Matthew Carnes, MD
NPI 1760572531 · Gastroenterology Physician · Fairhope, AL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Carnes, MD is a Gastroenterology Physician provider in Fairhope, AL (NPI 1760572531).
Provider details
- NPI number
- 1760572531
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 29599 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
299 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 103 | $148 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 68 | $105 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 26 | $79 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 25 | $15 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 24 | $67 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 86 | 35 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 66 | 65 |
| Pantoprazole Sodium | 63 | 21 |
| Famotidine | 49 | 11 |
| Dicyclomine Hcl | 49 | 19 |
| Budesonidebrand: Budesonide Dr | 42 | — |
| Sucralfate | 23 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,534 across 70 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2023-09-19
- Certified
- 2023-09-19
Frequently asked questions
- What is Matthew Carnes's NPI number?
- Matthew Carnes's National Provider Identifier (NPI) is 1760572531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Carnes's specialty?
- Matthew Carnes is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Carnes located?
- Matthew Carnes's practice location on file with NPPES is 21950 State Highway 181, Fairhope, AL 36532-4393.
- What is Matthew Carnes's phone number?
- The practice phone number listed in the NPPES registry for Matthew Carnes is (251) 550-5555.
- Does Matthew Carnes accept Medicare?
- Matthew Carnes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Carnes's NPI active?
- Yes — Matthew Carnes's NPI (1760572531) is active in the NPPES registry as of the last update on 2023-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.