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DR. MATTHEW CARROLL MINNETTE MD
NPI 1114486115
Pediatrics in Gainesville, FL

Active since March 19, 2019PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 627-9350(352) 273-9054 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2024, Aug 12, 2022, Mar 19, 2019 (3 updates tracked since 2019).

About Dr. Matthew Carroll Minnette Md NPPES

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

DR. MATTHEW CARROLL MINNETTE MD (NPI 1114486115) is an individual pediatrics provider in Gainesville, Florida, licensed in Florida (ME168009) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in St. Louis.

NPPES Registry Identity

NPI1114486115
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MATTHEW CARROLL MINNETTECredential: MD
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing AddressPo Box 100296Gainesville, FL 32610-0296 · (352) 627-9350 · Fax (352) 273-9054
Phone(352) 627-9350
Fax(352) 273-9054
Sole ProprietorNo
Enumeration DateMarch 19, 2019
Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1114486115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME168009✔ Licensed in IL · 036160247✔ Licensed in MO · 2022004027
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1600 SW ARCHER RD, Gainesville, FL 32610
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Secondary Practice Location 1

Location 11465 S. Grand Blvd.St. Louis, MO 63104 · Phone (314) 268-4070 · Fax (314) 268-4019

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Carroll Minnette Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Matthew Minnette reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Clinical Practice Association Inc
Same address
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922
Ssm Cardinal Glennon Childrens Hospital
752 mi
Pediatrics
1 SAINT ELIZABETH BLVD
O Fallon, IL 62269
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 76 clinicians in this Medicare group
NPI 1174577670 (618) 234-2120
Ssm Health Care St. Louis
769 mi
Emergency Medicine
6420 CLAYTON RD
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1366400855 (314) 768-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Minnette's NPI number?

The NPI number for Matthew Minnette is 1114486115. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Matthew Minnette located?

Matthew Minnette practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 627-9350.

What is Matthew Minnette's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Minnette enrolled in Medicare?

Yes. Matthew Minnette is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Minnette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Minnette reassigns Medicare benefits to 3 organizations: Florida Clinical Practice Association Inc (Gainesville, FL), Ssm Cardinal Glennon Childrens Hospital (O Fallon, IL) and Ssm Health Care St. Louis (Saint Louis, MO). Each 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 Matthew Minnette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Minnette accept?

Health plans from Anthem Blue Cross and Blue Shield list Matthew Minnette 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 Matthew Minnette was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.