MR. MATTHEW BURKHOLDER PA
NPI 1104216464
Physician Assistant - Surgical in Colorado Springs, CO

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
2222 N NEVADA AVE, SUITE 5017, COLORADO SPRINGS, CO 80907(719) 635-2501 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Matthew Burkholder Pa NPPES

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

MR. MATTHEW BURKHOLDER PA (NPI 1104216464) is an individual surgical provider in Colorado Springs, Colorado and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104216464
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MATTHEW BURKHOLDERCredential: PA
Location Address2222 N NEVADA AVE, SUITE 5017Colorado Springs, CO 80907-6819
Mailing Address315 W Harper StLouisville, CO 80027-1659 · (720) 308-0626
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 26, 2015
Last NPPES UpdateMarch 2, 2018
NPI 1104216464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
2222 N NEVADA AVE, Colorado Springs, CO 80907

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Matthew Burkholder Pa 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 ID5597082990
PECOS Enrollment IDI20150324001285
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
126 services80 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services13 patients

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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Pharmacist
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Radiology (Diagnostic Radiology)
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Emergency Medicine
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Internal Medicine
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Internal Medicine
2222 N NEVADA AVE, SUITE 2010
COLORADO SPRINGS, CO 80907
Hospitalist
2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907
Emergency Medicine
2222 N NEVADA AVE, EMERGENCY DEPARTMENT
COLORADO SPRINGS, CO 80907

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 Burkholder's NPI number?

The NPI number for Matthew Burkholder is 1104216464. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Matthew Burkholder located?

Matthew Burkholder practices at 2222 N Nevada Ave Suite 5017, Colorado Springs, CO 80907. The listed phone number is (719) 635-2501.

What is Matthew Burkholder's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Matthew Burkholder enrolled in Medicare?

Yes. Matthew Burkholder 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.

When was this NPI record last updated?

The NPPES record for Matthew Burkholder was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.