DR. DOUGLAS P TEWES MD
NPI 1891760591
Orthopaedic Surgery in Lincoln, NE

Q: What is Douglas Tewes's NPI number?

The NPI number for Douglas Tewes is 1891760591. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Q: What is Douglas Tewes's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Tewes was last updated on September 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 February 17, 2006PECOS EnrolledAccepts Medicare Assignment

90.96/100

CMS Quality Rating

6900 A ST, STE 100, LINCOLN, NE 68510(402) 436-2000(402) 436-2090 Get Directions Write a Review

NPPES record last updated: September 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Douglas P Tewes Md NPPES

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

DR. DOUGLAS P TEWES MD (NPI 1891760591) is an individual orthopaedic surgery provider in Lincoln, Nebraska, licensed in Nebraska (19139) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1987).

NPPES Registry Identity

NPI1891760591

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. DOUGLAS P TEWESCredential: MD

Location Address6900 A ST, STE 100Lincoln, NE 68510-4120

Mailing Address6900 A St, Ste 100Lincoln, NE 68506-4120 · (402) 436-2000 · Fax (402) 434-2691

Phone(402) 436-2000

Fax(402) 436-2090

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1987

Enumeration DateFebruary 17, 2006

Last NPPES UpdateSeptember 29, 2019

✔ NPI 1891760591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in NE · 19139

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 19139 (NE)

6900 A ST, Lincoln, NE 68510

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Other Identifiers 4

Other1295NE · Midlands Choice

Other200029006NE · Railroad Medicare

Other31783NE · Bcbs Of Nebraska

Other91177983268510A007NE · Tri Care

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

Dr. Douglas P Tewes 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 ID3577668151

PECOS Enrollment IDI20100331000061

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 23

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,102 services103 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

145 services125 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

141 services112 patients

Aspiration and/or injection of fluid from large joint 20610

91 services59 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

89 services84 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

79 services62 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

76 services72 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

67 services52 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

62 services55 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

38 services37 patients

X-ray of knee, 3 views 73562

35 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

32 services29 patients

X-ray of knee, 4 or more views 73564

28 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

28 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

26 services25 patients

X-ray of shoulder, minimum of 2 views 73030

25 services17 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

23 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

17 services17 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

15 services15 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

15 services15 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Columbus Community Hospital, Inc

Acute Care Hospitals · Columbus, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number280111

Location4600 38th StColumbus, NE 68601 · Platte County

Emergency services Birthing friendly

Lincoln Surgical Hospital

Acute Care Hospitals · Lincoln, NE

OwnershipProprietary

CMS Certification Number280127

Location1710 South 70th StreetLincoln, NE 68506 · Lancaster County

Memorial Health Care Systems

Critical Access Hospitals · Seward, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number281339

Location300 North Columbia AveSeward, NE 68434 · Seward County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68510 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

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

Most-billed visit code 99213

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.

90.96/100

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

Scored as part of a group practice

Quality

84.66

Promoting Interoperability

Improvement Activities

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.

DR. NICHOLAS KRISTIAN GOVE M.D.

Orthopaedic Surgery (Hand Surgery)

6900 A ST, SUITE 100
LINCOLN, NE 68510

Lancaster County (402) 436-2000

CHANCE D UNGER PT

Physical Therapist

6900 A ST, STE 102
LINCOLN, NE 68510

Lancaster County (402) 436-2535

ABIGAIL UBBEN PA

Physician Assistant

6900 A ST
LINCOLN, NE 68510

Lancaster County (402) 436-2000

DR. GEOFFREY M MCCULLEN MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

6900 A ST, LINCOLN
LINCOLN, NE 68510

Lancaster County (402) 436-2000

MASON WILLIAM HANSE

Physician Assistant (Surgical)

6900 A ST
LINCOLN, NE 68510

Lancaster County (402) 436-2000

DR. MATTHEW C RECKMEYER MD

Orthopaedic Surgery

6900 A ST, STE 100
LINCOLN, NE 68510

Lancaster County (402) 436-2000

MR. RYAN J BAUMERT PA-C

Physician Assistant (Surgical)

6900 A ST, SUITE 100
LINCOLN, NE 68510

Lancaster County (402) 436-2000

MR. COREY J COURTNEY ATC

Specialist/Technologist (Athletic Trainer)

6900 A ST
LINCOLN, NE 68510

Lancaster County (402) 436-2000

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 Douglas Tewes's NPI number?

The NPI number for Douglas Tewes is 1891760591. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Douglas Tewes located?

Douglas Tewes practices at 6900 A St Ste 100, Lincoln, NE 68510. The listed phone number is (402) 436-2000.

What is Douglas Tewes's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Douglas Tewes enrolled in Medicare?

Yes. Douglas Tewes 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 Douglas Tewes 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 Douglas Tewes 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 Douglas Tewes affiliated with any hospitals?

According to CMS data, Douglas Tewes is affiliated with Bryan Medical Center, Columbus Community Hospital, Inc, Lincoln Surgical Hospital and Memorial Health Care Systems.

When was this NPI record last updated?

The NPPES record for Douglas Tewes was last updated on September 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.