MATTHEW D MCGUFFEE NP
NPI 1407348352
Nurse Practitioner - Family in Monroe, LA

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment
78.33/100
CMS Quality Rating
312 GRAMMONT ST, MONROE, LA 71201(318) 966-6800(318) 966-6801 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2020, Sep 19, 2019, Jun 12, 2019 (3 updates tracked since 2019).

About Matthew D Mcguffee Np NPPES

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

MATTHEW D MCGUFFEE NP (NPI 1407348352) is an individual family provider in Monroe, Louisiana, licensed in Louisiana (AP09984) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with St Francis Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407348352
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW D MCGUFFEECredential: NP
Location Address312 GRAMMONT STMonroe, LA 71201-7457
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (318) 966-6800 · Fax (225) 765-9196
Fax(318) 966-6801
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 5, 2018
Last NPPES UpdateDecember 22, 20233 updates tracked since enumeration
NPPES CertifiedDecember 22, 2023
NPI 1407348352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in LA · AP09984
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP09984 (LA)
312 GRAMMONT ST, Monroe, LA 71201

Secondary Practice Locations 2

Location 12516 Broadmoor Blvd Ste 2C-2Monroe, LA 71201-2988 · Phone (318) 361-2144 · Fax (318) 812-6339
Location 22516 Broadmoor Blvd Ste 2BMonroe, LA 71201-2988 · Phone (318) 322-7726 · Fax (318) 322-2614

Other Identifiers 1

Medicaid2475703LA

Accepted 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 D Mcguffee Np 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 ID2264789080
PECOS Enrollment IDI20180724003024
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 3

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.
285 services248 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.
171 services160 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system 93288
An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

St Francis Medical Center

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190125
Location309 Jackson StreetMonroe, LA 71201 · Ouachita County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71201 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.

78.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality54.65
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
312 GRAMMONT ST
MONROE, LA 71201
Physical Medicine & Rehabilitation
312 GRAMMONT ST, STE 301
MONROE, LA 71201
Nurse Anesthetist, Certified Registered
312 GRAMMONT ST, SUITE 101
MONROE, LA 71201
Nurse Anesthetist, Certified Registered
312 GRAMMONT ST, SUITE 101
MONROE, LA 71201
Thoracic Surgery (Cardiothoracic Vascular Surgery)
312 GRAMMONT ST, SUITE 410
MONROE, LA 71201
Obstetrics & Gynecology
312 GRAMMONT ST, STE 300
MONROE, LA 71201
Physical Medicine & Rehabilitation
312 GRAMMONT ST, SUITE 301
MONROE, LA 71201
Obstetrics & Gynecology
312 GRAMMONT ST, STE 300
MONROE, LA 71201

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 Mcguffee's NPI number?

The NPI number for Matthew Mcguffee is 1407348352. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Matthew Mcguffee located?

Matthew Mcguffee practices at 312 Grammont St, Monroe, LA 71201. The listed phone number is (318) 966-6800.

What is Matthew Mcguffee's specialty?

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

Is Matthew Mcguffee enrolled in Medicare?

Yes. Matthew Mcguffee 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 Mcguffee accept?

Health plans from HMO Louisiana list Matthew Mcguffee 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 Mcguffee affiliated with any hospitals?

According to CMS data, Matthew Mcguffee is affiliated with St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Mcguffee was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.