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DONOVAN MATHERNE FNP-C
NPI 1285936542
Nurse Practitioner - Family in Baton Rouge, LA

Active since November 18, 2010PECOS EnrolledAccepts Medicare Assignment
30.19/100
CMS Quality Rating
9118 BLUEBONNET CENTRE BLVD, BATON ROUGE, LA 70809(225) 368-2300(225) 368-2280 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donovan Matherne Fnp-c NPPES

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

DONOVAN MATHERNE FNP-C (NPI 1285936542) is an individual family provider in Baton Rouge, Louisiana, licensed in Louisiana (RN102959-AP06111) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Terrebonne General Medical Center - Parish, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1285936542
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDONOVAN MATHERNECredential: FNP-C
Location Address9118 BLUEBONNET CENTRE BLVDBaton Rouge, LA 70809-2993
Mailing Address9118 Bluebonnet Centre BlvdBaton Rouge, LA 70809-2993 · (225) 368-2300 · Fax (225) 368-2280
Phone(225) 368-2300
Fax(225) 368-2280
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 18, 2010
✔ NPI 1285936542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · RN102959-AP06111
9118 BLUEBONNET CENTRE BLVD, Baton Rouge, LA 70809
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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

Donovan Matherne Fnp-c 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 ID7012198435
PECOS Enrollment IDI20110217000887
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 6

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.

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.
885 services227 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.
176 services124 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
83 services62 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.
75 services59 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
38 services31 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
34 services13 patients

Hospital Affiliations CMS Care Compare

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

Terrebonne General Medical Center - Parish

Acute Care Hospitals · Houma, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190008
Location8166 Main StreetHouma, LA 70360 · Terrebonne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70809 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

30.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability86
Improvement Activities0
Cost28.97

Other Providers at the Same Location NPPES 13

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

ADVANCED SURGICAL CONCEPTS LLC
Clinic/Center (Ambulatory Surgical)
9118 BLUEBONNET CENTRE BLVD
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 368-2330
BIANCHINI-FREY, LLC
Psychologist (Clinical Child & Adolescent)
9118 BLUEBONNET CENTRE BLVD
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 368-2297
ADVANCED MANAGEMENT SERVICES LLC
Anesthesiology
9118 BLUEBONNET CENTRE BLVD
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 368-2330
LOUISIANA MUA, LLC
Anesthesiology (Pain Medicine)
9118 BLUEBONNET CENTRE BLVD
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 368-2300
DR. ALPESH D. PATEL MD
Pain Medicine (Interventional Pain Medicine)
9118 BLUEBONNET CENTRE BLVD
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 368-2300
DR. ADAM JOHN CARINCI MD
Pain Medicine (Interventional Pain Medicine)
9118 BLUEBONNET CENTRE BLVD, COMPREHENSIVE PAIN MANAGEMENT, LLC
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 368-2300
DR. TULSI NILA BICE M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
9118 BLUEBONNET CENTRE BLVD
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 368-2300
AMISHA PATEL PA-C
Physician Assistant (Medical)
9118 BLUEBONNET CENTRE BLVD
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 368-2300

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 Donovan Matherne's NPI number?

The NPI number for Donovan Matherne is 1285936542. It was assigned to this individual provider in the NPPES registry on November 18, 2010.

Where is Donovan Matherne located?

Donovan Matherne practices at 9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809. The listed phone number is (225) 368-2300.

What is Donovan Matherne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Donovan Matherne enrolled in Medicare?

Yes. Donovan Matherne 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 Donovan Matherne accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Donovan Matherne 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 Donovan Matherne affiliated with any hospitals?

According to CMS data, Donovan Matherne is affiliated with Terrebonne General Medical Center - Parish.

When was this NPI record last updated?

The NPPES record for Donovan Matherne was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.