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MATTHEW R NELSON PA C
NPI 1649221912
Physician Assistant in Idaho Falls, ID

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
2375 E SUNNYSIDE RD STE J, IDAHO FALLS, ID 83404(208) 522-7246(208) 529-2620 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew R Nelson Pa C NPPES

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

MATTHEW R NELSON PA C (NPI 1649221912) is an individual physician assistant in Idaho Falls, Idaho, licensed in Idaho (PA540) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1649221912
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW R NELSONCredential: PA C
Location Address2375 E SUNNYSIDE RD STE JIdaho Falls, ID 83404-8281
Mailing Address2375 E Sunnyside Rd, Suite JIdaho Falls, ID 83404-8280 · (208) 522-7246 · Fax (208) 529-2620
Phone(208) 522-7246
Fax(208) 529-2620
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 12, 2006
Last NPPES UpdateOctober 15, 2014
✔ NPI 1649221912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA540
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2375 E SUNNYSIDE RD STE J, Idaho Falls, ID 83404
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Other Identifiers 3

Medicare UPINQ52575
Medicare ID-Type Unspecified1667133
Medicaid807285000ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

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 R Nelson Pa C 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 ID8224063789
PECOS Enrollment IDI20051004000204
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,288 services292 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
231 services73 patients
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician 62370
This procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.
189 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services46 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
47 services13 patients
Electronic analysis and reprogramming of spinal canal drug infusion pump 62368
This procedure involves the use of technology to assess and adjust a medication pump, implanted near the spine. The pump delivers precise doses of medication directly into the spinal canal to manage pain or spasticity. The reprogramming ensures optimal treatment.
42 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY, PC
Dermatology (MOHS-Micrographic Surgery)
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 525-4888
S. ALBERTSON DERMATOLOGY AND SKIN CANCER CENTER LLC
Dermatology (MOHS-Micrographic Surgery)
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 589-3918
JARED WILLIAM RICKABAUGH APRN, FNP-C
Nurse Practitioner (Family)
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 542-7060
MANUAL SOLUTIONS PLLC
Physical Therapist
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 206-4633
PAIN SPECIALISTS OF IDAHO
Anesthesiology (Pain Medicine)
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 522-7246

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 Nelson's NPI number?

The NPI number for Matthew Nelson is 1649221912. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Matthew Nelson located?

Matthew Nelson practices at 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404. The listed phone number is (208) 522-7246.

What is Matthew Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Nelson enrolled in Medicare?

Yes. Matthew Nelson 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.

What insurance does Matthew Nelson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Matthew Nelson 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.

Is Matthew Nelson affiliated with any hospitals?

According to CMS data, Matthew Nelson is affiliated with Eastern Idaho Regional Medical Center, Madison Memorial Hospital and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Nelson was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.