Mathew McCune, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME105881 Issued in FL

Practice address

930 Mar Walt Drive
C
Fort Walton Beach, FL 32547-6708

Phone

(850) 226-6801

Fax

(850) 357-8400

NPI assigned

Feb 13, 2007

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, AL2 enrollments

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 2

Specialty

Pain Management

Education

University of Louisville School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Pain and Wellness LLCGroup PAC ID 8527364058, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mathew.mccune@2498.securemail.prognocis.com

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

• Dynamic Pain & Wellness LLC

  • Anesthesiology Physician
  • Fort Walton Beach, FL
  • NPI 1285007989

  AL

  Medicare reassignment Care Compare group NPD Authorized official
• Dynamic Chiro & PT LLC

  • Chiropractor
  • Pensacola, FL
  • NPI 1144098724
  NPD (past) Authorized official
• Dynamic Pain & Wellness LLC

  • Multi-Specialty Clinic/Center
  • Crestview, FL
  • NPI 1821531013
  NPD (past) Authorized official
• Dynamic Pain & Wellness PLLC

  • Pain Medicine Physician
  • Destin, FL
  • NPI 1790228658
  Authorized official Same address or phone
• Dynamic Pain and Wellness Physical Therapy, LLC

  • Physical Therapist
  • Fort Walton Beach, FL
  • NPI 1700398070
  Authorized official Same address or phone
• Dynamic Pain & Wellness LLC

  • Pain Medicine (Anesthesiology) Physician
  • Dothan, AL
  • NPI 1588288641
  NPD
• Dynamic Pain & Wellness LLC

  • Interventional Pain Medicine Physician
  • Pensacola, FL
  • NPI 1003684697
  NPD (past)
• Dynamic Pain & Wellness LLC

  dba Dynamic Pain & Wellness, PLLC

  • Interventional Pain Medicine Physician
  • Panama City, FL
  • NPI 1689184178
  NPD (past)
• Dynamic Pain & Wellness LLC

  • Specialist
  • Crestview, FL
  • NPI 1861963290
  NPD (past)
• Dynamic Pain & Wellness LLC

  • Physician Assistant
  • Pensacola, FL
  • NPI 1922938174
  NPD (past)
• Dynamic Pain & Wellness PLLC

  • Pain Medicine Physician
  • Pensacola, FL
  • NPI 1871064360
  NPD (past)
• Ft. Walton Beach Anesthesia Services LLC

  • Anesthesiology Physician
  • Fort Walton Beach, FL
  • NPI 1245443829
  NPD (past)

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

• Houston County Healthcare Authority

  dba Southeast Alabama Medical Center

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1164403861
  Care Compare affiliation

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1457493611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MAR WALT DRIVE",
            "address_2": "C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-226-6801",
            "fax_number": "850-357-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MAR WALT DRIVE",
            "address_2": "C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-226-6801",
            "fax_number": "850-357-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2826 Ross Clark Cir Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363012017",
            "country_code": "US",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUNE",
        "first_name": "MATHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME105881",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "MD37392",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME105881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage McArthur
• Marianne C. McAuliffe, LCSW
• Eleanor A McCain, MD
• Marianne L McCain, PH.D.
• Marielle McClellan-Jung
• Emily C. McDevitt, D.O.
• Marina B McDonald, PT
• Stacey Lee McDonald, OD
• Cassie McDonnell, APRN
• Jenna McElyea, LPN

• Anesthesiology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.