KEVIN M MATTESON (M.D.) – Surgery Physician, NPI 1407853013
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
756 GENERAL SURGERY in CO
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Provider Addresses for KEVIN M MATTESON (M.D.)
SW Memorial Medical Office Building, 1311A, North Mildred Road, Cortez, Montezuma County, Colorado, 81321, United States
CORTEZ, CO 813212231
Phone:
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)
No Open Payments data available for this provider.
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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: 2005-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20050919000165 | I | General Surgery | CO | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 217 | 156 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 58 | 58 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 39 | 38 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 35 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 81321)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | CO | 45385 | Removal of polyps or growths of large bowel using an endoscope | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CO | |
| Family Practice, Obstetrics/Gynecology | CA | |
| Family Practice | CO | |
| Family Practice | CA | |
| Hospitalist, Internal Medicine | NM | |
| Physician Assistant | CO | |
| Interventional Cardiology | OR | |
| - | CO | |
| Physician Assistant | CO | |
| - | CO |
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