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MICHAEL ANTHONY MATERGIA MD
NPI 1790124840
Family Medicine in Denver, CO

Active since June 21, 2013PECOS Enrolled
1960 OGDEN ST, SUITE 460, DENVER, CO 80218(303) 318-2500(303) 318-2575 Get Directions Write a Review

NPPES record last updated: February 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Anthony Matergia Md NPPES

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

MICHAEL ANTHONY MATERGIA MD (NPI 1790124840) is an individual family medicine provider in Denver, Colorado, licensed in Colorado (DR.0055587) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790124840
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL ANTHONY MATERGIACredential: MD
Location Address1960 OGDEN ST, SUITE 460Denver, CO 80218-3666
Mailing Address1960 Ogden St, Suite 460Denver, CO 80218-3666 · (303) 318-2500 · Fax (303) 318-2575
Phone(303) 318-2500
Fax(303) 318-2575
Sole ProprietorNo
Enumeration DateJune 21, 2013
Last NPPES UpdateFebruary 21, 2016
✔ NPI 1790124840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · DR.0055587
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TL.0004927 (CO)
1960 OGDEN ST, Denver, CO 80218
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Anthony Matergia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Michael Matergia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Joseph Hospital Inc
Same address
Surgery
1960 N OGDEN ST STE 110
Denver, CO 80218
  • Reassigned Medicare billing, Colorado enrollment
  • 114 clinicians in this Medicare group
NPI 1093431694 (303) 812-6850
Uptown Community Health Center Inc
Same address
Obstetrics & Gynecology
1960 N OGDEN ST STE 340
Denver, CO 80218
  • Reassigned Medicare billing, Colorado enrollment
  • 90 clinicians in this Medicare group
NPI 1538802921 (303) 318-3830

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

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.
25 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
$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.

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.

RACHEL A GAFFNEY MD
Obstetrics & Gynecology
1960 OGDEN ST, SUITE 460
DENVER, CO 80218
Denver County (303) 318-2500
ADELE R SYKES MD
Internal Medicine
1960 OGDEN ST, SUITE 120
DENVER, CO 80218
Denver County (303) 318-3840
MRS. MALGORZATA THOMAS PHARMD
Pharmacist
1960 OGDEN ST, SUITE 130
DENVER, CO 80218
Denver County (303) 928-8383
CHARLES E. FRANKUM, JR, MD, PROFESSIONAL LLC
Colon & Rectal Surgery
1960 OGDEN ST, SUITE 530
DENVER, CO 80218
Denver County (303) 830-2004
ANDREA KABOSOVA MD
Student in an Organized Health Care Education/Training Program
1960 OGDEN ST, SUITE 400
DENVER, CO 80218
Denver County (303) 318-1540
DR. ERIC J WHITTIER DO
Internal Medicine
1960 OGDEN ST, STE 120
DENVER, CO 80218
Denver County (303) 318-3840
BRYAN SILON M.D.
Internal Medicine (Gastroenterology)
1960 OGDEN ST, SUITE 400
DENVER, CO 80218
Denver County (303) 318-1540
MRS. MARTHA E MERRILL-HALL CNM
Advanced Practice Midwife
1960 OGDEN ST, SUITE320
DENVER, CO 80218
Denver County (303) 318-2620

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 Michael Matergia's NPI number?

The NPI number for Michael Matergia is 1790124840. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Michael Matergia located?

Michael Matergia practices at 1960 Ogden St Suite 460, Denver, CO 80218. The listed phone number is (303) 318-2500.

What is Michael Matergia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Matergia enrolled in Medicare?

Yes. Michael Matergia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Matergia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Matergia reassigns Medicare benefits to 2 organizations: Saint Joseph Hospital Inc (Denver, CO) and Uptown Community Health Center Inc (Denver, CO). 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 Michael Matergia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Matergia accept?

Health plans from Select Health and UnitedHealthcare list Michael Matergia 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 Michael Matergia was last updated on February 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.