Individual provider Active NPI

Brett K Matheson, M.D., FACMS

  • MOHS-Micrographic Surgery Physician
  • Colorado SPGS, CO
National Provider Identifier
1427043579
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
DR.0035631 Issued in CO
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

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01356310MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000327 CO Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 6103803648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
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 100Reported as group
Quality
97.05
Promoting interoperability
100
Improvement activities
40
Cost
63.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision74
Removal of tissue1-10
Removal of skin lesions1370
Removal of skin cancer629
Removal or shaving of skin growth1-10
Skin biopsy206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0035631COMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer and Dermatology Center of Colorado Springs, P.C. Specialist CurrentSince Jul 1, 2000 Accepting new patients
Skin Cancer and Dermatology Center of Colorado Springs, P.C. Dermatology CurrentSince Jul 1, 2000 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.

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

Verify at the official NPI Registry.