2 updates tracked since 2019).

About Mr. Matthew Joshua Wheeler Md NPPES

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

MR. MATTHEW JOSHUA WHEELER MD (NPI 1265608939) is an individual surgery provider in Kearney, Nebraska, licensed in Nebraska (25974) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Norton County Hospital, and is a graduate of Indiana University School Of Medicine (2008).

NPPES Registry Identity

NPI1265608939
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. MATTHEW JOSHUA WHEELERCredential: MD
Location Address816 22ND AVE STE 100Kearney, NE 68845-2226
Mailing Address816 22nd Ave Ste 100Kearney, NE 68845-2226 · (308) 865-2263 · Fax (308) 865-2541
Fax(308) 865-2541
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2008
Enumeration DateMay 2, 2008
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
NPI 1265608939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NE · 25974
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.
816 22ND AVE STE 100, Kearney, NE 68845

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

Mr. Matthew Joshua Wheeler Md 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 ID648493551
PECOS Enrollment IDI20190613000400, I20230802000638
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 16

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
73 services32 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.
57 services57 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.
54 services45 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.
47 services43 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.
46 services35 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
42 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Norton County Hospital

Critical Access Hospitals · Norton, KS
OwnershipGovernment - Local
CMS Certification Number171348
Location102 E Holme StreetNorton, KS 67654 · Norton County
Emergency services

Decatur Health

Critical Access Hospitals · Oberlin, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171352
Location810 W Columbia StreetOberlin, KS 67749 · Decatur County
Emergency services

Chi Health Good Samaritan

Acute Care Hospitals · Kearney, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280009
LocationP O Box 1990, 10 East 31st StKearney, NE 68847 · Buffalo County
Emergency services Birthing friendly

Kearney Regional Medical Center

Acute Care Hospitals · Kearney, NE
4/5 CMS rating
OwnershipProprietary
CMS Certification Number280134
Location804 22nd AvenueKearney, NE 68845 · Buffalo County
Emergency services Birthing friendly

Harlan County Health System

Critical Access Hospitals · Alma, NE
OwnershipGovernment - Local
CMS Certification Number281300
Location717 Brown StAlma, NE 68920 · Harlan County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68845 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.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
816 22ND AVE STE 100
KEARNEY, NE 68845
Family Medicine
816 22ND AVE STE 100
KEARNEY, NE 68845
Physician Assistant
816 22ND AVE STE 100
KEARNEY, NE 68845
Nurse Practitioner
816 22ND AVE STE 100
KEARNEY, NE 68845
Thoracic Surgery (Cardiothoracic Vascular Surgery)
816 22ND AVE STE 100
KEARNEY, NE 68845
Nurse Practitioner
816 22ND AVE STE 100
KEARNEY, NE 68845
Internal Medicine (Interventional Cardiology)
816 22ND AVE STE 100
KEARNEY, NE 68845
Psychiatry & Neurology (Neurology)
816 22ND AVE STE 100
KEARNEY, NE 68845

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 Wheeler's NPI number?

The NPI number for Matthew Wheeler is 1265608939. It was assigned to this individual provider in the NPPES registry on May 2, 2008.

Where is Matthew Wheeler located?

Matthew Wheeler practices at 816 22nd Ave Ste 100, Kearney, NE 68845. The listed phone number is (308) 865-2263.

What is Matthew Wheeler's specialty?

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

Is Matthew Wheeler enrolled in Medicare?

Yes. Matthew Wheeler 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 Wheeler 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 Kansas, Inc. and 3 other insurers list Matthew Wheeler 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 Wheeler affiliated with any hospitals?

According to CMS data, Matthew Wheeler is affiliated with Norton County Hospital, Decatur Health, Chi Health Good Samaritan, Kearney Regional Medical Center and Harlan County Health System.

When was this NPI record last updated?

The NPPES record for Matthew Wheeler was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.