THOR MATTHEW GOODFELLOW MD
NPI 1376005850
Internal Medicine in Jackson, MS
About Thor Matthew Goodfellow Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOR MATTHEW GOODFELLOW MD (NPI 1376005850) is an individual internal medicine provider in Jackson, Mississippi, licensed in Mississippi (30132) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and maintains a secondary practice location in Hattiesburg.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Thor Matthew Goodfellow 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.
Medicare Billing Reassignments
3Medicare enrollment records show Thor Goodfellow reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Collins, MS 39428
- Reassigned Medicare billing, Mississippi enrollment
- 696 clinicians in this Medicare group
Starkville, MS 39759
- Reassigned Medicare billing, Mississippi enrollment
- 23 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Mississippi Medical Center
Acute Care Hospitals · Tupelo, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 Thor Goodfellow's NPI number?
The NPI number for Thor Goodfellow is 1376005850. It was assigned to this individual provider in the NPPES registry on April 3, 2019.
Where is Thor Goodfellow located?
Thor Goodfellow practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5601.
What is Thor Goodfellow's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Thor Goodfellow enrolled in Medicare?
Yes. Thor Goodfellow 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 Thor Goodfellow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thor Goodfellow reassigns Medicare benefits to 3 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), Hattiesburg Clinic PA (Collins, MS) and North Mississippi Clinics LLC (Starkville, MS). 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 Thor Goodfellow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thor Goodfellow accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Thor Goodfellow 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 Thor Goodfellow affiliated with any hospitals?
According to CMS data, Thor Goodfellow is affiliated with North Mississippi Medical Center.
When was this NPI record last updated?
The NPPES record for Thor Goodfellow was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Thor Matthew Goodfellow, MD · NPI 1376005850
Internal Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since April 3, 2019.
## Identity
- **NPI:** 1376005850 (Entity type: Individual)
- **Enumerated:** April 3, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 30132 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-5601 · **Fax:** (601) 984-6665
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS); Hattiesburg Clinic PA (NPI 1265528160, Collins, MS); North Mississippi Clinics LLC (NPI 1477254696, Starkville, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** April 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376005850) · Data from the CMS NPPES public registry.