MATTHEW VERNON PURBAUGH M.D.
NPI 1437640067
Psychiatry & Neurology - Neurology in Lincoln, NE

Active since May 18, 2018PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
2222 S 16TH ST STE 340, LINCOLN, NE 68502(402) 483-8534 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2022, May 2, 2022, May 18, 2018 (3 updates tracked since 2018).

About Matthew Vernon Purbaugh M.d. NPPES

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

MATTHEW VERNON PURBAUGH M.D. (NPI 1437640067) is an individual neurology provider in Lincoln, Nebraska, licensed in Nebraska (33914) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1437640067
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMATTHEW VERNON PURBAUGHCredential: M.D.
Location Address2222 S 16TH ST STE 340Lincoln, NE 68502-3785
Mailing Address2222 S 16th St Ste 340Lincoln, NE 68502-3785 · (402) 483-8534
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 18, 2018
Last NPPES UpdateJuly 19, 20223 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
NPI 1437640067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in NE · 33914 Licensed in NE · 8209
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2222 S 16TH ST STE 340, Lincoln, NE 68502

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

Matthew Vernon Purbaugh 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 ID345590162
PECOS Enrollment IDI20220523001837
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 13

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.
211 services159 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
183 services181 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
105 services84 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
95 services93 patients
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.
91 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services51 patients

Hospital Affiliations CMS Care Compare 2

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

Pawnee County Memorial Hospital

Critical Access Hospitals · Pawnee City, NE
OwnershipGovernment - Local
CMS Certification Number281302
LocationP O Box 433, 600 I StPawnee City, NE 68420 · Pawnee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68502 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
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
Quality84.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Psychiatry & Neurology (Neurology)
2222 S 16TH ST STE 340
LINCOLN, NE 68502
Psychiatry & Neurology (Neurology)
2222 S 16TH ST STE 340
LINCOLN, NE 68502
Registered Nurse
2222 S 16TH ST STE 340
LINCOLN, NE 68502
Psychiatry & Neurology (Neurology)
2222 S 16TH ST STE 340
LINCOLN, NE 68502
Psychiatry & Neurology (Neurology)
2222 S 16TH ST STE 340
LINCOLN, NE 68502
Psychiatry & Neurology (Neurology)
2222 S 16TH ST STE 340
LINCOLN, NE 68502
Nurse Practitioner (Family)
2222 S 16TH ST STE 340
LINCOLN, NE 68502
Registered Nurse (Neuroscience)
2222 S 16TH ST STE 340
LINCOLN, NE 68502

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 Purbaugh's NPI number?

The NPI number for Matthew Purbaugh is 1437640067. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Where is Matthew Purbaugh located?

Matthew Purbaugh practices at 2222 S 16th St Ste 340, Lincoln, NE 68502. The listed phone number is (402) 483-8534.

What is Matthew Purbaugh's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Matthew Purbaugh enrolled in Medicare?

Yes. Matthew Purbaugh 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 Purbaugh 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 Matthew Purbaugh 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 Purbaugh affiliated with any hospitals?

According to CMS data, Matthew Purbaugh is affiliated with Bryan Medical Center and Pawnee County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Purbaugh was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.