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DR. MATHEW WILLIAM POMBO M.D.
NPI 1346413648
Orthopaedic Surgery - Sports Medicine in Duluth, GA

Active since April 08, 2008PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
3855 PLEASANT HILL RD STE 470, DULUTH, GA 30096(770) 813-8888 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mathew William Pombo M.d. NPPES

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

DR. MATHEW WILLIAM POMBO M.D. (NPI 1346413648) is an individual sports medicine provider in Duluth, Georgia, licensed in Georgia (61262) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Woodstock.

NPPES Registry Identity

NPI1346413648
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. MATHEW WILLIAM POMBOCredential: M.D.
Location Address3855 PLEASANT HILL RD STE 470Duluth, GA 30096-1417
Mailing Address3855 Pleasant Hill Rd Ste 470Duluth, GA 30096-1417 · (770) 813-8888
Phone(770) 813-8888
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2002
Enumeration DateApril 8, 2008
Last NPPES UpdateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1346413648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses✔ Licensed in GA · 61262✔ Licensed in PA · MT191685
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
3855 PLEASANT HILL RD STE 470, Duluth, GA 30096
Open in Google Maps ↗

Secondary Practice Location 1

Location 1960 Woodstock Pkwy Ste 200Woodstock, GA 30188-4867 · Phone (770) 517-6636 · Fax (770) 852-7710

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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. Mathew William Pombo M.d. 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 ID547337875
PECOS Enrollment IDI20080929000040
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

2

Medicare enrollment records show Mathew Pombo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northside Surgical Professional Services LLC
13 mi
Surgery
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 487 clinicians in this Medicare group
NPI 1356630990 (855) 709-4535
The Emory Clinic Inc
17 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

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 7

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.
59 services39 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
55 services38 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.
55 services36 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
26 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
22 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

GLENN M HALL JR. MD
Surgery
3855 PLEASANT HILL RD STE 470
DULUTH, GA 30096
Gwinnett County (678) 312-7280
DEBRA HWANG MD
Surgery
3855 PLEASANT HILL RD STE 470
DULUTH, GA 30096
Gwinnett County (770) 513-2155
MICHEAL A HALL M.D.
Surgery
3855 PLEASANT HILL RD STE 470
DULUTH, GA 30096
Gwinnett County (678) 312-7280
TILLMAN BLAKE HARDIGREE CST
3855 PLEASANT HILL RD STE 470
DULUTH, GA 30096
Gwinnett County (770) 813-8888
NICHOLAS RIN YU M.D.
Surgery
3855 PLEASANT HILL RD STE 470
DULUTH, GA 30096
Gwinnett County (678) 312-7280

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 Mathew Pombo's NPI number?

The NPI number for Mathew Pombo is 1346413648. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Mathew Pombo located?

Mathew Pombo practices at 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096. The listed phone number is (770) 813-8888.

What is Mathew Pombo's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Mathew Pombo enrolled in Medicare?

Yes. Mathew Pombo 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 Mathew Pombo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mathew Pombo reassigns Medicare benefits to 2 organizations: Northside Surgical Professional Services LLC (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). 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 Mathew Pombo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mathew Pombo accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Mathew Pombo 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 Mathew Pombo affiliated with any hospitals?

According to CMS data, Mathew Pombo is affiliated with Northside Hospital Forsyth, Northside Hospital and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Mathew Pombo was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.