DR. MATTHEW DAVID POULIOT (D.O.) – Pain Medicine Physician, NPI 1154584266
Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
134 PAIN MANAGEMENT in CO
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Provider Addresses for DR. MATTHEW DAVID POULIOT (D.O.)
3744, South Timberline Road, Peachtree, Fort Collins, Larimer County, Colorado, 80525, United States
SUITE 102
FORT COLLINS, CO 805254333
Phone: (970) 495-0506
Fax: (970) 495-0485
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 137 Open Payments records for all available years, with a total value of $15,707.
Total Amount is formed as General ($15,707) + Research ($0) + Ownership ($0) = $15,707.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Medtronic, Inc. ($15,427).
Total Amount
$15,707
General + Research + Ownership
Payments
137
Total payment records
General Amount
$15,707
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $15,427 |
| Relievant Medsystems, Inc. | $152 |
| PAINTEQ LLC | $89 |
| Boston Scientific Corporation | $39 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100106000501 | I | Physical Medicine And Rehabilitation | CO | TBD |
| I20171121003526 | I | Pain Management | WY | TBD |
| I20180626000391 | I | Physical Medicine And Rehabilitation | NE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 266 | 154 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 166 | 126 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 151 | 31 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 144 | 16 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 125 | 104 | $0 |
Insurance plans in this area (ZIP 80525)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| O T O L A R Y N G O L O G Y | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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