MATTHEW B GRUNDFAST (D.O.) – Gastroenterology Physician, NPI 1124011085
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
525 GASTROENTEROLOGY in GA
Provider Addresses for MATTHEW B GRUNDFAST (D.O.)
Ray Knight Way, Dawson Heights, Albany, Dougherty County, Georgia, United States
ALBANY, GA 317070226
Phone: (229) 312-0698
Fax: (229) 438-7898
Type: Mailing
111 FAIRVIEW PARK DR
DUBLIN, GA 310212501
Phone: (478) 277-1929
Fax: (478) 304-1468
Type: Location
2740 Ray Knight Way Ste 100
Albany, GA 317070226
Phone: (229) 312-0698
Fax: (229) 438-7898
Type: Location
104 Fairview Park Dr
Dublin, GA 310212565
Phone: (478) 277-1255
Fax: (478) 304-1467
Type: Location
130 E WESTERLEE DR
LEESBURG, GA 317635817
Phone: (229) 886-5150
Fax: (682) 200-2084
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $143.
Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Olympus America Inc. ($85).
Total Amount
$143
General + Research + Ownership
Payments
7
Total payment records
General Amount
$143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Olympus America Inc. | $85 |
| ABBVIE INC. | $34 |
| Tempus AI, Inc | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031125000517 | I | Gastroenterology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 115 | 115 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 68 | 68 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 62 | 62 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 62 | 62 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 40 | 40 | $0 |
Insurance plans in this area (ZIP 31707)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Family Practice | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| General Surgery | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL |
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