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MATTHEW PATRICK WAHL MD
NPI 1992047393
Internal Medicine - Endocrinology, Diabetes & Metabolism in Aurora, CO

Active since March 23, 2013PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
12631 E 17TH AVE, AURORA, CO 80045(303) 861-7001(303) 861-8624 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2021, Aug 9, 2017 (2 updates tracked since 2017).

About Matthew Patrick Wahl Md NPPES

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

MATTHEW PATRICK WAHL MD (NPI 1992047393) is an individual endocrinology, diabetes & metabolism provider in Aurora, Colorado, licensed in Utah (9149613-1205) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1992047393
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameMATTHEW PATRICK WAHLCredential: MD
Location Address12631 E 17TH AVEAurora, CO 80045
Mailing Address4900 S Monaco St Ste 210Denver, CO 80237-3487 · (303) 861-7001 · Fax (303) 861-8624
Phone(303) 861-7001
Fax(303) 861-8624
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 23, 2013
Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration
NPPES CertifiedDecember 16, 2021
✔ NPI 1992047393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in UT · 9149613-1205
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 59006 (CO)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12631 E 17TH AVE, Aurora, CO 80045
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Matthew Patrick Wahl Md 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 ID1557582863
PECOS Enrollment IDI20181008002513
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.

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.
197 services144 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
97 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services37 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
10 suppliers30 claims413 services$18.41 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
10 suppliers31 claims1,020 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers30 claims95 services$5.62 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
5 suppliers37 claims37 services$307.59 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
5 suppliers18 claims2,440 services$6.48 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers208 claims209 services$186.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ANNIKA DANIELLE RECZEK MD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-5000
SARAH ASHLEY
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
MARIA IZABEL KUGELMAS GUARITA LOCKWOOD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 887-6343
ELIZABETH JONES DO
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
DR. SAMANTHA NICOLE FOUNTAIN MD, MMEDSCI
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-2680
DR. BEZA TESHOME TAYACHEW MD, MPH
Internal Medicine
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
HANA MUSE KUSUMOTO MPH, MD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
SPENCER SURESH BURT MD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784

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 Wahl's NPI number?

The NPI number for Matthew Wahl is 1992047393. It was assigned to this individual provider in the NPPES registry on March 23, 2013.

Where is Matthew Wahl located?

Matthew Wahl practices at 12631 E 17th Ave, Aurora, CO 80045. The listed phone number is (303) 861-7001.

What is Matthew Wahl's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Matthew Wahl enrolled in Medicare?

Yes. Matthew Wahl 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 Wahl accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Matthew Wahl 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.

Is Matthew Wahl affiliated with any hospitals?

According to CMS data, Matthew Wahl is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Matthew Wahl was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.