MATTHEW WALLACE JOHNSON DO
NPI 1225539182
Emergency Medicine in Bonners Ferry, ID

Q: 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.

Q: What is Matthew Johnson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Johnson was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since February 26, 2018PECOS EnrolledAccepts Medicare Assignment

6640 KANIKSU ST, BONNERS FERRY, ID 83805(208) 267-3141 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, May 29, 2025, Jul 13, 2020 and 2 more (5 updates tracked since 2018).

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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 2 additional practice locations.

NPPES Registry Identity

NPI1225539182

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMATTHEW WALLACE JOHNSONCredential: DO

Location Address6640 KANIKSU STBonners Ferry, ID 83805-7532

Mailing Address6640 Kaniksu StBonners Ferry, ID 83805-7532 · (208) 267-3141

Phone(208) 267-3141

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 26, 2018

Last NPPES UpdateMarch 17, 20265 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1225539182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in ID · 9171859✔ Licensed in LA · 335074

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedInternal MedicineTaxonomy 207R00000X · License 9171859 (ID)

6640 KANIKSU ST, Bonners Ferry, ID 83805

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Secondary Practice Locations 2

Location 125 Jacobs Gulch RdKellogg, ID 83837-2023 · Phone (208) 784-1221 · Fax (208) 784-0961

Location 252579 US-51Independence, LA 70443 · Phone (985) 878-9421

Other Identifiers 1

Medicaid2524046LA

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 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.

PECOS PAC ID941623391

PECOS Enrollment IDI20250624001596

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.

Hospital Affiliations CMS Care Compare

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

Boundary Community Hospital

Critical Access Hospitals · Bonners Ferry, ID

OwnershipVoluntary non-profit - Other

CMS Certification Number131301

Location6640 Kaniksu StreetBonners Ferry, ID 83805 · Boundary County

Emergency services

Physician 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.

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.

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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.

RILEY DIEHL DO

Internal Medicine

6640 KANIKSU ST
BONNERS FERRY, ID 83805

Boundary County (208) 267-3141

MARK PRUITT D.O.

Emergency Medicine

6640 KANIKSU ST
BONNERS FERRY, ID 83805

Boundary County (208) 267-3141

BOUNDARY COMMUNITY HOSPITAL

Pharmacy (Long Term Care Pharmacy)

6640 KANIKSU ST
BONNERS FERRY, ID 83805

Boundary County (208) 267-4850

BOUNDARY COMMUNITY HOSPITAL

Skilled Nursing Facility

6640 KANIKSU ST
BONNERS FERRY, ID 83805

Boundary County (208) 267-4850

ROBERT YOST MD

Emergency Medicine

6640 KANIKSU ST, BOUNDAR COMMUNITY HOSPITAL
BONNERS FERRY, ID 83805

Boundary County (208) 267-3141

DR. WILLIAM PAUL DIEHL IV D.O.

Internal Medicine

6640 KANIKSU ST
BONNERS FERRY, ID 83805

Boundary County (208) 267-3141

MRS. MELANIE HELMS RN

Registered Nurse (Medical-Surgical)

6640 KANIKSU ST
BONNERS FERRY, ID 83805

Boundary County (208) 267-3141

BOUNDARY COMMUNITY HOSPITAL

Medicare Defined Swing Bed Unit

6640 KANIKSU ST
BONNERS FERRY, ID 83805

Boundary County (208) 267-4850

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.

Is Matthew Johnson affiliated with any hospitals?

According to CMS data, Matthew Johnson is affiliated with Boundary Community Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Johnson was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.