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MATTHEW WILSON MD
NPI 1063807097
Family Medicine in Boise, ID

Active since April 06, 2015PECOS Enrolled
300 S 23RD ST, BOISE, ID 83702(208) 344-3512(208) 466-5359 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2019, Jul 27, 2018 (2 updates tracked since 2018).

About Matthew Wilson Md NPPES

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

MATTHEW WILSON MD (NPI 1063807097) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M-14743) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063807097
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW WILSONCredential: MD
Location Address300 S 23RD STBoise, ID 83702-9100
Mailing AddressPo Box 9Nampa, ID 83653-0009 · (208) 467-4431 · Fax (208) 466-5359
Phone(208) 344-3512
Fax(208) 466-5359
Sole ProprietorNo
Enumeration DateApril 6, 2015
Last NPPES UpdateAugust 26, 20192 updates tracked since enumeration
✔ NPI 1063807097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M-14743
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.
300 S 23RD ST, Boise, ID 83702
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Wilson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

JOSEPH P DIGRAZIA LCPC
Counselor
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
MARY GOODSPEED PMHNP
Nurse Practitioner
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
KENDRA M LUTES LCPC
Counselor
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
MELISSA ANN MEZO LCSW
Social Worker (Clinical)
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
KATHRYN A WICK NP
Nurse Practitioner (Psychiatric/Mental Health)
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
BRIAN LEE COLLINS LMSW
Social Worker
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
DEVIN R PUGMIRE PSS
Peer Specialist
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
EMERY WIGHT LMSW
Social Worker
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512

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 Wilson's NPI number?

The NPI number for Matthew Wilson is 1063807097. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Matthew Wilson located?

Matthew Wilson practices at 300 S 23rd St, Boise, ID 83702. The listed phone number is (208) 344-3512.

What is Matthew Wilson's specialty?

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

Is Matthew Wilson enrolled in Medicare?

Yes. Matthew Wilson is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Wilson accept?

Health plans from Select Health list Matthew Wilson 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 Wilson was last updated on August 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.