DR. MATTHEW CHARLES GUMMERSON M.D.
NPI 1457474892
Anesthesiology - Pediatric Anesthesiology in Fort Worth, TX
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
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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Matthew Gummerson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 clinicians in this Medicare group
Southlake, TX 76092
- Reassigned Medicare billing, Texas enrollment
- 447 clinicians in this Medicare group
Dallas, TX 75219
- Reassigned Medicare billing, Texas enrollment
- 179 clinicians in this Medicare group
San Antonio, TX 78258
- Reassigned Medicare billing, Texas enrollment
- 226 clinicians in this Medicare group
Corpus Christi, TX 78411
- Reassigned Medicare billing, Texas enrollment
- 510 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.
Cook Childrens Medical Center
Childrens · Fort Worth, TXPhysician 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.
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.
FORT WORTH, TX 76104
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.
Which organizations bill Medicare for Matthew Gummerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Gummerson reassigns Medicare benefits to 5 organizations: Cook Children's Physician Network (Fort Worth, TX), Texas Anesthesia Partners, PLLC (Southlake, TX), Texas Scottish Rite Hospital For Crippled Children (Dallas, TX), Tejas Anesthesia PLLC (San Antonio, TX) and Children's Physician Services Of South Texas (Corpus Christi, TX). 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 Matthew Gummerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Gummerson accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., 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 10 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.
# Dr. Matthew Charles Gummerson, M.D. · NPI 1457474892
Pediatric Anesthesiology physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since April 9, 2007.
## Identity
- **NPI:** 1457474892 (Entity type: Individual)
- **Enumerated:** April 9, 2007
- **Primary specialty:** Anesthesiology - Pediatric Anesthesiology · taxonomy 207LP3000X
- **State license:** N7271 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 7TH AVE, Fort Worth, TX 76104-2733
- **Phone:** (682) 885-4054 · **Fax:** (682) 885-7497
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Cook Children's Physician Network (NPI 1548230923, Fort Worth, TX); Texas Anesthesia Partners, PLLC (NPI 1144673468, Southlake, TX); Texas Scottish Rite Hospital For Crippled Children (NPI 1598188948, Dallas, TX); Tejas Anesthesia PLLC (NPI 1659027910, San Antonio, TX); Children's Physician Services Of South Texas (NPI 1568658227, Corpus Christi, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** December 8, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1457474892) · Data from the CMS NPPES public registry.