DR. MATTHEW CHARLES GUMMERSON M.D.
NPI 1457474892
Anesthesiology - Pediatric Anesthesiology in Fort Worth, TX

Q: What is Matthew Gummerson's NPI number?

The NPI number for Matthew Gummerson is 1457474892. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is Matthew Gummerson's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Gummerson was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 09, 2007PECOS EnrolledAccepts Medicare Assignment

801 7TH AVE, FORT WORTH, TX 76104(682) 885-4054(682) 885-7497 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Jul 21, 2022, May 22, 2017 (3 updates tracked since 2017).

On this page

About Dr. Matthew Charles Gummerson M.d. NPPES

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

DR. MATTHEW CHARLES GUMMERSON M.D. (NPI 1457474892) is an individual pediatric anesthesiology provider in Fort Worth, Texas, licensed in Texas (N7271) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Cook Childrens Medical Center, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1457474892

Entity TypeIndividualMale

Primary Taxonomy207LP3000X

Provider Legal NameDR. MATTHEW CHARLES GUMMERSONCredential: M.D.

Location Address801 7TH AVEFort Worth, TX 76104-2733

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (683) 885-6483 · Fax (682) 885-3113

Phone(682) 885-4054

Fax(682) 885-7497

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2005

Enumeration DateApril 9, 2007

Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1457474892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

Licenses✔ Licensed in TX · N7271✔ Licensed in AK · 7335✔ Licensed in VA · 0101240998

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

801 7TH AVE, Fort Worth, TX 76104

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Secondary Practice Location 1

Location 12222 Welborn StDallas, TX 75219-3924 · Phone (214) 559-5000 ext. 7520 · Fax (214) 443-7309

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.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

Dr. Matthew Charles Gummerson 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 ID6103060009

PECOS Enrollment IDI20130916000241

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.

Hospital Affiliations CMS Care Compare

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

Cook Childrens Medical Center

Childrens · Fort Worth, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number453300

Location801 Seventh AvenueFort Worth, TX 76104 · Tarrant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RACHEL MARIE SOUERS M.D.

Pediatrics

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-6726

JAMIE L COLE LCSW

Social Worker (Clinical)

801 7TH AVE, CASE MANAGEMENT
FORT WORTH, TX 76104

Tarrant County (682) 885-3991

ANNE MARCUM KIRK M.D.

Hospitalist

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-1475

KRISTI E TUCKER FNP

Nurse Practitioner (Family)

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-1475

ISAAC WILSON RN

Registered Nurse

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-4000

DR. BRITTON MICHAEL DEVILLIER M.D., M.P.H.

Emergency Medicine (Pediatric Emergency Medicine)

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-4095

DR. PHUONG THI NGUYEN M.D.

Hospitalist

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-1475

DR. MIRIAM ALLISON BLUM DO

Hospitalist

801 7TH AVE
FORT WORTH, TX 76104

Tarrant County (682) 885-1475

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 Gummerson's NPI number?

The NPI number for Matthew Gummerson is 1457474892. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Matthew Gummerson located?

Matthew Gummerson practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4054.

What is Matthew Gummerson's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Matthew Gummerson enrolled in Medicare?

Yes. Matthew Gummerson 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 Gummerson accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Matthew Gummerson 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 Gummerson affiliated with any hospitals?

According to CMS data, Matthew Gummerson is affiliated with Cook Childrens Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Gummerson was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.