Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MATTHEW RALEIGH DIFRANCESCA M.D.
NPI 1588041990
Emergency Medicine in Durango, CO

Q: What is Matthew Difrancesca's NPI number?

The NPI number for Matthew Difrancesca is 1588041990. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Q: What is Matthew Difrancesca's specialty?

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

Active since May 05, 2015PECOS Enrolled

82.45/100

CMS Quality Rating

2577 MAIN AVE, DURANGO, CO 81301(970) 505-2100 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 1, 2026, Aug 23, 2019 (2 updates tracked since 2019).

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About Dr. Matthew Raleigh Difrancesca M.d. NPPES

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

DR. MATTHEW RALEIGH DIFRANCESCA M.D. (NPI 1588041990) is an individual emergency medicine provider in Durango, Colorado, licensed in Colorado (2X5933) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Albany Medical College Of Union University (2015).

NPPES Registry Identity

NPI1588041990

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MATTHEW RALEIGH DIFRANCESCACredential: M.D.

Location Address2577 MAIN AVEDurango, CO 81301-5919

Mailing AddressPo Box 6210Farmington, NM 87499-6210 · (505) 609-2258 · Fax (505) 609-2259

Phone(970) 505-2100

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2015

Enumeration DateMay 5, 2015

Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1588041990 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 · 2X5933✔ Licensed in NM · MD2019-0641✔ Licensed in UT · 10092294-1205

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.

2577 MAIN AVE, Durango, CO 81301

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Secondary Practice Locations 4

Location 11942 E Main StCortez, CO 81321-3039 · Phone (970) 505-2100

Location 2575 Rivergate LnDurango, CO 81301-7487 · Phone (970) 505-2100

Location 3422 N Main AveAztec, NM 87410-1928 · Phone (970) 505-2100

Location 42930 E Main StFarmington, NM 87402-7624 · Phone (970) 505-2100

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 Raleigh Difrancesca 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 ID6406137322

PECOS Enrollment IDI20191021000928, I20220315002597

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 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.

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.

115 services114 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.

61 services60 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

54 services50 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.

32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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.

82.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.08

Promoting Interoperability

100

Improvement Activities

Cost

54.76

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.

CHRISTOPHER A STEWART PA-C

Physician Assistant