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DR. INGERLISA WENCHE MATTOCH M.D.
NPI 1306034582
Pathology - Dermatopathology in Loveland, CO

Active since October 12, 2007PECOS EnrolledCLIA 06D2284295 · Certificate of Compliance
75/100
CMS Quality Rating
1708 N. BOISE, LOVELAND, CO 80538(970) 818-6788(970) 669-0159 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2021, Dec 1, 2020 (2 updates tracked since 2020).

About Dr. Ingerlisa Wenche Mattoch M.d. NPPES

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

DR. INGERLISA WENCHE MATTOCH M.D. (NPI 1306034582) is an individual dermatopathology provider in Loveland, Colorado, licensed in Colorado (49136) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through May 28, 2027, and maintains a secondary practice location in Loveland.

NPPES Registry Identity

NPI1306034582
Entity TypeIndividualFemale
Primary Taxonomy207ZD0900X
Provider Legal NameDR. INGERLISA WENCHE MATTOCHCredential: M.D.
Location Address1708 N. BOISELoveland, CO 80538-4204
Mailing AddressPo Box 7268Loveland, CO 80537-0268 · (970) 818-6788 · Fax (970) 669-0159
Phone(970) 818-6788
Fax(970) 669-0159
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2004
Enumeration DateOctober 12, 2007
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1306034582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License✔ Licensed in CO · 49136
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License DR.0049136 (CO)
1708 N. BOISE, Loveland, CO 80538
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Secondary Practice Location 1

Location 11708 Boise AveLoveland, CO 80538-4204 · Phone (970) 818-6788 · Fax (970) 669-0159

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ingerlisa Wenche Mattoch M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103975198
PECOS Enrollment IDI20101116000969, I20251217002550
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

3

Medicare enrollment records show Ingerlisa Mattoch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ingerlisa Mattoch MD Inc
Same address
Dermatopathology
1708 BOISE AVE
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
NPI 1467190736 (708) 186-7889
Lake Loveland Dermatology PC
Same address
Dermatology
1708 BOISE AVE
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group
NPI 1679646582 (970) 667-3116
Regency Skin Institute PLLC
617 mi
MOHS-Micrographic Surgery
14725 W MOUNTAIN VIEW BLVD
Surprise, AZ 85374
  • Reassigned Medicare billing, Arizona enrollment
  • 14 clinicians in this Medicare group
NPI 1932630563 (623) 243-9077

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 06D2284295

Ingerlisa Mattoch MD Inc Dba Tiaga Pathology · Loveland, CO
Active · expires May 28, 2027
CLIA Number06D2284295
Laboratory TypeIndependent
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorDr. Ingerlisa W. Mattoch
Laboratory Phone(970) 818-6788
Laboratory LocationIngerlisa Mattoch MD Inc Dba Tiaga Pathology1708 N Boise Ave, Loveland, CO 80538
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 7

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
4,985 services2,820 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
118 services96 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
103 services88 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
30 services11 patients
Pathology examination of specimen during surgery, first tissue block 88331
A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
26 services16 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80538 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Melanoma Reporting
Pathology reports for primary malignant cutaneous melanoma that include the pT category and a statement on thickness and ulceration and for pT1, mitotic rate
100%23 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Ingerlisa Mattoch's NPI number?

The NPI number for Ingerlisa Mattoch is 1306034582. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Ingerlisa Mattoch located?

Ingerlisa Mattoch practices at 1708 N. Boise, Loveland, CO 80538. The listed phone number is (970) 818-6788.

What is Ingerlisa Mattoch's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Ingerlisa Mattoch enrolled in Medicare?

Yes. Ingerlisa Mattoch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ingerlisa Mattoch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ingerlisa Mattoch reassigns Medicare benefits to 3 organizations: Ingerlisa Mattoch MD Inc (Loveland, CO), Lake Loveland Dermatology PC (Loveland, CO) and Regency Skin Institute PLLC (Surprise, AZ). 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 Ingerlisa Mattoch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Ingerlisa Mattoch hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 06D2284295) is associated with this NPI, valid through May 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ingerlisa Mattoch accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming and Oscar Health Plan, Inc. list Ingerlisa Mattoch 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 Ingerlisa Mattoch was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.