Individual provider Active NPI

Matthew C Tufts, M.D.

  • Surgery Physician
  • Port Charlotte, FL
National Provider Identifier
1306284245
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME140088 Issued in FL
Practice address
4245 Kings Hwy Unit a
General Surgery
Port Charlotte, FL 33980-8416
Phone
(941) 391-5102
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME140088 FL Primary

Addresses

Primary practice location

4245 Kings Hwy Unit a
General Surgery
Port Charlotte, FL 33980-8416

Mailing address

4245 Kings Hwy Unit a
General Surgery
Port Charlotte, FL 33980-8416
Phone (941) 391-5102

Other identifiers 1

IdentifierTypeStateIssuer
102541900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190412000628 FL Practitioner - General Surgery 9638425622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John F Guarino MD PAGroup PAC ID 0648424978, 4 clinicians

Practice addresses (Care Compare)

4245 Kings Hwy
Unit a
Port Charlotte, FL 33980-8416
Phone (941) 391-5102

Hospital & facility affiliations

  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy187
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)46
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME140088FLMDSurgery Physician

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
John F Guarino MD PA Surgery CurrentSince Aug 1, 2019 Accepting new patients

Locations

4245 Kings Hwy
Unit A
Punta Gorda, FL 33980
Phone (941) 391-5102

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1306284245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 KINGS HWY UNIT A",
            "address_2": "GENERAL SURGERY",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808416",
            "telephone_number": "941-391-5102",
            "fax_number": "941-391-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 KINGS HWY UNIT A",
            "address_2": "GENERAL SURGERY",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808416",
            "telephone_number": "941-391-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFTS",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME140088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102541900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.