Active NPI
Brett K Matheson, M.D., FACMS
- MOHS-Micrographic Surgery Physician
- Colorado SPGS, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- DR.0035631
- Practice address
- 1975 Research Pkwy Ste 165
Colorado SPGS, CO 80920-1026 - Phone
- (719) 574-0310
- Fax
- (719) 574-6574
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | DR.0035631 | CO | Primary |
Addresses
Primary practice location
1975 Research Pkwy Ste 165
Colorado SPGS, CO 80920-1026
Mailing address
1975 Research Pkwy Ste 165
Colorado SPGS, CO 80920-1026
Phone (719) 574-0310
Other practice location 1
328 S Bonaventure Ave Ste 2
Trinidad, CO 81082-2086
Phone (719) 574-0310 ext. 5
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01356310 | Medicaid | CO |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Georgetown University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1975 Research Pkwy
Suite 165
Colorado Springs, CO 80920-1026
Phone (719) 574-0310
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.28 of 100
- Quality
- 97.05
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 63.87
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 74 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1370 |
| Removal of skin cancer | 629 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 206 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0035631 | CO | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Cancer and Dermatology Center of Colorado Springs, P.C. | Specialist | Current | Accepting new patients |
| Skin Cancer and Dermatology Center of Colorado Springs, P.C. | Dermatology | Current | Accepting new patients |
| Skin Cancer and Dermatology Center of Colorado Springs, P.C. | Dermatology | Past | Accepting new patients |
Locations
1975 Research Pkwy
Ste 165
Colorado Springs, CO 80920
Phone (719) 574-0310
2375 Telstar Dr
Ste 115
Colorado Springs, CO 80920
Phone (719) 282-2320
509 W 17th St
Pueblo, CO 81003
Phone (719) 543-2211
382 S Bonaventure Ave Ste 2
Trinidad, CO 81082
328 S Bonaventure Ave
Ste 2
Trinidad, CO 81082
Phone (719) 364-6487
Organizations & group practices 3
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.
-
- Dermatology Physician
- Colorado SPGS, CO
- NPI 1588631055
Specialist
-
- Dermatology Physician
- Pueblo, CO
- NPI 1770275323
-
- Dermatology Physician
- Trinidad, CO
- NPI 1275120347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1427043579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 RESEARCH PKWY STE 165",
"city": "COLORADO SPGS",
"state": "CO",
"postal_code": "809201026",
"telephone_number": "719-574-0310",
"fax_number": "719-593-5947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 RESEARCH PKWY STE 165",
"city": "COLORADO SPGS",
"state": "CO",
"postal_code": "809201026",
"telephone_number": "719-574-0310",
"fax_number": "719-574-6574"
}
],
"practiceLocations": [
{
"address_1": "328 S Bonaventure Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Trinidad",
"state": "CO",
"postal_code": "810822086",
"country_code": "US",
"telephone_number": "719-574-0310 x5",
"fax_number": "719-574-6574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHESON",
"first_name": "BRETT",
"middle_name": "K",
"credential": "M.D., FACMS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CO",
"license": "DR.0035631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01356310",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado SPGS, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.