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MATTHEW B GRUNDFAST D.O.
NPI 1124011085
Internal Medicine - Gastroenterology in Dublin, GA

Active since August 25, 2005PECOS EnrolledAccepts Medicare Assignment
111 FAIRVIEW PARK DR, DUBLIN, GA 31021(478) 277-1929(478) 304-1468 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2022, Oct 17, 2019 (2 updates tracked since 2019).

About Matthew B Grundfast D.o. NPPES

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

MATTHEW B GRUNDFAST D.O. (NPI 1124011085) is an individual gastroenterology provider in Dublin, Georgia, licensed in Georgia (052944) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Archbold Memorial, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124011085
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMATTHEW B GRUNDFASTCredential: D.O.
Location Address111 FAIRVIEW PARK DRDublin, GA 31021-2501
Mailing Address130 E Westerlee DrLeesburg, GA 31763-5817 · (229) 886-5150 · Fax (682) 200-2084
Phone(478) 277-1929
Fax(478) 304-1468
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1997
Enumeration DateAugust 25, 2005
Last NPPES UpdateMay 25, 20222 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1124011085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 052944
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
111 FAIRVIEW PARK DR, Dublin, GA 31021
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12740 Ray Knight Way Ste 100Albany, GA 31707-0226 · Phone (229) 312-0698 · Fax (229) 438-7898
Location 2104 Fairview Park DrDublin, GA 31021-2565 · Phone (478) 277-1255 · Fax (478) 304-1467

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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 B Grundfast D.o. 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 ID8527962869
PECOS Enrollment IDI20031125000517
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 10

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
73 services73 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
42 services42 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
36 services36 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
34 services34 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
27 services27 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Archbold Memorial

Acute Care Hospitals · Thomasville, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110038
Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31021 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 3

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

TIRSO A CASTILLO MD
Internal Medicine (Gastroenterology)
111 FAIRVIEW PARK DR
DUBLIN, GA 31021
Laurens County (478) 272-1366
DUBLIN ANESTHESIA, LLC
Nurse Anesthetist, Certified Registered
111 FAIRVIEW PARK DR
DUBLIN, GA 31021
Laurens County (478) 272-1366
DUBLIN ENDOSCOPY CENTER, LLC
Clinic/Center (Endoscopy)
111 FAIRVIEW PARK DR
DUBLIN, GA 31021
Laurens County (478) 277-1255

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 Grundfast's NPI number?

The NPI number for Matthew Grundfast is 1124011085. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Matthew Grundfast located?

Matthew Grundfast practices at 111 Fairview Park Dr, Dublin, GA 31021. The listed phone number is (478) 277-1929.

What is Matthew Grundfast's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Matthew Grundfast enrolled in Medicare?

Yes. Matthew Grundfast 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 Grundfast accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Matthew Grundfast 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 Grundfast affiliated with any hospitals?

According to CMS data, Matthew Grundfast is affiliated with Archbold Memorial.

When was this NPI record last updated?

The NPPES record for Matthew Grundfast was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.