ANDREW P OPP M.D.
NPI 1336433911
Family Medicine in Wahoo, NE

Q: What is Andrew Opp's NPI number?

The NPI number for Andrew Opp is 1336433911. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Q: What is Andrew Opp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Opp was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 01, 2011PECOS EnrolledAccepts Medicare Assignment

92.39/100

CMS Quality Rating

1760 COUNTY ROAD J, WAHOO, NE 68066(402) 443-4191(402) 443-1402 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Andrew P Opp M.d. NPPES

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

ANDREW P OPP M.D. (NPI 1336433911) is an individual family medicine provider in Wahoo, Nebraska, licensed in Nebraska (27996) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Chi Health St. Elizabeth, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1336433911

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANDREW P OPPCredential: M.D.

Location Address1760 COUNTY ROAD JWahoo, NE 68066-4152

Mailing Address1760 County Road JWahoo, NE 68066-4152 · (402) 443-4191 · Fax (402) 443-1402

Phone(402) 443-4191

Fax(402) 443-1402

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 1, 2011

Last NPPES UpdateJuly 18, 2019

✔ NPI 1336433911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NE · 27996

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1760 COUNTY ROAD J, Wahoo, NE 68066

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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

Andrew P Opp 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 ID7719104686

PECOS Enrollment IDI20140818000463

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 2

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.

22 services14 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280020

Location555 South 70th StLincoln, NE 68510 · Lancaster County

Emergency services Birthing friendly

Saunders Medical Center

Critical Access Hospitals · Wahoo, NE

OwnershipGovernment - Local

CMS Certification Number281307

Location1760 County Rd JWahoo, NE 68066 · Saunders County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68066 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.

92.39/100

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

Scored through an Alternative Payment Model

Quality

84.79

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers17 claims34 services$5.04 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers14 claims80 services$1.75 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers27 claims27 services$13.96 avg. paid by Medicare

Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$44.10 avg. paid by Medicare

Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$40.09 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers12 claims12 services$876.06 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.

SAUNDERS MEDICAL CENTER

Skilled Nursing Facility