MR. TIMOTHY BLECHA MD
NPI 1790777936
Family Medicine in Superior, NE

Q: What is Timothy Blecha's NPI number?

The NPI number for Timothy Blecha is 1790777936. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Q: What is Timothy Blecha'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 Timothy Blecha was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment

94.57/100

CMS Quality Rating

525 E 11TH ST, SUPERIOR, NE 68978(402) 879-4781(402) 879-3365 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Timothy Blecha Md NPPES

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

MR. TIMOTHY BLECHA MD (NPI 1790777936) is an individual family medicine provider in Superior, Nebraska, licensed in Nebraska (15972) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Creighton University School Of Medicine (1979).

NPPES Registry Identity

NPI1790777936

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. TIMOTHY BLECHACredential: MD

Location Address525 E 11TH STSuperior, NE 68978-1101

Mailing AddressPo Box 407, 525 E 11th StSuperior, NE 68978-0407 · (402) 879-4781

Phone(402) 879-4781

Fax(402) 879-3365

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1979

Enumeration DateAugust 15, 2005

Last NPPES UpdateSeptember 9, 2020

NPPES CertifiedSeptember 9, 2020

✔ NPI 1790777936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NE · 15972

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.

Also ListedSpecialistTaxonomy 174400000X · License 15972 (NE)

Also ListedEmergency MedicineTaxonomy 207P00000X · License 15972 (NE)

525 E 11TH ST, Superior, NE 68978

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Other Identifiers 2

Other32279NE · Blue Cross Blue Shield Ne

Medicaid1790777936NE

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

Mr. Timothy Blecha 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 ID9234273988

PECOS Enrollment IDI20100218000155

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 6

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

103 services56 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

77 services59 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

19 services12 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.

18 services18 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.

16 services16 patients

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.

16 services11 patients

Hospital Affiliations CMS Care Compare 5

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280013

Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County

Emergency services Birthing friendly

Chi Health St. Francis

Acute Care Hospitals · Grand Island, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number280023

Location2620 West Faidley AveGrand Island, NE 68803 · Hall County

Emergency services Birthing friendly

Mary Lanning Healthcare

Acute Care Hospitals · Hastings, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number280032

Location715 N St Joseph AveHastings, NE 68901 · Adams County

Emergency services Birthing friendly

Brodstone Healthcare

Critical Access Hospitals · Superior, NE

OwnershipProprietary

CMS Certification Number281315

LocationP O Box 187, 520 East 10th StSuperior, NE 68978 · Nuckolls County

Emergency services Birthing friendly

Webster County Community Hospital

Critical Access Hospitals · Red Cloud, NE

OwnershipGovernment - Local

CMS Certification Number281316

LocationP O Box 465, 621 N Franklin StRed Cloud, NE 68970 · Webster County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68978 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.

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.

94.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.26

Promoting Interoperability

94.37

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 26

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers52 claims103 services$6.09 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

1 supplier24 claims24 services$0.99 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier12 claims24 services$9.16 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$3.16 avg. paid by Medicare

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each A4392

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$7.42 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

1 supplier13 claims260 services$8.04 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

1 supplier13 claims260 services$3.19 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers24 claims24 services$44.33 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier21 claims525 services$0.22 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers31 claims31 services$111.60 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

9 suppliers25 claims53 services$39.22 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers13 claims64 services$23.36 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers25 claims104 services$17.73 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers30 claims30 services$69.74 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

11 suppliers40 claims40 services$23.81 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

8 suppliers32 claims32 services$21.19 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

10 suppliers57 claims338 services$3.05 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers12 claims12 services$11.87 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$28.06 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier20 claims21 services$6.30 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

6 suppliers82 claims85 services$48.07 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers66 claims66 services$115.83 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

1 supplier16 claims2,850 services$0.03 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$40.15 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers31 claims31 services$198.82 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers20 claims20 services$23.36 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 7

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

BRODSTONE MEMORIAL HOSPITAL

Clinic/Center (Rural Health)

525 E 11TH ST
SUPERIOR, NE 68978

Nuckolls County (402) 879-4781

MATTHEW GATLIN PA-C

Physician Assistant

525 E 11TH ST
SUPERIOR, NE 68978

Nuckolls County (402) 879-4781

JULIE A THEIS M.D.

Family Medicine

525 E 11TH ST
SUPERIOR, NE 68978

Nuckolls County (402) 879-4781

TERESA B FRAHM NP

Nurse Practitioner

525 E 11TH ST
SUPERIOR, NE 68978

Nuckolls County (402) 879-4781

ALISHA FANGMEYER APRN

Nurse Practitioner (Family)

525 E 11TH ST
SUPERIOR, NE 68978

Nuckolls County (402) 879-4781

ROBERT G LEIBEL M.D.

Family Medicine

525 E 11TH ST
SUPERIOR, NE 68978

Nuckolls County (402) 879-4781

JASON G HASS P.A.

Physician Assistant

525 E 11TH ST
SUPERIOR, NE 68978

Nuckolls County (402) 879-4781

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 Timothy Blecha's NPI number?

The NPI number for Timothy Blecha is 1790777936. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Timothy Blecha located?

Timothy Blecha practices at 525 E 11th St, Superior, NE 68978. The listed phone number is (402) 879-4781.

What is Timothy Blecha's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Blecha enrolled in Medicare?

Yes. Timothy Blecha 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 Timothy Blecha 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 3 other insurers list Timothy Blecha 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 Timothy Blecha affiliated with any hospitals?

According to CMS data, Timothy Blecha is affiliated with The Nebraska Medical Center, Chi Health St. Francis, Mary Lanning Healthcare, Brodstone Healthcare and Webster County Community Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Blecha was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.