ANDREW S DERGAN MD
NPI 1609512805
Family Medicine in Omaha, NE

Q: 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.

Q: What is Andrew Dergan'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 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 7 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.

Active since May 10, 2022PECOS EnrolledAccepts Medicare Assignment

16101 EVANS ST STE 100, OMAHA, NE 68116(402) 717-9700(402) 717-9701 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2026, Nov 8, 2025, May 26, 2023 and 1 more (4 updates tracked since 2022).

On this page

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 is a graduate of University Of Nebraska College Of Medicine (2022).

NPPES Registry Identity

NPI1609512805

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANDREW S DERGANCredential: MD

Location Address16101 EVANS ST STE 100Omaha, NE 68116-6447

Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (712) 294-5000 · Fax (712) 294-5091

Phone(402) 717-9700

Fax(402) 717-9701

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2022

Enumeration DateMay 10, 2022

Last NPPES UpdateJanuary 15, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1609512805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · MD-52055

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.

16101 EVANS ST STE 100, Omaha, NE 68116

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company.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 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.

PECOS PAC ID1153700067

PECOS Enrollment IDI20250910003866, I20251113002338

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.

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, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280060

Location7500 Mercy RdOmaha, NE 68124 · Douglas County

Emergency services Birthing friendly

Chi Health Immanuel

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280081

Location6901 North 72nd StOmaha, NE 68122 · Douglas County

Emergency services Birthing friendly

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number280130

Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County

Emergency services Birthing friendly

Physician 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.

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.

Other Providers at the Same Location NPPES

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

KATHERINE SUZANNE MOES APRN

Nurse Practitioner (Family)

16101 EVANS ST STE 100
OMAHA, NE 68116

Douglas County (402) 717-9700

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.

What insurance does Andrew Dergan accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company 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 7 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.