MATTHEW W JACOBSEN (MD) – Family Medicine Physician, NPI 1003913138
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
Provider Addresses for MATTHEW W JACOBSEN (MD)
4600 VALLEY RD STE 200
LINCOLN, NE 685104882
Phone: (402) 483-4571
Fax: (402) 483-5633
Type: Location
7441, O Street, Corporate Centre, Bethany, Lincoln, Lancaster County, Nebraska, 68510, United States
STE 400
LINCOLN, NE 685102468
Phone: (402) 488-7400
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $991.
Total Amount is formed as General ($991) + Research ($0) + Ownership ($0) = $991.
Last reported payment date: 2024-08-16 • Largest payer in this snapshot: ABBVIE INC. ($466).
Total Amount
$991
General + Research + Ownership
Payments
55
Total payment records
General Amount
$991
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $466 |
| PFIZER INC. | $101 |
| Novo Nordisk Inc | $83 |
| Astellas Pharma US Inc | $58 |
| Lilly USA, LLC | $46 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-07-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050720000767 | I | Family Practice | NE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 807 | 398 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 335 | 335 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 332 | 332 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 331 | 166 | $0 |
| 83036 | Hemoglobin a1c level | 186 | 100 | $0 |
Insurance plans in this area (ZIP 68510)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | NE | 83036 | Hemoglobin A1C level | 136 | 67 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Hospitalist, Internal Medicine | NE | |
| Family Practice | NE | |
| Mental Health Counselor | NE | |
| Family Practice | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| - | NE | |
| Family Practice | NE |
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