LISA K MATHEW M.D.
NPI 1639331200
Internal Medicine - Gastroenterology in Castle Rock, CO

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment
78.24/100
CMS Quality Rating
3911 AMBROSIA ST STE 201, CASTLE ROCK, CO 80109(303) 788-8888(844) 347-5158 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa K Mathew M.d. NPPES

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

LISA K MATHEW M.D. (NPI 1639331200) is an individual gastroenterology provider in Castle Rock, Colorado, licensed in Colorado (DR.0054046) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2008).

NPPES Registry Identity

NPI1639331200
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameLISA K MATHEWCredential: M.D.
Location Address3911 AMBROSIA ST STE 201Castle Rock, CO 80109-3888
Mailing Address3911 Ambrosia St Ste 201Castle Rock, CO 80109-3888 · (303) 788-8888 · Fax (844) 347-5158
Fax(844) 347-5158
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2008
Enumeration DateJune 25, 2008
Last NPPES UpdateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
NPI 1639331200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CO · DR.0054046
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3911 AMBROSIA ST STE 201, Castle Rock, CO 80109

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

Lisa K Mathew 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 ID3173744034
PECOS Enrollment IDI20141020000771
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services72 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
65 services65 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
39 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
36 services35 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80109 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.

78.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.51
Promoting Interoperability100
Improvement Activities40
Cost39.96

Reported Quality Measures

Advance Care Plan
26%222 patients2/55-star benchmark: 100%
Age Appropriate Screening Colonoscopy
Lower rates are better for this measure.
0%327 patients
Appropriate follow-up interval based on pathology findings in screening colonoscopy
95%91 patients
Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
98%102 patients
Closing the Referral Loop: Receipt of Specialist Report
33%27 patients2/55-star benchmark: 87%
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
99%156 patients
Colorectal Cancer Screening
93%403 patients5/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
98%999 patients4/55-star benchmark: 100%
e-Prescribing
97%502 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%719 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 207 patients
0%207 patients
Provide Patients Electronic Access to Their Health Information
91%252 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 215 patients
Patients totalRate: 5% · 215 patients
5%215 patients4/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
3911 AMBROSIA ST STE 201
CASTLE ROCK, CO 80109
Internal Medicine (Gastroenterology)
3911 AMBROSIA ST STE 201
CASTLE ROCK, CO 80109
Internal Medicine (Gastroenterology)
3911 AMBROSIA ST STE 201
CASTLE ROCK, CO 80109
Nurse Anesthetist, Certified Registered
3911 AMBROSIA ST STE 201
CASTLE ROCK, CO 80109
Internal Medicine (Gastroenterology)
3911 AMBROSIA ST STE 201
CASTLE ROCK, CO 80109
Nurse Anesthetist, Certified Registered
3911 AMBROSIA ST STE 201
CASTLE ROCK, CO 80109
Nurse Anesthetist, Certified Registered
3911 AMBROSIA ST STE 201
CASTLE ROCK, CO 80109
Internal Medicine (Gastroenterology)
3911 AMBROSIA ST STE 201
CASTLE ROCK, CO 80109

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 Lisa Mathew's NPI number?

The NPI number for Lisa Mathew is 1639331200. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Lisa Mathew located?

Lisa Mathew practices at 3911 Ambrosia St Ste 201, Castle Rock, CO 80109. The listed phone number is (303) 788-8888.

What is Lisa Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Lisa Mathew enrolled in Medicare?

Yes. Lisa Mathew 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 Lisa Mathew was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.