DR. CLARK W ANTONSON MD
NPI 1831182757
Internal Medicine - Gastroenterology in Lincoln, NE

Active since August 25, 2005PECOS EnrolledAccepts Medicare Assignment
94.57/100
CMS Quality Rating
4545 R ST, LINCOLN, NE 68503(402) 465-4545(402) 465-3621 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Clark W Antonson Md NPPES

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

DR. CLARK W ANTONSON MD (NPI 1831182757) is an individual gastroenterology provider in Lincoln, Nebraska, licensed in Nebraska (17282) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1985).

NPPES Registry Identity

NPI1831182757
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. CLARK W ANTONSONCredential: MD
Location Address4545 R STLincoln, NE 68503-3723
Mailing Address4545 R StLincoln, NE 68503-3723 · (402) 465-4545 · Fax (402) 465-3621
Fax(402) 465-3621
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1985
Enumeration DateAugust 25, 2005
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
NPI 1831182757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NE · 17282
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License 17282 (NE)
4545 R ST, Lincoln, NE 68503

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. Clark W Antonson 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 ID8426019688
PECOS Enrollment IDI20041020001337
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 20

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.

Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
6,000 services18 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
1,240 services18 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
231 services231 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
72 services72 patients
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.
70 services41 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
61 services61 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

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. 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

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

Beatrice Community Hospital & Health Center, Inc

Critical Access Hospitals · Beatrice, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281364
LocationP O Box 278, 4800 Hospital ParkwayBeatrice, NE 68310 · Gage County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68503 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
$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
Quality87.26
Promoting Interoperability94.37
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers14 claims280 services$3.82 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers13 claims260 services$2.28 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 20

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

Physician Assistant
4545 R ST, SUITE 100
LINCOLN, NE 68503
Internal Medicine (Gastroenterology)
4545 R ST
LINCOLN, NE 68503
Nurse Practitioner
4545 R ST
LINCOLN, NE 68503
Specialist
4545 R ST
LINCOLN, NE 68503
Internal Medicine (Gastroenterology)
4545 R ST
LINCOLN, NE 68503
Specialist
4545 R ST
LINCOLN, NE 68503
Internal Medicine (Gastroenterology)
4545 R ST
LINCOLN, NE 68503
Nurse Practitioner (Family)
4545 R ST
LINCOLN, NE 68503

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 Clark Antonson's NPI number?

The NPI number for Clark Antonson is 1831182757. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Clark Antonson located?

Clark Antonson practices at 4545 R St, Lincoln, NE 68503. The listed phone number is (402) 465-4545.

What is Clark Antonson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Clark Antonson enrolled in Medicare?

Yes. Clark Antonson 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 Clark Antonson 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 Clark Antonson 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 Clark Antonson affiliated with any hospitals?

According to CMS data, Clark Antonson is affiliated with Bryan Medical Center, The Nebraska Medical Center, Chi Health St. Elizabeth, Jefferson Community Health & Life and Beatrice Community Hospital & Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Clark Antonson was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.