Active NPI
Matthew Phares Palcso, MD
- Anesthesiology Physician
- Denver, CO
National Provider Identifier
1396882676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 47823
- Practice address
- 10350 E Dakota Ave
Denver, CO 80247-1314 - Phone
- (303) 338-4545
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TL-1819 | CO | |
| Anesthesiology Physician | 207L00000X | 47823 | CO | Primary |
Addresses
Primary practice location
10350 E Dakota Ave
Denver, CO 80247-1314
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020236 | Other | CO | KAISER COMMERCIAL NUMBER |
| 56881266 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, OR, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1270
804 22ND Ave
Kearney, NE 68845-2206
Phone (308) 455-3600
Hospital & facility affiliations
- Kearney Regional Medical Center
- Hillsboro Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47823 | CO | MD | Anesthesiology Physician |
| TL-1819 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Hospital Kearney | Anesthesiology | Current | Accepting new patients |
| Salem Health | Current | Accepting new patients | |
| Bryan Hospital Kearney | Current | Accepting new patients | |
| Colorado Permanente Medical Group, P.C. | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Colorado Inc. | Anesthesiology | Current | Accepting new patients |
Locations
10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350
2045 N Franklin St
Denver, CO 80205
Phone (303) 764-4666
10350 E Dakota Ave
Ofc
Denver, CO 80247
Phone (303) 344-7771
4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263
804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830
Interoperability endpoints
- mpalcso197571@direct.ohsu.edu
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Hillsboro, OR
- NPI 1508174012
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
-
- Internal Medicine Physician
- Denver, CO
- NPI 1760599724
Anesthesiology
-
- General Acute Care Hospital
- Kearney, NE
- NPI 1407513484
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kearney, NE
- NPI 1407513484
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1396882676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 E DAKOTA AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802471314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10350 E DAKOTA AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802471314",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALCSO",
"first_name": "MATTHEW",
"middle_name": "PHARES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL-1819",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "47823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "020236",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56881266",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "10350 E Dakota Ave",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802471314",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.