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DR. MICHAEL JOSEPH KLINGINSMITH MD
NPI 1700327954
Otolaryngology in Kearney, NE

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
74.31/100
CMS Quality Rating
615 W 39TH ST, KEARNEY, NE 68845(308) 865-2277(308) 865-2523 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Joseph Klinginsmith Md NPPES

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

DR. MICHAEL JOSEPH KLINGINSMITH MD (NPI 1700327954) is an individual otolaryngology provider in Kearney, Nebraska, licensed in Nebraska (34556) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Chi Health Good Samaritan, and is a graduate of University Of Nebraska College Of Medicine (2017).

NPPES Registry Identity

NPI1700327954
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MICHAEL JOSEPH KLINGINSMITHCredential: MD
Location Address615 W 39TH STKearney, NE 68845-8045
Mailing Address615 W 39th StKearney, NE 68845-8045 · (308) 865-2277 · Fax (308) 865-2523
Phone(308) 865-2277
Fax(308) 865-2523
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateJune 3, 2022
NPPES CertifiedJune 3, 2022
✔ NPI 1700327954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NE · 34556
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
615 W 39TH ST, Kearney, NE 68845
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Michael Joseph Klinginsmith 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 ID1850767930
PECOS Enrollment IDI20221013003285
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 14

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
152 services109 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.
120 services120 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
55 services36 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.
53 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services34 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.
40 services40 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Health Good Samaritan

Acute Care Hospitals · Kearney, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280009
LocationP O Box 1990, 10 East 31st StKearney, NE 68847 · Buffalo County
Emergency services Birthing friendly

Kearney Regional Medical Center

Acute Care Hospitals · Kearney, NE
4/5 CMS rating
OwnershipProprietary
CMS Certification Number280134
Location804 22nd AvenueKearney, NE 68845 · Buffalo County
Emergency services Birthing friendly

Merrick Medical Center

Critical Access Hospitals · Central City, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281328
LocationPO Box 417, 2802 28th StCentral City, NE 68826 · Merrick County
Emergency services

York General Hospital

Critical Access Hospitals · York, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281336
Location2222 N Lincoln AveYork, NE 68467 · York County
Emergency services

Lexington Regional Health Center

Critical Access Hospitals · Lexington, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281361
LocationP O Box 980, 1201 North Erie StLexington, NE 68850 · Dawson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68845 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
$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.

74.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality48.62
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
49%68 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
68%1,732 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%514 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
4%1,148 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
2%1,703 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 29% · 534 patients
27%534 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 532 patients
Patients totalRate: 1% · 532 patients
1%532 patients4/55-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.

Other Providers at the Same Location NPPES 9

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

CRYSTAL A HINRICHS SLP
Speech-Language Pathologist
615 W 39TH ST, SUITE A
KEARNEY, NE 68845
Buffalo County (308) 698-2820
SARAH RENEE GUTHARD PA-C, ATC
Physician Assistant
615 W 39TH ST
KEARNEY, NE 68845
Buffalo County (308) 865-2277
MATTHEW LEE KENNY DPT
Physical Therapist
615 W 39TH ST, SUITE A
KEARNEY, NE 68845
Buffalo County (308) 698-2820
MRS. MEGAN LYNN WILSON PA-C
Physician Assistant
615 W 39TH ST
KEARNEY, NE 68845
Buffalo County (308) 865-2277
FAMILY PHYSICAL THERAPY & SPORTS CENTER
Physical Therapist
615 W 39TH ST, SUITE A
KEARNEY, NE 68845
Buffalo County (308) 698-2820
MCKENZIE RAE BEHRENDT OTR/L, OTD
Occupational Therapist
615 W 39TH ST
KEARNEY, NE 68845
Buffalo County (308) 698-2820
NIKKI JO PLUMMER AU.D.
Audiologist
615 W 39TH ST
KEARNEY, NE 68845
Buffalo County (308) 865-2277
MATTHEW STEPHEN JOHNSON MD
Otolaryngology
615 W 39TH ST
KEARNEY, NE 68845
Buffalo County (308) 865-2277

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 Michael Klinginsmith's NPI number?

The NPI number for Michael Klinginsmith is 1700327954. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Michael Klinginsmith located?

Michael Klinginsmith practices at 615 W 39th St, Kearney, NE 68845. The listed phone number is (308) 865-2277.

What is Michael Klinginsmith's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Michael Klinginsmith enrolled in Medicare?

Yes. Michael Klinginsmith 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 Michael Klinginsmith 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 2 other insurers list Michael Klinginsmith 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 Michael Klinginsmith affiliated with any hospitals?

According to CMS data, Michael Klinginsmith is affiliated with Chi Health Good Samaritan, Kearney Regional Medical Center, Merrick Medical Center, York General Hospital and Lexington Regional Health Center.

When was this NPI record last updated?

The NPPES record for Michael Klinginsmith was last updated on June 3, 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.