MATTHEW LEDGES

NPI 1902816556 · Emergency Medicine · Anthem

Provider Status Assessment

Verified Active

Strong multi-source corroboration of active practice across 2 carrier networks with confirmed Colorado DORA license.

Confidence: High

Evidence: 9284 items from 8 sources

Signals: 6 supporting · 0 opposing · 1 missing

Resolution: All evidence sources corroborate active practice. 6 supporting signals with no contradictions across 8 evaluated sources.

Data Source Signals

✓

NPPES

DENVER, 80209

Freshness: Unknown

✓

Network Status

Listed with 9 carriers

anthem_co — in_network (commercial)
anthem_co — in_network (commercial)
anthem_co — in_network (commercial)
anthem_co — in_network (commercial)
anthem_co — in_network (commercial)
anthem_co — in_network (commercial)
anthem_co — in_network (commercial)
anthem_co — in_network (commercial)
aetna_co — in_network (commercial)

✓

DORA License

Active - With Conditions

✓

Medicare

124 services

106 beneficiaries

$12,551.08 total payment

Specialty: Emergency Medicine

—

Care Compare

No Care Compare data

✓

PECOS Enrollment

System Reasoning

Claim Under Evaluation

Provider is actively practicing and appropriately listed in carrier networks

Evidence Evaluated

FHIR Directory: No active FHIR endpoint despite carrier listings

NPPES Registry: Active NPI, registered in DENVER

Colorado DORA License: License status: Active - With Conditions

Medicare Billing: 124 services, 106 beneficiaries

PECOS Enrollment: Medicare enrollment confirmed

Federal Exclusion Check: No federal exclusions found (OIG LEIE, SAM.gov)

Carrier Networks: Listed in 9 carrier networks

CMS Care Compare: Not found in CMS Care Compare

Trust Evaluation

identity:0.75Strong

licensure:0.90Strong

activity:

Dimension Scores

Composite0.80

Identity0.75 — Moderate

Active NPI with specialty classification

Licensure0.90 — Strong

Active Colorado DORA license confirmed

Activity1.00 — Strong

Active Medicare billing confirmed

Reachability0.60 — Moderate

Single address source (NPPES)

Network0.60 — Moderate

Limited carrier network presence

Why is this provider classified as “verified active”?

Strong multi-source corroboration of active practice. All dimensions above 0.55 with evidence depth ≥ 5. Active license confirmed.

Carrier Network Listings

2 networks across 2 carriers

Anthem(1 network)

1 DOI 6C-3

Anthem Blue Cross Blue ShieldDOI 6C-3

View carrier →

Aetna(1 network)

1 DOI 6C-3

AetnaDOI 6C-3

View carrier →

Related Investigations

All providers in Anthem Blue Cross Blue Shield networkView →All Emergency Medicine providers statewideView →All providers in DENVER 80209View →All providers classified as Verified ActiveView →

Known Addresses

NPPESDENVER, 80209

Evidence

9284 items across 21 assertions from 8 sources

Connected Records

Colorado License

Expired

DORA

Practice Address

DENVER, 80209

NPPES

Carrier Network Listing

Listed in 2 carrier networks

TiC: Anthem Blue Cross Blue Shield, TiC: Aetna

NPI Registration

Status: active

NPPES Deactivation

Order/Referring Eligibility

Record found

cms_order_refer

Medicare Enrollment

Enrolled

PECOS

Medicare Billing

124 services

cms_medicare

entity_type

Record found

NPPES

Federal Exclusion Check

No exclusion found

OIG LEIE + SAM.gov

Evidence Lineage

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shield9250 records ·weight 0.80 · Latest: Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Timeline

Mar 14, 2026Carrier listing: Anthem Blue Cross Blue Shield

Mar 13, 2026DORA license check: Expired

Mar 13, 2026DORA license check: Active

Mar 13, 2026DORA license check: Active - With Conditions

Mar 12, 2026NPPES record: active

Mar 11, 2026Order/Referring Eligibility: record found

Mar 11, 2026Medicare enrollment: Approved

Mar 11, 2026Carrier listing: Aetna

Mar 6, 2026Medicare billing: 124 services

Mar 5, 2026entity_type: record found

Mar 5, 2026

Evidence

Loading evidence lineage...

Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.

Evidence

9284 items across 21 assertions from 8 sources

Connected Records

Colorado License

Expired

DORA

Practice Address

DENVER, 80209

NPPES

Carrier Network Listing

Listed in 2 carrier networks

TiC: Anthem Blue Cross Blue Shield, TiC: Aetna

NPI Registration

Status: active

NPPES Deactivation

Order/Referring Eligibility

Record found

cms_order_refer

Medicare Enrollment

Enrolled

PECOS

Medicare Billing

124 services

cms_medicare

entity_type

Record found

NPPES

Federal Exclusion Check

No exclusion found

OIG LEIE + SAM.gov

Evidence Lineage

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shield9250 records ·weight 0.80 · Latest: Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Timeline

Mar 14, 2026Carrier listing: Anthem Blue Cross Blue Shield

Mar 13, 2026DORA license check: Expired

Mar 13, 2026DORA license check: Active

Mar 13, 2026DORA license check: Active - With Conditions

Mar 12, 2026NPPES record: active

Mar 11, 2026Order/Referring Eligibility: record found

Mar 11, 2026Medicare enrollment: Approved

Mar 11, 2026Carrier listing: Aetna

Mar 6, 2026Medicare billing: 124 services

Mar 5, 2026entity_type: record found

Mar 5, 2026