ANDREW S DERGAN MD
NPI 1609512805
Family Medicine in Omaha, NE
About Andrew S Dergan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW S DERGAN MD (NPI 1609512805) is an individual family medicine provider in Omaha, Nebraska, licensed in Iowa (MD-52055) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and maintains a secondary practice location in Sioux City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Andrew S Dergan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Andrew Dergan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Omaha, NE 68154
- Reassigned Medicare billing, Nebraska enrollment
- 1,045 clinicians in this Medicare group
Perry, IA 50220
- Reassigned Medicare billing, Iowa enrollment
- 2,190 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Regional Medical Center
Acute Care Hospitals · Sioux City, IAChi Health Bergan Mercy
Acute Care Hospitals · Omaha, NEChi Health Immanuel
Acute Care Hospitals · Omaha, NEChi Health Lakeside
Acute Care Hospitals · Omaha, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andrew Dergan's NPI number?
The NPI number for Andrew Dergan is 1609512805. It was assigned to this individual provider in the NPPES registry on May 10, 2022.
Where is Andrew Dergan located?
Andrew Dergan practices at 16101 Evans St Ste 100, Omaha, NE 68116. The listed phone number is (402) 717-9700.
What is Andrew Dergan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Andrew Dergan enrolled in Medicare?
Yes. Andrew Dergan 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 Andrew Dergan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Dergan reassigns Medicare benefits to 2 organizations: Alegent Creighton Clinic (Omaha, NE) and State University Of Iowa (Perry, IA). 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 Andrew Dergan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Dergan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Andrew Dergan 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 Andrew Dergan affiliated with any hospitals?
According to CMS data, Andrew Dergan is affiliated with St Lukes Regional Medical Center, Chi Health Bergan Mercy, Chi Health Immanuel and Chi Health Lakeside.
When was this NPI record last updated?
The NPPES record for Andrew Dergan was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Andrew S Dergan, MD · NPI 1609512805
Family Medicine physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since May 10, 2022.
## Identity
- **NPI:** 1609512805 (Entity type: Individual)
- **Enumerated:** May 10, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD-52055 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 16101 EVANS ST STE 100, Omaha, NE 68116-6447
- **Phone:** (402) 717-9700 · **Fax:** (402) 717-9701
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alegent Creighton Clinic (NPI 1154680700, Omaha, NE); State University Of Iowa (NPI 1013965334, Perry, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nebraska College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** January 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609512805) · Data from the CMS NPPES public registry.