DR. MICHAEL L MATTHEWS M.D.
NPI 1821177726
Family Medicine in Sidney, NE

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
1625 DORWART DR, SIDNEY, NE 69162(308) 254-5544(308) 254-2672 Get Directions Write a Review

NPPES record last updated: August 2, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael L Matthews M.d. NPPES

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

DR. MICHAEL L MATTHEWS M.D. (NPI 1821177726) is an individual family medicine provider in Sidney, Nebraska, licensed in Nebraska (18889) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and is a graduate of Nebraska College Of Medicine (1989).

NPPES Registry Identity

NPI1821177726
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL L MATTHEWSCredential: M.D.
Location Address1625 DORWART DRSidney, NE 69162-2505
Mailing Address1625 Dorwart Dr, Po Box 379Sidney, NE 69162-2505 · (308) 254-5544 · Fax (308) 254-2672
Fax(308) 254-2672
Sole ProprietorNo
Medical School CMSNebraska College Of MedicineGraduated 1989
Enumeration DateNovember 3, 2006
Last NPPES UpdateAugust 2, 2007
NPI 1821177726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · 18889
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.
1625 DORWART DR, Sidney, NE 69162

Other Identifiers 3

Medicare UPINE68259NE
Medicare PIN265141NE
Other3934NE · Bcbs Of Nebraska

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. Michael L Matthews M.d. 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 ID244266799
PECOS Enrollment IDI20050715000279
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

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.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Sidney Regional Medical Center

Critical Access Hospitals · Sidney, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281357
Location1000 Pole Creek CrossingSidney, NE 69162 · Cheyenne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69162 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.

Referred Medical Equipment & Supplies CMS DME claims 20

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
4 suppliers35 claims114 services$6.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers16 claims25 services$1.05 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers21 claims21 services$113.79 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers20 claims47 services$43.80 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers11 claims41 services$15.09 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
3 suppliers17 claims17 services$65.79 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
1625 DORWART DR
SIDNEY, NE 69162
Family Medicine
1625 DORWART DR
SIDNEY, NE 69162
Hospice Care, Community Based
1625 DORWART DR, STE A
SIDNEY, NE 69162
Home Health
1625 DORWART DR, STE A
SIDNEY, NE 69162
Family Medicine
1625 DORWART DR
SIDNEY, NE 69162
Clinic/Center
1625 DORWART DR
SIDNEY, NE 69162
Podiatrist (Foot Surgery)
1625 DORWART DR
SIDNEY, NE 69162
Internal Medicine (Cardiovascular Disease)
1625 DORWART DR
SIDNEY, NE 69162

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 Matthews's NPI number?

The NPI number for Michael Matthews is 1821177726. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Michael Matthews located?

Michael Matthews practices at 1625 Dorwart Dr, Sidney, NE 69162. The listed phone number is (308) 254-5544.

What is Michael Matthews's specialty?

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

Is Michael Matthews enrolled in Medicare?

Yes. Michael Matthews 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 Matthews 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 Michael Matthews 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 Matthews affiliated with any hospitals?

According to CMS data, Michael Matthews is affiliated with Regional West Medical Center and Sidney Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Matthews was last updated on August 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.