NPIMap

Individual provider Active NPI

Matthew Boschert Percy, MD

  • Family Medicine Physician
  • Rifle, CO
National Provider Identifier
1982993838
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0054060 Issued in CO
Practice address
195 W 14TH
Building C
Rifle, CO 81650-4700
Phone
(970) 945-2840
Fax
(970) 945-2893
NPI assigned
Mar 31, 2011
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 0054060 CO Primary

Addresses

Primary practice location

195 W 14TH
Building C
Rifle, CO 81650-4700

Mailing address

2700 Gilstrap CT
Suite 230
Glenwood Springs, CO 81601-8735
Phone (970) 945-2840

Other identifiers 1

IdentifierTypeStateIssuer
37532251MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150107002420 CO Practitioner - Family Practice 9830329937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Family Health CentersGroup PAC ID 3173413101, 20 clinicians

Practice addresses (Care Compare)

195 W
14TH BLDG C
Rifle, CO 81650-4716
Phone (970) 945-2840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0054060COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Family Health Centers CurrentSince Oct 7, 2014 Accepting new patients
Mountain Family Health Centers CurrentSince Oct 7, 2014 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Mountain Family Health Centers PastSince Feb 7, 2021 Accepting new patients
Mountain Family Health Centers Past Accepting new patients
Mountain Family Health Centers Past Accepting new patients

Locations

230 Chapel Sq
#D102
Avon, CO 81620

1905 Blake Ave
Ste 101
Glenwood Springs, CO 81601

2700 Gilstrap Ct
Ste 230
Glenwood Springs, CO 81601

195 W 14th St
Ste C
Rifle, CO 81650

Interoperability endpoints

  • Direct secure messaging: matt.percy.p1@direct.mfhc.nextgenshare.com
  • Direct secure messaging: vvh_him@direct.vvh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1982993838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GILSTRAP CT",
            "address_2": "SUITE 230",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816018735",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W 14TH",
            "address_2": "BUILDING C",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816504700",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCY",
        "first_name": "MATTHEW",
        "middle_name": "BOSCHERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0054060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37532251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

Verify at the official NPI Registry.