MR. MATTHEW JEFFREY DOHERTY CRNA
NPI 1013439215
Nurse Anesthetist, Certified Registered in Austin, TX

Active since July 10, 2017PECOS EnrolledAccepts Medicare Assignment
78.83/100
CMS Quality Rating
12221 N MOPAC EXPY, AUSTIN, TX 78758(512) 901-1000 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2025, Jul 21, 2022, Sep 10, 2018 and 3 more (6 updates tracked since 2017).

About Mr. Matthew Jeffrey Doherty Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MATTHEW JEFFREY DOHERTY CRNA (NPI 1013439215) is an individual nurse anesthetist, certified registered in Austin, Texas, licensed in Texas (AP134789) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1013439215
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. MATTHEW JEFFREY DOHERTYCredential: CRNA
Location Address12221 N MOPAC EXPYAustin, TX 78758-2401
Mailing Address8000 E Maplewood Ave, Ste 200Greenwood Village, CO 80111-4727 · (856) 308-7399
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 10, 2017
Last NPPES UpdateMay 21, 20256 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1013439215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · AP134789
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
12221 N MOPAC EXPY, Austin, TX 78758

Secondary Practice Location 1

Location 18101 E Lowry Blvd Ste 120Denver, CO 80230-7195 · Phone (303) 909-4157

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Matthew Jeffrey Doherty Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597030759
PECOS Enrollment IDI20181001000986, I20251225000067
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Matthew Doherty reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
1001 SOUTHPARK DR
Littleton, CO 80120
  • Reassigned Medicare billing, Colorado enrollment
  • 84 clinicians in this Medicare group
Anesthesiology
621 W FRANCIS ST
North Platte, NE 69101
  • Reassigned Medicare billing, Nebraska enrollment
  • 51 clinicians in this Medicare group
Orthopaedic Surgery
8101 E LOWRY BLVD STE 120
Denver, CO 80230
  • Reassigned Medicare billing, Colorado enrollment
  • 395 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Colorado enrollment
  • 87 clinicians in this Medicare group
Anesthesiology
10150 SE 32ND AVE
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 183 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
41 services35 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
26 services26 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.52
Promoting Interoperability100
Improvement Activities40
Cost59.92

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Speech-Language Pathologist
12221 N MOPAC EXPY
AUSTIN, TX 78758
Occupational Therapist (Physical Rehabilitation)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Emergency Medicine
12221 N MOPAC EXPY
AUSTIN, TX 78758
Internal Medicine (Interventional Cardiology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Psychiatry & Neurology (Neurology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Obstetrics & Gynecology
12221 N MOPAC EXPY
AUSTIN, TX 78758
Dietitian, Registered
12221 N MOPAC EXPY
AUSTIN, TX 78758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Doherty's NPI number?

The NPI number for Matthew Doherty is 1013439215. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Matthew Doherty located?

Matthew Doherty practices at 12221 N Mopac Expy, Austin, TX 78758. The listed phone number is (512) 901-1000.

What is Matthew Doherty's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Matthew Doherty enrolled in Medicare?

Yes. Matthew Doherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Matthew Doherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Doherty reassigns Medicare benefits to 5 organizations: Arapahoe Gastroenterology Anesthesia Associates LLC (Littleton, CO), North Platte Surgery Center Anesthesia, LLC (North Platte, NE), Orthopedic Centers Of Colorado, LLC (Denver, CO), Anesthesia Dynamics LLC (Bradenton, FL) and Anesthesia Associates Northwest LLC (Milwaukie, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Doherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Doherty accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Health and Oscar Insurance Company list Matthew Doherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Doherty was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.