Matthew Wallace Johnson, DO
NPI 1225539182ActiveIndividual· Emergency Medicine· Bonners Ferry, ID
Emergency Medicine (DO) with Boundary Community Hospital, practicing in Bonners Ferry, Idaho. Part D covered 365 prescriptions written in 2024, 85% of them generic. Lists Boundary Community Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1225539182 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Feb 26, 2018 |
| Last updated in NPPES | Sep 22, 2026 |
| Certified by provider | Sep 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 9171859 | ID |
| Internal Medicine | 207R00000X | 9171859 | ID |
| Emergency Medicine | 207P00000X | 335074 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (ID); Practitioner - Emergency Medicine (LA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 365 · 645 30-day fills |
|---|---|
| Patients | 95 |
| Total drug cost | $55,480 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Boundary Community HospitalBonners Ferry, ID · 28 clinicians
Hospital affiliations
- Boundary Community HospitalBonners Ferry, ID
- Gritman Medical CenterMoscow, ID
- Shoshone Medical CenterKellogg, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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