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DR. MATTHEW TOM RECORD DDS
NPI 1053331892
Dentist - General Practice in Gainesville, TX

Active since July 21, 2006Opted out of Medicare · through Dec 31, 2027
212 S GRAND AVE, GAINESVILLE, TX 76240(940) 665-4761(940) 665-0199 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Tom Record Dds NPPES

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

DR. MATTHEW TOM RECORD DDS (NPI 1053331892) is an individual general practice provider in Gainesville, Texas, licensed in Texas (19728) and active in the NPI registry since July 2006. He has opted out of Medicare through December 31, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053331892
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MATTHEW TOM RECORDCredential: DDS
Location Address212 S GRAND AVEGainesville, TX 76240-5013
Mailing Address212 S Grand AveGainesville, TX 76240-5013 · (940) 665-4761 · Fax (940) 665-0199
Phone(940) 665-4761
Fax(940) 665-0199
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateMay 19, 2010
✔ NPI 1053331892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 19728
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
212 S GRAND AVE, Gainesville, TX 76240
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Matthew Tom Record Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 31, 2015 through December 31, 2027.

Opt-Out Effective DateDecember 31, 2015
Opt-Out In Effect ThroughDecember 31, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76240 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 3

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

DR. WILLIAM D POWELL DDS
Dentist (General Practice)
212 S GRAND AVE
GAINESVILLE, TX 76240
Cooke County (940) 665-4761
POWELL AND RECORD, DDS, PLLC
Dentist (General Practice)
212 S GRAND AVE
GAINESVILLE, TX 76240
Cooke County (940) 665-4761
GAINESVILLE FAMILY DENTISTRY, PC
Dentist (General Practice)
212 S GRAND AVE
GAINESVILLE, TX 76240
Cooke County (940) 665-4761

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 Record's NPI number?

The NPI number for Matthew Record is 1053331892. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Matthew Record located?

Matthew Record practices at 212 S Grand Ave, Gainesville, TX 76240. The listed phone number is (940) 665-4761.

What is Matthew Record's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Matthew Record enrolled in Medicare?

No. Matthew Record has opted out of Medicare through December 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Matthew Record was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.