MR. PAUL G MATHERNE MD
NPI 1730245739
Family Medicine in Gulfport, MS
About Mr. Paul G Matherne Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAUL G MATHERNE MD (NPI 1730245739) is an individual family medicine provider in Gulfport, Mississippi, licensed in Mississippi (09445) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Merit Health Biloxi, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1978).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Mr. Paul G Matherne 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
2Medicare enrollment records show Paul Matherne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gulfport, MS 39507
- Reassigned Medicare billing, Mississippi enrollment
- 326 clinicians in this Medicare group
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 450 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Merit Health Biloxi
Acute Care Hospitals · Biloxi, MSMemorial Hospital At Gulfport
Acute Care Hospitals · Gulfport, MSSinging River Health System
Acute Care Hospitals · Pascagoula, MSSinging River Gulfport
Acute Care Hospitals · Gulfport, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 12
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Paul Matherne's NPI number?
The NPI number for Paul Matherne is 1730245739. It was assigned to this individual provider in the NPPES registry on December 28, 2006.
Where is Paul Matherne located?
Paul Matherne practices at 1924 E Pass Rd, Gulfport, MS 39507. The listed phone number is (228) 388-4862.
What is Paul Matherne's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Paul Matherne enrolled in Medicare?
Yes. Paul Matherne 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 Paul Matherne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Matherne reassigns Medicare benefits to 2 organizations: Ochsner Mississippi, LLC (Gulfport, MS) and Singing River Health System (Ocean Springs, 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 Paul Matherne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Matherne accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Paul Matherne 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 Paul Matherne affiliated with any hospitals?
According to CMS data, Paul Matherne is affiliated with Merit Health Biloxi, Memorial Hospital At Gulfport, Singing River Health System and Singing River Gulfport.
When was this NPI record last updated?
The NPPES record for Paul Matherne was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Paul G Matherne, MD · NPI 1730245739
Family Medicine physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since December 28, 2006.
## Identity
- **NPI:** 1730245739 (Entity type: Individual)
- **Enumerated:** December 28, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 09445 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1924 E PASS RD, Gulfport, MS 39507-3715
- **Phone:** (228) 388-4862 · **Fax:** (228) 388-2556
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Ochsner Mississippi, LLC (NPI 1386230910, Gulfport, MS); Singing River Health System (NPI 1053528109, Ocean Springs, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 1978
## Record status
- **NPPES last updated:** October 7, 2020
- **Other identifiers:** Medicaid 000018917 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1730245739) · Data from the CMS NPPES public registry.