LISA K MATHEW (M.D.) – Gastroenterology Physician, NPI 1639331200

LISA K MATHEW (M.D.) is a healthcare provider. based in Castle rock, Colorado. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. DR.0054046 (CO). The NPI Number for LISA K MATHEW (M.D.) is 1639331200

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
LISA K MATHEW (M.D.)
NPI
1639331200
Phone
(303) 788-8888
Address
3911 AMBROSIA ST STE 201
Enumeration Date
25 June 2008
Last Update Date
23 August 2023

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3037888888
Graduation Year
2008 (18 years ago)
PAC ID
3173744034
Group Practice PAC ID
2062302508
Professional Enrollment ID
I20141020000771
Address ID
CO801245525LO10103PKWY315
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

369 GASTROENTEROLOGY in CO

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Provider Addresses for LISA K MATHEW (M.D.)

  • 3911 AMBROSIA ST STE 201

    CASTLE ROCK, CO 801093888

    Phone: (303) 788-8888

    Fax: (844) 347-5158

    Type: Mailing

  • 10103, RidgeGate Parkway, Lone Tree, Douglas County, Colorado, 80124, United States

    SUITE 312

    LONE TREE, CO 801245520

    Phone: (303) 788-8888

    Fax: (303) 790-2567

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 233 Open Payments records for all available years, with a total value of $4,856.

Total Amount is formed as General ($4,856) + Research ($0) + Ownership ($0) = $4,856.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($909).

Total Amount

$4,856

General + Research + Ownership

Payments

233

Total payment records

General Amount

$4,856

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

View all Open Payments →|Open Payments Risk Radar →

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: 2014-10-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141020000771IGastroenterologyCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8666$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare6464$0
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito5352$0
99204New patient office or other outpatient visit, 45-59 minutes4444$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3836$0
View full utilization report →

Insurance plans in this area (ZIP 80109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062302508View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YCO
Certified Registered Nurse Anesthetist (Crna)MA
Gastroenterology, Internal MedicineCO
G A S T R O E N T E R O L O G YCO
G A S T R O E N T E R O L O G YCO
-CO
G A S T R O E N T E R O L O G YNY
G A S T R O E N T E R O L O G YCO
Certified Registered Nurse Anesthetist (Crna)CO
Registered Dietitian Or Nutrition ProfessionalCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for LISA K MATHEW (M.D.)?
LISA K MATHEW (M.D.) — NPI 1639331200 — is the standard way to identify this listing.
Can I rely on LISA K MATHEW (M.D.) being an active provider?
As of the registry snapshot, LISA K MATHEW (M.D.) is marked active.
What is LISA K MATHEW (M.D.)'s specialty?
The listing groups LISA K MATHEW (M.D.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Does LISA K MATHEW (M.D.) list a practice location?
Patients near Castle Rock, Colorado may find LISA K MATHEW (M.D.) in results; validate coverage separately.
Is the information about LISA K MATHEW (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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