Matthew David Coffman, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

DR.0059448 Issued in CO

Practice address

36065 Santa Fe Ave
CRD Army Medical Center
Fort Hood, TX 76544-5001

Phone

(254) 553-3779

Fax

(254) 288-2306

NPI assigned

Jun 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Dermatology

Education

Yale University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Skin Surgery and Dermatology, LLCGroup PAC ID 5698076644, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drmcoffman@francis.emadirect.md

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.

• Colorado Skin Surgery and Dermatology, LLC

  • MOHS-Micrographic Surgery Physician
  • Centennial, CO
  • NPI 1972972594
  Medicare reassignment Care Compare group NPD
• Francis Skin Surgery and Dermatology LLC

  • MOHS-Micrographic Surgery Physician
  • Centennial, CO
  • NPI 1780019158
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1245681410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "address_2": "CRD ARMY MEDICAL CENTER",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445001",
            "telephone_number": "254-553-3779",
            "fax_number": "254-288-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "address_2": "CRD ARMY MEDICAL CENTER",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445001",
            "telephone_number": "254-553-3779",
            "fax_number": "254-288-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0059448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauntay Clemons, LCSW
• Thomas M. Clopton, PA-C, MPAS
• Raquel Coelho, RN
• Audrey Joann Coffman, LVN
• Lydia Alicia Coffman, MD
• Rubin Cohen, MD
• Carolyn Ann Cole, LPC,LBSW,LCDC
• Georgia Cole, LVN
• Mary Elizabeth Coleman, RN
• Heather Hartley Collins

• Dermatology Physician in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.