Individual provider Active NPI

Matthew K Cotham, M.D.

  • Emergency Medicine Physician
  • Montrose, CO
National Provider Identifier
1790715456
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
39882 Issued in CO
Practice address
800 S 3Rd St
Montrose, CO 81401-4212
Phone
(970) 240-7180
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 39882 CO Primary

Addresses

Primary practice location

800 S 3Rd St
Montrose, CO 81401-4212

Mailing address

2917 Lost Creek Rd N
Montrose, CO 81401-7595
Phone (970) 240-7180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090320000510 CO Practitioner - Emergency Medicine 6608873252 Reassigns benefits to 1 organization
I20240202002036 DC Practitioner - Emergency Medicine 6608873252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.52 of 100Reported as group
Quality
91.6
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39882COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Memorial Hospital, Inc Emergency Medicine Current Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 17, 2023 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine Current Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Sep 8, 2009 Accepting new patients
Montrose Memorial Hospital,Inc CurrentSince Sep 8, 2009 Accepting new patients
Trinidad Area Health Association Past Accepting new patients

Locations

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1790715456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 LOST CREEK RD N",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814017595",
            "telephone_number": "970-240-7180",
            "fax_number": "970-240-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S 3RD ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014212",
            "telephone_number": "970-240-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTHAM",
        "first_name": "MATTHEW",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "39882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.