Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MATTHEW FEHRENBACKER
NPI 1730706649
Physician Assistant - Medical in Boise, ID

Q: What is Matthew Fehrenbacker's NPI number?

The NPI number for Matthew Fehrenbacker is 1730706649. It was assigned to this individual provider in the NPPES registry on June 26, 2020.

Q: What is Matthew Fehrenbacker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since June 26, 2020PECOS EnrolledAccepts Medicare Assignment

6533 W EMERALD ST, BOISE, ID 83704(208) 302-5200 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 31, 2026, Jun 26, 2020 (2 updates tracked since 2020).

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About Mr. Matthew Fehrenbacker NPPES

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

MR. MATTHEW FEHRENBACKER (NPI 1730706649) is an individual medical provider in Boise, Idaho, licensed in Idaho (7381621) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Commonwealth Health Center, and maintains a secondary practice location in Santa Clara.

NPPES Registry Identity

NPI1730706649

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MATTHEW FEHRENBACKER

Location Address6533 W EMERALD STBoise, ID 83704-8737

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180

Phone(208) 302-5200

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJune 26, 2020

Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration

NPPES CertifiedAugust 31, 2026

✔ NPI 1730706649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · 7381621

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6533 W EMERALD ST, Boise, ID 83704

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Secondary Practice Location 1

Location 13398 Windmill DrSanta Clara, UT 84765-5193 · Phone (435) 619-7720

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

Mr. Matthew Fehrenbacker 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 ID7517374853

PECOS Enrollment IDI20210401001855

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 2

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services20 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.

21 services17 patients

Hospital Affiliations CMS Care Compare

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

Commonwealth Health Center

Acute Care Hospitals · Garapan, MP

OwnershipProprietary

CMS Certification Number660001

Location1 Lower Navy Hill Road (po Box 409ck)Garapan, MP 96950 · Saipan County

Emergency services

Other Providers at the Same Location NPPES 17

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

SAINT ALPHONSUS REGIONAL MEDICAL CENTER

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)