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LINCOLN PERFORMANCE AND SPORTS MEDICINE, LLC
NPI 1891341467
Chiropractor in Lincoln, NE

Active since August 10, 2019
1220 ARIES DR, LINCOLN, NE 68512(402) 480-7070 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 3, 2020, Nov 7, 2019, Aug 10, 2019 (3 updates tracked since 2019).

About Lincoln Performance And Sports Medicine, Llc NPPES

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

LINCOLN PERFORMANCE AND SPORTS MEDICINE, LLC (NPI 1891341467) is a healthcare organization registered as a chiropractor in Lincoln, Nebraska and active in the NPI registry since August 2019. The organization lists Tyler Mark Ideus, Physician, as its authorized official.

NPPES Registry Identity

NPI1891341467
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLINCOLN PERFORMANCE AND SPORTS MEDICINE, LLC
Location Address1220 ARIES DRLincoln, NE 68512-9632
Mailing Address1220 Aries DrLincoln, NE 68512-9632 · (402) 480-7070
Phone(402) 480-7070
Organization SubpartNo
Authorized OfficialTyler Mark IdeusPhysician · (402) 239-2298
Enumeration DateAugust 10, 2019
Last NPPES UpdateDecember 3, 20203 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
✔ NPI 1891341467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1220 ARIES DR, Lincoln, NE 68512
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lincoln Performance And Sports Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lincoln Performance And Sports Medicine, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tyler Ideus, D.C.
Chiropractic
NPI 1174827224
9100 ANDERMATT DR STE 2
Lincoln, NE 68526
(402) 239-2298
✔ Accepts Medicare5.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lincoln Performance And Sports Medicine, LLC's NPI number?

The NPI number for Lincoln Performance And Sports Medicine, LLC is 1891341467. It was assigned to this organization in the NPPES registry on August 10, 2019.

Where is Lincoln Performance And Sports Medicine, LLC located?

Lincoln Performance And Sports Medicine, LLC is located at 1220 Aries Dr, Lincoln, NE 68512. The listed phone number is (402) 480-7070.

What is Lincoln Performance And Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lincoln Performance And Sports Medicine, LLC enrolled in Medicare?

Yes. Lincoln Performance And Sports Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lincoln Performance And Sports Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lincoln Performance And Sports Medicine, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lincoln Performance And Sports Medicine, LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Sanford Health Plan list Lincoln Performance And Sports Medicine, LLC 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.

When was this NPI record last updated?

The NPPES record for Lincoln Performance And Sports Medicine, LLC was last updated on December 3, 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.