MATTHEW G WINKELBAUER MD
NPI 1891751277
Family Medicine in Oneill, NE

Q: What is Matthew Winkelbauer's NPI number?

The NPI number for Matthew Winkelbauer is 1891751277. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Matthew Winkelbauer's specialty?

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

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment

94/100

CMS Quality Rating

300 N 2ND ST, STE 100, ONEILL, NE 68763(402) 336-2900 Get Directions Write a Review

NPPES record last updated: January 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Matthew G Winkelbauer Md NPPES

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

MATTHEW G WINKELBAUER MD (NPI 1891751277) is an individual family medicine provider in Oneill, Nebraska, licensed in Nebraska (22857) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Faith Regional Health Services, and is a graduate of University Of Nebraska College Of Medicine (2003).

NPPES Registry Identity

NPI1891751277

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMATTHEW G WINKELBAUERCredential: MD

Location Address300 N 2ND ST, STE 100Oneill, NE 68763-1519

Mailing AddressPo Box 270Oneill, NE 68763-0270 · (402) 336-2900

Phone(402) 336-2900

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2003

Enumeration DateApril 25, 2006

Last NPPES UpdateJanuary 6, 2014

✔ NPI 1891751277 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 · 22857

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.

300 N 2ND ST, Oneill, NE 68763

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Other Identifiers 3

Medicare PINNA1943008NE

Medicaid10025621600NE

Medicare PINP00626225NE

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

Matthew G Winkelbauer 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 ID6204895436

PECOS Enrollment IDI20041005000181

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 4

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 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.

89 services29 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.

71 services33 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

42 services32 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number280125

Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County

Emergency services Birthing friendly

Niobrara Valley Hospital

Critical Access Hospitals · Lynch, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number281303

LocationP O Box 118, 401 South 5th StreetLynch, NE 68746 · Boyd County

Emergency services

Avera St Anthony's Hospital

Critical Access Hospitals · O' Neill, NE

OwnershipVoluntary non-profit - Church

CMS Certification Number281329

Location300 North 2nd StO' Neill, NE 68763 · Holt County

Emergency services

West Holt Memorial Hospital

Critical Access Hospitals · Atkinson, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number281343

Location406 W Neely StAtkinson, NE 68713 · Holt County

Emergency services

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430012

Location501 Summit StYankton, SD 57078 · Yankton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68763 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.

94/100

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

Scored through an Alternative Payment Model

Quality

84.79

Promoting Interoperability

98.22

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 27

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

9 suppliers114 claims205 services$6.53 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers13 claims13 services$2.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers34 claims39 services$1.14 avg. paid by Medicare

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

DME-Other DME · category DE001N

4 suppliers60 claims60 services$41.44 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers11 claims34 services$1.96 avg. paid by Medicare

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

DME-Other DME · category DE001N

5 suppliers53 claims53 services$110.89 avg. paid by Medicare

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

DME-Other DME · category DE001N

5 suppliers45 claims110 services$41.56 avg. paid by Medicare

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

DME-Other DME · category DE001N

4 suppliers35 claims122 services$21.09 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

4 suppliers42 claims42 services$64.78 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers76 claims76 services$22.94 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers26 claims26 services$21.72 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers97 claims396 services$3.04 avg. paid by Medicare

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

DME-Other DME · category DE001N

5 suppliers46 claims46 services$13.88 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers14 claims14 services$71.09 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 suppliers25 claims25 services$25.43 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers13 claims13 services$112.18 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers72 claims72 services$16.47 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers45 claims46 services$7.97 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers159 claims159 services$47.83 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

3 suppliers127 claims127 services$112.11 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers23 claims23 services$36.56 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers40 claims2,400 services$4.70 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

2 suppliers28 claims3,065 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers20 claims1,740 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers34 claims1,950 services$0.81 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$35.00 avg. paid by Medicare

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

DME-Other DME · category DE000N

4 suppliers80 claims80 services$24.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

AVERA ST ANTHONYS HOSPITAL

Nurse Anesthetist, Certified Registered

300 N 2ND ST
ONEILL, NE 68763

Holt County (402) 336-2611

CAMERON EVERITT PT

Physical Therapist

300 N 2ND ST
ONEILL, NE 68763

Holt County (402) 336-5165

SHELBY DREDGE OTR/L

Occupational Therapist

300 N 2ND ST
ONEILL, NE 68763

Holt County (402) 336-5164

BARBARA J GUTSHALL MD

Internal Medicine

300 N 2ND ST, STE 100
ONEILL, NE 68763

Holt County (402) 336-2900

MRS. ALISON MARIE OLSON PTA

Physical Therapy Assistant

300 N 2ND ST
ONEILL, NE 68763

Holt County (402) 336-2611

JENNY LYNN PFEIFER

Occupational Therapist

300 N 2ND ST
ONEILL, NE 68763

Holt County (402) 336-2611

MRS. GLORIA EZIHE AKAINDA NP

Nurse Practitioner (Family)

300 N 2ND ST
ONEILL, NE 68763

Holt County (402) 336-2611

KAREN A CARLSON

Dietitian, Registered

300 N 2ND ST
ONEILL, NE 68763

Holt County (402) 336-2611

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 Matthew Winkelbauer's NPI number?

The NPI number for Matthew Winkelbauer is 1891751277. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Matthew Winkelbauer located?

Matthew Winkelbauer practices at 300 N 2nd St Ste 100, Oneill, NE 68763. The listed phone number is (402) 336-2900.

What is Matthew Winkelbauer's specialty?

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

Is Matthew Winkelbauer enrolled in Medicare?

Yes. Matthew Winkelbauer 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 Matthew Winkelbauer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list Matthew Winkelbauer 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 Matthew Winkelbauer affiliated with any hospitals?

According to CMS data, Matthew Winkelbauer is affiliated with Faith Regional Health Services, Niobrara Valley Hospital, Avera St Anthony's Hospital, West Holt Memorial Hospital and Avera Sacred Heart Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Winkelbauer was last updated on January 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.