1. Home
  2. Directory
  3. Colorado
  4. Denver
  5. Internal Medicine
  6. NPI Profile

DR. MATTHEW G. TERRA M.D.
NPI 1720265846
Internal Medicine - Infectious Disease in Denver, CO

Active since January 31, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1601 E 19TH AVE, STE 3700, DENVER, CO 80218(303) 831-4774(303) 839-7750 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Matthew G. Terra M.d. NPPES

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

DR. MATTHEW G. TERRA M.D. (NPI 1720265846) is an individual infectious disease provider in Denver, Colorado, licensed in Colorado (DR0036795) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1995).

NPPES Registry Identity

NPI1720265846
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MATTHEW G. TERRACredential: M.D.
Location Address1601 E 19TH AVE, STE 3700Denver, CO 80218-1216
Mailing Address1601 E 19th Ave, Ste 3700Denver, CO 80218-1216 · (303) 831-4774 · Fax (303) 839-7750
Phone(303) 831-4774
Fax(303) 839-7750
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1995
Enumeration DateJanuary 31, 2008
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
✔ NPI 1720265846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in CO · DR0036795
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1601 E 19TH AVE, Denver, CO 80218
Open in Google Maps ↗

Other Identifiers 2

Other36795CO · License
Medicaid42406846CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 G. Terra 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 ID1850415829
PECOS Enrollment IDI20100826001239
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
553 services169 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
411 services121 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services52 patients
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.
22 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80218 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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%98 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%587 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%27 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
9%79 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
51%98 patients3/55-star benchmark: 95%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
77%79 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%79 patients2/55-star benchmark: 79%
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 20

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

MS. KAREN PETERSEN S.A.
1601 E 19TH AVE, 3150
DENVER, CO 80218
Denver County (303) 831-8400
DR. JULIE GILMAN WALLACE P.T.
Physical Therapist
1601 E 19TH AVE
DENVER, CO 80218
Denver County (720) 402-3801
KERI BAILEY CPNP
Nurse Practitioner (Pediatrics)
1601 E 19TH AVE, SUITE 5500
DENVER, CO 80218
Denver County (303) 839-6001
DR. DAVID H YOUNG MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1601 E 19TH AVE, SUITE 5000
DENVER, CO 80218
Denver County (303) 861-8158
OBSTERTIX/PEDIATRIX MEDICAL GROUP
Pediatrics (Neonatal-Perinatal Medicine)
1601 E 19TH AVE, SUITE 5300
DENVER, CO 80218
Denver County (303) 839-7440
HEALTHONE CLINIC SERVICES LLC
Internal Medicine (Hematology & Oncology)
1601 E 19TH AVE, SUITE 6600
DENVER, CO 80218
Denver County (303) 832-2344
DR. BARBARA J QUISSELL MD
Pediatrics (Neonatal-Perinatal Medicine)
1601 E 19TH AVE, SUITE 5300
DENVER, CO 80218
Denver County (303) 839-7440
MS. EMILY FRISCH WOLGIN PA-C, MS
Physician Assistant
1601 E 19TH AVE, SUITE 3150
DENVER, CO 80218
Denver County (303) 831-8400

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 Terra's NPI number?

The NPI number for Matthew Terra is 1720265846. It was assigned to this individual provider in the NPPES registry on January 31, 2008.

Where is Matthew Terra located?

Matthew Terra practices at 1601 E 19th Ave Ste 3700, Denver, CO 80218. The listed phone number is (303) 831-4774.

What is Matthew Terra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Matthew Terra enrolled in Medicare?

Yes. Matthew Terra 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 Terra accept?

Health plans from UnitedHealthcare list Matthew Terra 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 Terra was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.