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MATHERNE DERMATOLOGY, LLC
NPI 1548601016
Dermatology in Thibodaux, LA

Active since July 12, 2013CLIA Certified · 3 labs
2100 AUDUBON AVE, THIBODAUX, LA 70301(985) 446-5888(985) 446-5880 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 19, 2018, Nov 16, 2017, Aug 9, 2016 and 1 more (4 updates tracked since 2016).

About Matherne Dermatology, Llc NPPES

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

MATHERNE DERMATOLOGY, LLC (NPI 1548601016) is a healthcare organization registered as a dermatology in Thibodaux, Louisiana and active in the NPI registry since July 2013. The organization holds 3 active CLIA laboratory certificates and lists Michele Decker Matherne, Manager, as its authorized official.

NPPES Registry Identity

NPI1548601016
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMATHERNE DERMATOLOGY, LLC
Location Address2100 AUDUBON AVEThibodaux, LA 70301-5014
Mailing Address2100 Audubon AveThibodaux, LA 70301 · (985) 446-5888
Phone(985) 446-5888
Fax(985) 446-5880
Organization SubpartNo
Authorized OfficialMichele Decker MatherneManager · (504) 975-9577
Enumeration DateJuly 12, 2013
Last NPPES UpdateApril 19, 20184 updates tracked since enumeration
✔ NPI 1548601016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in LA · MD202680
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2100 AUDUBON AVE, Thibodaux, LA 70301
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Other Identifiers 3

Other5DX54LA · Medicare Group Ptan
Medicaid1500615LA
Other4Q145DX54Individual Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matherne Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Matherne Dermatology, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Matherne, MD
Dermatology
NPI 1528259710
416 HIGHWAY 308
Thibodaux, LA 70301
(985) 446-5888
✔ PECOS✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 19D2132768

Matherne Dermatology, LLC · Thibodaux, LA
Active · expires May 17, 2028
CLIA Number19D2132768
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorRyan J. Matherne
Laboratory Phone(985) 446-5888
Laboratory LocationMatherne Dermatology, LLC416 Hwy 308, Thibodaux, LA 70301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 19D2164597

Matherne Dermatology, LLC · Cut Off, LA
Active · expires Apr 9, 2027
CLIA Number19D2164597
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorRyan J. Matherne
Laboratory Phone(985) 446-5888
Laboratory LocationMatherne Dermatology, LLC101 Picciola Parkway, Cut Off, LA 70345
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2164598

Matherne Dermatology, LLC · Lutcher, LA
Active · expires Apr 9, 2027
CLIA Number19D2164598
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorRyan J. Matherne
Laboratory Phone(985) 446-5888
Laboratory LocationMatherne Dermatology, LLC1731 Lutcher Ave, Suite 1200, Lutcher, LA 70071
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Matherne Dermatology, LLC's NPI number?

The NPI number for Matherne Dermatology, LLC is 1548601016. It was assigned to this organization in the NPPES registry on July 12, 2013.

Where is Matherne Dermatology, LLC located?

Matherne Dermatology, LLC is located at 2100 Audubon Ave, Thibodaux, LA 70301. The listed phone number is (985) 446-5888.

What is Matherne Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Matherne Dermatology, LLC enrolled in Medicare?

Yes. Matherne Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Matherne Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Matherne Dermatology, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Matherne Dermatology, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Matherne Dermatology, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Matherne Dermatology, LLC 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.

When was this NPI record last updated?

The NPPES record for Matherne Dermatology, LLC was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.