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DR. MATTHEW LYSNE M.D.
NPI 1730244542
Emergency Medicine in Lewiston, ID

Active since December 22, 2006PECOS Enrolled
415 6TH ST, LEWISTON, ID 83501(208) 743-2511(208) 799-5554 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Matthew Lysne M.d. NPPES

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

DR. MATTHEW LYSNE M.D. (NPI 1730244542) is an individual emergency medicine provider in Lewiston, Idaho, licensed in Idaho (M5825) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730244542
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MATTHEW LYSNECredential: M.D.
Location Address415 6TH STLewiston, ID 83501-2431
Mailing Address415 6th StLewiston, ID 83501-2431 · (208) 743-2511 · Fax (208) 799-5554
Phone(208) 743-2511
Fax(208) 799-5554
Sole ProprietorNo
Enumeration DateDecember 22, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1730244542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ID · M5825
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.
415 6TH ST, Lewiston, ID 83501
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Other Identifiers 7

Other10003076ID · Regence Of Id Urgent Care
Other8K552ID · Blue Cross Of Id Group Nu
Medicare UPINE47398ID
OtherHBRR0ID · Blue Cross Of Idaho Ind
Other10003077ID · Regence Of Idaho
Medicare ID-Type Unspecified1124750ID · Cigna Medicare
Medicaid8128159WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Lysne M.d. 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 83501 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.

KYLE JAMES DALY CRNA
Nurse Anesthetist, Certified Registered
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 743-2511
DAVID B SOUVENIR M.D.
Internal Medicine (Infectious Disease)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-7204
DR. JOHN W. HO MD
Radiology (Vascular & Interventional Radiology)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-7445
SUSANNE CHOBY MD
Psychiatry & Neurology (Psychiatry)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5700
CHRISTOPHER V RICKETTS PA
Physician Assistant
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5280
MS. DARCI M. GRAVES LMSW
Social Worker (Clinical)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-6500
LAENNEC INPATIENT SERVICES
Internal Medicine
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5522
DEBORAH SULLIVAN
Speech-Language Pathologist
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-6514

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 Lysne's NPI number?

The NPI number for Matthew Lysne is 1730244542. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Matthew Lysne located?

Matthew Lysne practices at 415 6th St, Lewiston, ID 83501. The listed phone number is (208) 743-2511.

What is Matthew Lysne's specialty?

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

Is Matthew Lysne enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Lysne was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.