DR. MATTHEW RALEIGH DIFRANCESCA M.D.
NPI 1588041990
Emergency Medicine in Durango, CO
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
Specialties & Licenses
Secondary Practice Locations 4
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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Matthew Difrancesca reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durango, CO 81301
- Reassigned Medicare billing, Colorado enrollment
- 9 clinicians in this Medicare group
Durango, CO 81301
- Reassigned Medicare billing, Colorado enrollment
- 69 clinicians in this Medicare group
Durango, CO 81301
- Reassigned Medicare billing, Colorado enrollment
- 468 clinicians in this Medicare group
Aztec, NM 87410
- Reassigned Medicare billing, New Mexico enrollment
- 13 clinicians in this Medicare group
Rock Springs, WY 82901
- Reassigned Medicare billing, Wyoming enrollment
- 91 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.
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.
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.
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.
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 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.
Where is Matthew Difrancesca located?
Matthew Difrancesca practices at 2577 Main Ave, Durango, CO 81301. The listed phone number is (970) 505-2100.
What is Matthew Difrancesca's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Matthew Difrancesca enrolled in Medicare?
Yes. Matthew Difrancesca 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 Difrancesca's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Difrancesca reassigns Medicare benefits to 5 organizations: Durango Urgent Care LLC (Durango, CO), Animas Surgical Hospital, LLC (Durango, CO), Usacs Of Colorado Inc (Durango, CO), Aztec Urgent Care, LLC (Aztec, NM) and University Of Utah Adult Services (Rock Springs, WY). 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 Difrancesca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Difrancesca accept?
Health plans from Select Health list Matthew Difrancesca 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 Difrancesca was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.
# Dr. Matthew Raleigh Difrancesca, M.D. · NPI 1588041990
Emergency Medicine physician in Durango, Colorado. Individual provider, active in the CMS NPPES registry since May 5, 2015.
## Identity
- **NPI:** 1588041990 (Entity type: Individual)
- **Enumerated:** May 5, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2X5933 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 2577 MAIN AVE, Durango, CO 81301-5919
- **Phone:** (970) 505-2100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Durango Urgent Care LLC (NPI 1154354512, Durango, CO); Animas Surgical Hospital, LLC (NPI 1194161422, Durango, CO); Usacs Of Colorado Inc (NPI 1235765074, Durango, CO); Aztec Urgent Care, LLC (NPI 1063741163, Aztec, NM); University Of Utah Adult Services (NPI 1750769634, Rock Springs, WY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2015
## Record status
- **NPPES last updated:** October 1, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1588041990) · Data from the CMS NPPES public registry.