DAVID MATHES — NPI 1720917255 (Licensed & Credentialed Emergency Medical Technician, Paramedic in VICTOR, ID)

CMS-1500 Box 24J / 33a • NPI

1720917255

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

146L00000X

Licensed & Credentialed Emergency Medical Technician, Paramedic

Box 32 Service Location & ZIP+4

8548 S PRONGHORN TRL, VICTOR, ID, 83455-1288

✓ 9-Digit EDI 837 ZIP+4 (83455-1288)

Practice Phone & Referral Fax

(413) 427-6750

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1720917255 (DAVID MATHES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1720917255` (NPI-1 Individual Practitioner)
Provider / Legal Name	DAVID MATHES
Plain-English Specialty	Licensed & Credentialed Emergency Medical Technician, Paramedic NUCC Code: `146L00000X` (Emergency Medical Technician, Paramedic)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	8548 S PRONGHORN TRL, VICTOR, ID, 83455-1288
Practice Telephone / Fax	Tel: (413) 427-6750
Administrative Mailing Address	8548 S PRONGHORN TRL, VICTOR, ID, 83455-1288
Enumeration & Last Sync	Enumerated: 2026-05-19 \| CMS Record Updated: 2026-05-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

8548 S PRONGHORN TRL, VICTOR, ID, 83455-1288

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Plain-English Taxonomy & CMS Crosswalk (146L00000X)

What Does Taxonomy Code 146L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 146L00000X translates to:
"Licensed & Credentialed Emergency Medical Technician, Paramedic"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Emergency Medical Technician, Paramedic for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DAVID MATHES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`146L00000X` — Emergency Medical Technician, Paramedic Plain English: Licensed & Credentialed Emergency Medical Technician, Paramedic	State: CO \| License: `578141303055` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DAVID MATHES (NPI #1720917255)