MATTHEW J FACKRELL (DO) – Family Medicine Physician, NPI 1215968045
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,661 FAMILY PRACTICE in CO
Provider Addresses for MATTHEW J FACKRELL (DO)
13741 E Rice Pl Ste 101
Aurora, CO 800151082
Phone: (800) 640-3451
Type: Location
11417 124th Ave NE Ste 100
Kirkland, WA 980334677
Phone: (800) 640-3451
Type: Location
1441, Parkway Drive, Blackfoot, Bingham County, Idaho, 83221, United States
BLACKFOOT, ID 832211667
Phone: (208) 785-2600
Fax: (208) 785-8185
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 73 Open Payments records for all available years, with a total value of $1,240.
Total Amount is formed as General ($1,240) + Research ($0) + Ownership ($0) = $1,240.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($456).
Total Amount
$1,240
General + Research + Ownership
Payments
73
Total payment records
General Amount
$1,240
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $456 |
| Phathom Pharmaceuticals, Inc. | $102 |
| Dexcom, Inc. | $79 |
| Abbott Laboratories | $75 |
| ITI, Inc. | $54 |
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: 2026-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20070924000249 | I | Family Practice | ID | TBD |
| I20240612001152 | I | Family Practice | CO | TBD |
| I20240712000967 | I | Family Practice | WA | TBD |
| I20240906003540 | I | Family Practice | OR | TBD |
| I20241118000163 | I | General Practice | PA | TBD |
| I20250404000473 | I | General Practice | VA | TBD |
| I20250529001592 | I | General Practice | TX | TBD |
| I20260203002993 | I | General Practice | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80015)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Osteopathic Manipulative Medicine | WY | |
| Physical Medicine And Rehabilitation | ID | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | ID | |
| Qualified Audiologist | ID | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | ID | |
| Nurse Practitioner | ID |
Reviews
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