Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Louis Dembrun Matherne IV, MD

Individual provider Surgery Physician · NPI 1346534849

Dr. Louis Dembrun Matherne IV, MD is a General Surgery in Lutz, Florida. Qualified in 2011, 15 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group and accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
15
Licensed in
FL, KY
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005
Phone: (813) 264-6490
Fax: (813) 443-8143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME141420 (FL)
Surgery Physician Taxonomy 208600000X · Licence 51640 (KY)

Record details

NPI number1346534849
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2011
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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