DR. GURNEET KAUR MATHAROO MD
NPI 1295230530
Family Medicine in Hugoton, KS

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
80.02/100
CMS Quality Rating
1006 S JACKSON ST, HUGOTON, KS 67951(620) 544-8511 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 27, 2021, Mar 28, 2018 (2 updates tracked since 2018).

About Dr. Gurneet Kaur Matharoo Md NPPES

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

DR. GURNEET KAUR MATHAROO MD (NPI 1295230530) is an individual family medicine provider in Hugoton, Kansas, licensed in Kansas (04-44994) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Ks Hlth System Great Bend Campus, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295230530
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GURNEET KAUR MATHAROOCredential: MD
Location Address1006 S JACKSON STHugoton, KS 67951-2858
Mailing Address800 W Frontier LnOlathe, KS 66061-7216 · (913) 397-7800 · Fax (913) 397-7801
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 28, 2018
Last NPPES UpdateSeptember 27, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1295230530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 04-44994
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1006 S JACKSON ST, Hugoton, KS 67951

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gurneet Kaur Matharoo Md 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 ID2860740131
PECOS Enrollment IDI20210823000386, I20240805001110
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

10

Medicare enrollment records show Gurneet Matharoo reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
700 N HUSER ST
Syracuse, KS 67878
  • Reassigned Medicare billing, Kansas enrollment
  • 29 clinicians in this Medicare group
Multi-Specialty
514 CLEVELAND ST
Great Bend, KS 67530
  • Reassigned Medicare billing, Kansas enrollment
  • 76 clinicians in this Medicare group
Infectious Disease
1701 E 23RD AVE
Hutchinson, KS 67502
  • Reassigned Medicare billing, Kansas enrollment
  • 220 clinicians in this Medicare group
Critical Access
761 W 175TH ST S
Caldwell, KS 67022
  • Reassigned Medicare billing, Kansas enrollment
  • 41 clinicians in this Medicare group
Internal Medicine
4704 E OAKLAND
Wichita, KS 67218
  • Reassigned Medicare billing, Kansas enrollment
  • 92 clinicians in this Medicare group
Multi-Specialty
101 SOUTH MAIN
Udall, KS 67146
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1548229149 (Kansas)
  • 156 clinicians in this Medicare group
Rural Health
1301 W 12TH AVE STE 301
Emporia, KS 66801
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1922306729 (Kansas)
  • 86 clinicians in this Medicare group
Rural Health
300 UTAH ST STE 200
Hiawatha, KS 66434
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1255421210 (Kansas)
  • 76 clinicians in this Medicare group
Emergency Medicine
3500 S 4TH ST
Leavenworth, KS 66048
  • Reassigned Medicare billing, Kansas enrollment
  • 35 clinicians in this Medicare group
Emergency Medicine
1000 CARONDELET DR
Kansas City, MO 64114
  • Reassigned Medicare billing, Missouri enrollment
  • 42 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Ks Hlth System Great Bend Campus

Acute Care Hospitals · Great Bend, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170191
Location514 Cleveland StreetGreat Bend, KS 67530 · Barton County
Emergency services Birthing friendly

Newman Regional Health

Critical Access Hospitals · Emporia, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171384
Location1201 West 12th AvenueEmporia, KS 66801 · Lyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67951 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

80.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.41
Improvement Activities40
Cost59.79

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims25 services$18.72 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims25 services$99.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Physician Assistant
1006 S JACKSON ST
HUGOTON, KS 67951
Marriage & Family Therapist
1006 S JACKSON ST
HUGOTON, KS 67951
Home Health
1006 S JACKSON ST
HUGOTON, KS 67951
Marriage & Family Therapist
1006 S JACKSON ST
HUGOTON, KS 67951
Emergency Medicine
1006 S JACKSON ST
HUGOTON, KS 67951

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 Gurneet Matharoo's NPI number?

The NPI number for Gurneet Matharoo is 1295230530. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Gurneet Matharoo located?

Gurneet Matharoo practices at 1006 S Jackson St, Hugoton, KS 67951. The listed phone number is (620) 544-8511.

What is Gurneet Matharoo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gurneet Matharoo enrolled in Medicare?

Yes. Gurneet Matharoo 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.

Which organizations bill Medicare for Gurneet Matharoo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gurneet Matharoo reassigns Medicare benefits to 10 organizations: Hamilton County Hospital (Syracuse, KS), Ukhs Great Bend, LLC (Great Bend, KS), Hutchinson Regional Medical Center, Inc. (Hutchinson, KS), Sumner County Hospital District No 1 (Caldwell, KS), Vigilias LLC (Wichita, KS) and 5 more organizations, listed in the Medicare section above. 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 Gurneet Matharoo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gurneet Matharoo accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City and 2 other insurers list Gurneet Matharoo 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 Gurneet Matharoo affiliated with any hospitals?

According to CMS data, Gurneet Matharoo is affiliated with University Of Ks Hlth System Great Bend Campus and Newman Regional Health.

When was this NPI record last updated?

The NPPES record for Gurneet Matharoo was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.