Matthew Raleigh Difrancesca, M.D.
Individual provider Active NPI Emergency Medicine Physician · Farmington, NM
NPI 1588041990 · NPPES record last updated Aug 23, 2019
Key facts
- NPI
- 1588041990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD2019-0641 (NM)
- Practice address
- 801 W Maple St
Farmington, NM 87401-5630 - Phone
- (505) 609-2000
- Fax
- (505) 609-2259
- NPI assigned
- May 5, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Albany Medical College of Union University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Durango Urgent Care LLC
Aztec Urgent Care, LLC
Animas Surgical Hospital LLC
Practice addresses (Care Compare)
2577 Main Ave
Durango, CO 81301-5919
Phone (970) 247-8382
422 N Main Ave
Aztec, NM 87410-1928
Phone (970) 505-2100
575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537
Hospital & facility affiliations
- Animas Surgical Hospital, LLC
- Mercy Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 91.15
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in WY, NM, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180629000591 | WY | Practitioner - Emergency Medicine | 6406137322 | Reassigns benefits to 1 organization |
| I20191021000928 | NM | Practitioner - Emergency Medicine | 6406137322 | Reassigns benefits to 1 organization |
| I20220315002597 | CO | Practitioner - Emergency Medicine | 6406137322 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2019-0641 | NM | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Animas Surgical Hospital, LLC | Current |
Accepting new patients | |
| Usacs of Colorado, Inc | Emergency Medicine | Current |
Accepting new patients |
| Usacs of Colorado Inc | Emergency Medicine | Current |
Accepting new patients |
| Durango Surgery Center LLC | Current |
Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Durango Urgent Care LLC | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Animas Surgical Hospital, LLC | Emergency Medicine | Current | Accepting new patients |
| Aztec Urgent Care, LLC | Current |
Accepting new patients |
Locations
450 S Camino del Rio
Ste 106
Durango, CO 81301
Phone (970) 259-9311
575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678
1010 Three Springs Blvd
Durango, CO 81301
Phone (970) 247-4311
2577 Main Ave
Durango, CO 81301
Phone (970) 247-8382
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
604 S Rio Grande Ave
Aztec, NM 87410
Phone (505) 334-2664
6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363
6330 S Western Ave
Ste 150
Sioux Falls, SD 57108
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352
Interoperability endpoints
- mdifrancesca200909@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 10092294-1205 | UT | |
| Emergency Medicine Physician | 207P00000X | MD2019-0641 | NM | Yes |
Addresses
Primary practice location
801 W Maple St
Farmington, NM 87401-5630
Mailing address
PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258
Other practice location 1
University Of Utah Emergency Medicine
30N 1900E Som 1C026
Salt Lake City, UT 84132
Phone (435) 260-0191
Other providers in Farmington, NM
- Tejwant Singh Dhillon
- Diane W Williams PSYD PC D/B/a Integrative Mental Health
- Alton Aaron Dickson
- Richard Grenville Diedrich
- Kyra Diffey
- Devon Dillon
- Cameron Dobey
- Janet Dodson
- Kenneth Bart Dodson
- Crystal Hope Doerr
All providers in Farmington, NM · Emergency Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.