DERRICK METSCHKE MD
NPI 1639469927
Anesthesiology in Omaha, NE
About Derrick Metschke Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK METSCHKE MD (NPI 1639469927) is an individual anesthesiology provider in Omaha, Nebraska, licensed in Washington (MD60554441) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
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
Derrick Metschke 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 Derrick Metschke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bellevue, WA 98004
- Reassigned Medicare billing, Washington enrollment
- 94 clinicians in this Medicare group
Tacoma, WA 98418
- Reassigned Medicare billing, Washington enrollment
- 90 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Evergreenhealth Medical Center
Acute Care Hospitals · Kirkland, WAFrequently 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 Derrick Metschke's NPI number?
The NPI number for Derrick Metschke is 1639469927. It was assigned to this individual provider in the NPPES registry on April 8, 2011.
Where is Derrick Metschke located?
Derrick Metschke practices at 1101 N. 50th Ave, Omaha, NE 68132. The listed phone number is (402) 680-8643.
What is Derrick Metschke's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Derrick Metschke enrolled in Medicare?
Yes. Derrick Metschke 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 Derrick Metschke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Metschke reassigns Medicare benefits to 2 organizations: Matrix Anesthesia, Ps (Bellevue, WA) and Tacoma Anesthesia Associates Inc Ps (Tacoma, WA). 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 Derrick Metschke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Derrick Metschke affiliated with any hospitals?
According to CMS data, Derrick Metschke is affiliated with Evergreenhealth Medical Center.
When was this NPI record last updated?
The NPPES record for Derrick Metschke was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Derrick Metschke, MD · NPI 1639469927
Anesthesiology physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since April 8, 2011.
## Identity
- **NPI:** 1639469927 (Entity type: Individual)
- **Enumerated:** April 8, 2011
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** MD60554441 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 N. 50TH AVE, Omaha, NE 68132
- **Phone:** (402) 680-8643
## 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): Matrix Anesthesia, Ps (NPI 1831146422, Bellevue, WA); Tacoma Anesthesia Associates Inc Ps (NPI 1447227814, Tacoma, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nebraska College Of Medicine, class of 2011
## Record status
- **NPPES last updated:** February 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1639469927) · Data from the CMS NPPES public registry.