Active NPI
Matthew Welch, MD
- Primary Care Clinic/Center
- Panama City Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ACN1130
- Practice address
- 2601 Thomas Dr
Panama City Beach, FL 32408 - Phone
- (850) 588-5835
- Fax
- (850) 588-5837
- NPI assigned
- Mar 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ACN1130 | FL | Primary |
Addresses
Primary practice location
2601 Thomas Dr
Panama City Beach, FL 32408
Mailing address
2601 Thomas Dr
Panama City Beach, FL 32408-6246
Phone (850) 588-5835
Other practice location 1
3607 Roche Ave
Vernon, FL 32462-3358
Phone (850) 535-2321
Other practice location 2
3607 Roche Ave
Vernon, FL 32462
Phone (850) 535-2321
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190611000698 | FL | Practitioner - Family Practice | 1850689522 | Practice locations: Vernon, FL; Panama City Beach, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2601 Thomas Dr
Panama City Beach, FL 32408-6246
Phone (850) 588-5835
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1130 | FL | MD | Primary Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mason Carnley FNP-C, LLC | Past | Accepting new patients | |
| Samuel E Ward MD PL | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Panama City, FL
- NPI 1184512212
-
- Family Medicine Physician
- Vernon, FL
- NPI 1255319695
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- Home Health Agency
- Panama City, FL
- NPI 1518916659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1508228925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 THOMAS DR",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324086246",
"telephone_number": "850-588-5835",
"fax_number": "850-588-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 THOMAS DR",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "32408",
"telephone_number": "850-588-5835",
"fax_number": "850-588-5837"
}
],
"practiceLocations": [
{
"address_1": "3607 Roche Ave",
"address_purpose": "LOCATION",
"city": "Vernon",
"state": "FL",
"postal_code": "324623358",
"country_code": "US",
"telephone_number": "850-535-2321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3607 Roche Ave",
"address_purpose": "LOCATION",
"city": "Vernon",
"state": "FL",
"postal_code": "32462",
"country_code": "US",
"telephone_number": "850-535-2321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELCH",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-24",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ACN1130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.