DR. CLINTON ALLAN RATHJE DO
NPI 1699039826
Surgery in Lincoln, NE

Active since July 03, 2012PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
1101 S 70TH ST STE 100, LINCOLN, NE 68510(402) 483-4292(855) 895-6489 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Clinton Allan Rathje Do NPPES

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

DR. CLINTON ALLAN RATHJE DO (NPI 1699039826) is an individual surgery provider in Lincoln, Nebraska, licensed in Nebraska (1636) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699039826
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CLINTON ALLAN RATHJECredential: DO
Location Address1101 S 70TH ST STE 100Lincoln, NE 68510-4293
Mailing Address1101 S 70th St Ste 100Lincoln, NE 68510-4293 · (402) 483-4292 · Fax (855) 895-6489
Fax(855) 895-6489
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 3, 2012
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
NPI 1699039826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NE · 1636
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1101 S 70TH ST STE 100, Lincoln, NE 68510

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

Dr. Clinton Allan Rathje Do 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 ID244487684
PECOS Enrollment IDI20170710002042
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 17

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 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.
69 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
63 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
38 services38 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.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients

Hospital Affiliations CMS Care Compare 5

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

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

Jefferson Community Health & Life

Critical Access Hospitals · Fairbury, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281319
LocationP O Box 277, 2200 H StFairbury, NE 68352 · Jefferson County
Emergency services

Johnson County Hospital

Critical Access Hospitals · Tecumseh, NE
OwnershipGovernment - Local
CMS Certification Number281350
Location202 High StTecumseh, NE 68450 · Johnson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68510 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
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
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

Reported Quality Measures

Breast Cancer Screening
3%141 patients1/55-star benchmark: 93%
Chlamydia Screening for Women
0%24 patients
Closing the Referral Loop: Receipt of Specialist Report
24%29 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
19%386 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
26%114 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%75 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
62%950 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
12%743 patients1/55-star benchmark: 98%
Provide Patients Electronic Access to Their Health Information
73%242 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
64%117 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 258 patients
Patients totalRate: 0% · 258 patients
0%258 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
3 suppliers45 claims531 services$11.00 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix B4199
Other-Enteral and Parenteral · category OB005N
3 suppliers38 claims257 services$316.39 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
3 suppliers43 claims288 services$8.03 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
3 suppliers46 claims309 services$25.07 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 8

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

Physician Assistant (Surgical)
1101 S 70TH ST STE 100
LINCOLN, NE 68510
Physician Assistant
1101 S 70TH ST STE 100
LINCOLN, NE 68510
Nurse Practitioner (Family)
1101 S 70TH ST STE 100
LINCOLN, NE 68510
Physician Assistant (Surgical)
1101 S 70TH ST STE 100
LINCOLN, NE 68510
Physician Assistant (Surgical)
1101 S 70TH ST STE 100
LINCOLN, NE 68510
Physician Assistant (Surgical)
1101 S 70TH ST STE 100
LINCOLN, NE 68510
Student in an Organized Health Care Education/Training Program
1101 S 70TH ST STE 100
LINCOLN, NE 68510
Nurse Practitioner (Family)
1101 S 70TH ST STE 100
LINCOLN, NE 68510

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 Clinton Rathje's NPI number?

The NPI number for Clinton Rathje is 1699039826. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Clinton Rathje located?

Clinton Rathje practices at 1101 S 70th St Ste 100, Lincoln, NE 68510. The listed phone number is (402) 483-4292.

What is Clinton Rathje's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Clinton Rathje enrolled in Medicare?

Yes. Clinton Rathje 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 Clinton Rathje accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and UnitedHealthcare list Clinton Rathje 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 Clinton Rathje affiliated with any hospitals?

According to CMS data, Clinton Rathje is affiliated with Bryan Medical Center, Chi Health St. Elizabeth, Saunders Medical Center, Jefferson Community Health & Life and Johnson County Hospital.

When was this NPI record last updated?

The NPPES record for Clinton Rathje was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.