Matthew Wallace Johnson, DO
Emergency Medicine · Bonners Ferry, ID
At a glance
6640 Kaniksu St, Bonners Ferry, ID 83805-7532
NPPES record updated Sep 22, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
6640 Kaniksu StBonners Ferry, ID 83805-7532
Additional reported practice locations
52579 Us-51Independence, LA 70443
Phone: 9858789421 25 Jacobs Gulch Rd
Kellogg, ID 838372023
Phone: 2087841221
Fax: 2087840961 700 S Main St
Moscow, ID 838433046
Phone: 2088824511
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2020
- CMS specialties
- Emergency Medicine
Practice groups
Reported hospital affiliations
- Boundary Community Hospital Bonners Ferry, ID
- Gritman Medical Center Moscow, ID
- Shoshone Medical Center Kellogg, ID
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Emergency Medicine
- Taxonomy code
- 207P00000X
- Enumeration date
- Feb 26, 2018
- Record updated
- Sep 22, 2026
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- DO
Reported taxonomies and licenses
207R00000X
License reported: 9171859 ID
207P00000X
License reported: 335074 LA
207P00000X · Primary
License reported: 9171859 ID
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
6640 Kaniksu StBonners Ferry, ID 83805-7532
- Phone
- (208) 267-3141
Mailing address
6640 KANIKSU STBONNERS FERRY, ID 838057532
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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