Doctor profile · Federal record
Dr. Matthew Carnes, MD
Gastroenterology Physician (CMS: Gastroenterology) · Fairhope, AL
- NPI 1760572531
- Accepts Medicare
- MIPS 94.4 / 100 · 2023
- 26 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
21950 State Highway 181
Fairhope, AL 365324393
(251) 550-5555
fax (251) 660-5559 - Mailing address
-
Po Box 746450
Atlanta, GA 303746450
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- September 19, 2023
- Year of graduation
- 2000 — 26 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Alabama #29599
- Medicaid
- AL #151454
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1760572531. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
476
Distinct HCPCS
10
Medicare allowed
$51,995
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 120 | 77 | $72 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 86 | 82 | $162 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 81 | 67 | $117 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 27 | 27 | $109 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $156 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 22 | 22 | $147 | |
36415 |
Insertion of needle into vein for collection of blood sample | 19 | 19 | $8 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 19 | 19 | $165 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 18 | 18 | $8 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 15 | 15 | $235 |
In context: peer comparison
Among 2 peers in Fairhope Gastroenterology Physician, average services per provider: 45. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$1,534
Transactions
70
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 37 | $665.56 | |
| Janssen Biotech, INC. | 9 | $182.27 | |
| Madrigal Pharmaceuticals | 1 | $148.43 | |
| Takeda Pharmaceuticals U.S.A., INC. | 7 | $135.31 | |
| 3-D Matrix, INC. | 1 | $91.98 | |
| Phathom Pharmaceuticals, INC. | 4 | $64.15 | |
| Erbe USA INC | 1 | $50.00 | |
| Braintree Laboratories, INC. | 2 | $49.44 | |
| Ironwood Pharmaceuticals, INC | 2 | $48.09 | |
| Celltrion USA INC. | 1 | $19.19 | |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | 1 | $18.24 | |
| Pfizer INC. | 1 | $16.00 | |
| Boston Scientific Corporation | 1 | $15.78 | |
| Lilly USA, LLC | 1 | $15.26 | |
| CapsoVision, INC. | 1 | $14.51 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
756
Patients
302
Total drug cost
$83,168
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 117 | 37 | $1,446 |
| Pantoprazole Sodium | Generic | 116 | 44 | $1,906 |
| Dicyclomine Hcl | Generic | 95 | 28 | $1,396 |
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 64 | 64 | $1,681 |
| Sucralfate | Generic | 59 | 15 | $2,192 |
| Budesonide Dr (Budesonide) | Brand | 52 | 13 | $11,338 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,Mag Sulfates) | Brand | 47 | 47 | $3,656 |
| Clenpiq (Sod Picosulf/Mag Ox/Citric Ac) | Brand | 44 | 43 | $7,757 |
| Famotidine | Generic | 38 | 11 | $452 |
| Esomeprazole Magnesium | Generic | 31 | 0 | $1,283 |
Hospital affiliations
Frequently asked questions
What is Dr. Matthew Carnes's medical specialty?
Dr. Matthew Carnes practices Gastroenterology Physician in Fairhope, AL.
Where does Dr. Matthew Carnes practice?
Dr. Matthew Carnes practices at 21950 State Highway 181, Fairhope, AL 365324393. Office phone: 2515505555.
What is Dr. Matthew Carnes's NPI?
Dr. Matthew Carnes's National Provider Identifier (NPI) is 1760572531, issued by NPPES.
Does Dr. Matthew Carnes accept Medicare assignment?
Yes. Dr. Matthew Carnes accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Matthew Carnes commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with moderate level of medical decision making (HCPCS 99223); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.