DR. MATTHEW RYAN HERRON M.D.
NPI 1275783722
Emergency Medicine in Canon City, CO

Active since September 22, 2008PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
1338 PHAY AVE, CANON CITY, CO 81212(419) 350-7755 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Ryan Herron M.d. NPPES

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

DR. MATTHEW RYAN HERRON M.D. (NPI 1275783722) is an individual emergency medicine provider in Canon City, Colorado, licensed in Colorado (47886) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Riverside Walter Reed Hospital, and is a graduate of University Of Toledo College Of Medicine (2006).

NPPES Registry Identity

NPI1275783722
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MATTHEW RYAN HERRONCredential: M.D.
Location Address1338 PHAY AVECanon City, CO 81212-2302
Mailing Address5420 Backglen DrColorado Springs, CO 80906-8600 · (419) 350-7755
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2006
Enumeration DateSeptember 22, 2008
Last NPPES UpdateSeptember 7, 2011
NPI 1275783722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CO · 47886 Licensed in PA · MT189327
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1338 PHAY AVE, Canon City, CO 81212

Accepted Insurance

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

Dr. Matthew Ryan Herron M.d. 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 ID446305437
PECOS Enrollment IDI20130328000155
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
166 services164 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
95 services93 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81212 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
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.

Nurse Practitioner
1338 PHAY AVE, ST THOMAS MORE HOSPITAL
CANON CITY, CO 81212
Emergency Medicine
1338 PHAY AVE
CANON CITY, CO 81212
Surgery
1338 PHAY AVE
CANON CITY, CO 81212
Internal Medicine
1338 PHAY AVE
CANON CITY, CO 81212
Dietitian, Registered
1338 PHAY AVE
CANON CITY, CO 81212
Hospitalist
1338 PHAY AVE
CANON CITY, CO 81212
Obstetrics & Gynecology
1338 PHAY AVE
CANON CITY, CO 81212
Occupational Therapist
1338 PHAY AVE
CANON CITY, CO 81212

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 Herron's NPI number?

The NPI number for Matthew Herron is 1275783722. It was assigned to this individual provider in the NPPES registry on September 22, 2008.

Where is Matthew Herron located?

Matthew Herron practices at 1338 Phay Ave, Canon City, CO 81212. The listed phone number is (419) 350-7755.

What is Matthew Herron's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Herron enrolled in Medicare?

Yes. Matthew Herron 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.

What insurance does Matthew Herron accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Matthew Herron 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.

Is Matthew Herron affiliated with any hospitals?

According to CMS data, Matthew Herron is affiliated with Riverside Walter Reed Hospital and Riverside Doctors' Hospital Of Williamsburg.

When was this NPI record last updated?

The NPPES record for Matthew Herron was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.