MATTHEW WALLACE JOHNSON DO
NPI 1225539182
Emergency Medicine in Bonners Ferry, ID
About Matthew Wallace Johnson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW WALLACE JOHNSON DO (NPI 1225539182) is an individual emergency medicine provider in Bonners Ferry, Idaho, licensed in Idaho (9171859) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Boundary Community Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Wallace Johnson Do 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.
Medicare Billing Reassignments
4Medicare enrollment records show Matthew Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bonners Ferry, ID 83805
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1679621098 (Idaho)
- 69 clinicians in this Medicare group
Kellogg, ID 83837
- Reassigned Medicare billing, Idaho enrollment
- 60 clinicians in this Medicare group
Troy, ID 83871
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1619988144 (Idaho)
- 75 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Louisiana enrollment
- 159 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Boundary Community Hospital
Critical Access Hospitals · Bonners Ferry, IDShoshone Medical Center
Critical Access Hospitals · Kellogg, IDGritman Medical Center
Critical Access Hospitals · Moscow, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BONNERS FERRY, ID 83805
BONNERS FERRY, ID 83805
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 Johnson's NPI number?
The NPI number for Matthew Johnson is 1225539182. It was assigned to this individual provider in the NPPES registry on February 26, 2018.
Where is Matthew Johnson located?
Matthew Johnson practices at 6640 Kaniksu St, Bonners Ferry, ID 83805. The listed phone number is (208) 267-3141.
What is Matthew Johnson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Matthew Johnson enrolled in Medicare?
Yes. Matthew Johnson 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.
Which organizations bill Medicare for Matthew Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Johnson reassigns Medicare benefits to 4 organizations: Boundary Community Hospital (Bonners Ferry, ID), Shoshone Medical Center (Kellogg, ID), Gritman Medical Center Inc (Troy, ID) and Van Meter Emergency Physicians Inc. Apmc (Covington, LA). 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 Matthew Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Matthew Johnson affiliated with any hospitals?
According to CMS data, Matthew Johnson is affiliated with Boundary Community Hospital, Shoshone Medical Center and Gritman Medical Center.
When was this NPI record last updated?
The NPPES record for Matthew Johnson was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.
# Matthew Wallace Johnson, DO · NPI 1225539182
Emergency Medicine physician in Bonners Ferry, Idaho. Individual provider, active in the CMS NPPES registry since February 26, 2018.
## Identity
- **NPI:** 1225539182 (Entity type: Individual)
- **Enumerated:** February 26, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 9171859 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 6640 KANIKSU ST, Bonners Ferry, ID 83805-7532
- **Phone:** (208) 267-3141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Boundary Community Hospital (NPI 1801896683, Bonners Ferry, ID); Shoshone Medical Center (NPI 1043215437, Kellogg, ID); Gritman Medical Center Inc (NPI 1942567847, Troy, ID); Van Meter Emergency Physicians Inc. Apmc (NPI 1649410697, Covington, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 22, 2026
- **Other identifiers:** Medicaid 2524046 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1225539182) · Data from the CMS NPPES public registry.