Individual provider Active NPI

Matthew C Kergosien, MD

  • Orthopaedic Surgery Physician
  • Beaumont, TX
National Provider Identifier
1801070842
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
Q0081 Issued in TX
Practice address
3460 N Dowlen Rd
Beaumont, TX 77706-7690
Phone
(409) 838-0346
Fax
(409) 839-3720
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 106957 MN
Orthopaedic Surgery Physician 207X00000X Q0081 TX Primary

Addresses

Primary practice location

3460 N Dowlen Rd
Beaumont, TX 77706-7690

Mailing address

3460 N Dowlen Rd
Beaumont, TX 77706-7690
Phone (409) 838-0346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140917002984 TX Practitioner - Orthopedic Surgery 4880835065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at San Antonio, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Bone and Joint Institute PAGroup PAC ID 1951323385, 20 clinicians

Practice addresses (Care Compare)

3460 Dowlen Rd
Beaumont, TX 77706-7222
Phone (409) 838-0346

Hospital & facility affiliations

  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573

Merit-based Incentive Payment System (MIPS)

Final score
78.31 of 100Reported as group
Quality
74.88
Improvement activities
40
Cost
73.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)15
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106957MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Bone & Joint Institute, PA Current Accepting new patients
Beaumont Bone & Joint Institute, PA Orthopaedic Surgery CurrentSince Sep 1, 2014 Accepting new patients

Locations

3650 Laurel St
Beaumont, TX 77707
Phone (409) 838-0346

3460 Dowlen Rd
Beaumont, TX 77706
Phone (409) 838-0346

2927 Park Plaza Ln
Port Arthur, TX 77642
Phone (409) 883-3744

Interoperability endpoints

  • Direct secure messaging: matthewkergosien@bbj.allscriptsdirect.net

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.

Hospital & facility affiliations 3

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1801070842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 N DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067690",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 N DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067690",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERGOSIEN",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "106957",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "Q0081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.