Matthew E. Williamson, D.O.
NPI 1467428540ActiveIndividual· Radiology, Diagnostic Radiology· Pocatello, ID
Radiology, Diagnostic Radiology (D.O.) with Shannon Clinic and 15 other groups, practicing in Pocatello, Idaho. Medicare paid $121,021 for services to 3,981 patients in 2024. Lists Christus Southeast Texas- St Elizabeth and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1467428540 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Feb 27, 2006 |
| Last updated in NPPES | Sep 11, 2023 |
| Certified by provider | Sep 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | O-334 | ID |
| Radiology, Diagnostic Radiology | 2085R0202X | 0102206546 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (ID); Practitioner - Diagnostic Radiology (MT); Practitioner - Diagnostic Radiology (OR); Practitioner - Diagnostic Radiology (TX); Practitioner - Diagnostic Radiology (UT); Practitioner - Diagnostic Radiology (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 3,981 |
|---|---|
| Services billed | 5,689 across 164 procedure codes |
| Paid by Medicare | $121,021 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Shannon ClinicSan Angelo, TX · 559 clinicians
- Cmsc LLCMacon, GA · 91 clinicians
- Memorial Hospital of Converse CountyMacon, GA · 74 clinicians
- Medical Imaging Associates of Idaho Falls IncIdaho Falls, ID · 67 clinicians
- Uintah Basin Medical CenterRoosevelt, UT · 62 clinicians
- Columbus Radiology Physicians LLCMacon, GA · 61 clinicians
- Corvallis Radiology PCMacon, GA · 56 clinicians
- Abercrombie Radiological Consultants IncKnoxville, TN · 51 clinicians
- Eastern Radiological Associates PCMacon, GA · 49 clinicians
- Crawford Andrews and Davis PtrAlexandria, VA · 47 clinicians
- South Florida Medical Imaging PAFort Lauderdale, FL · 44 clinicians
- Teton Radiology Diagnostic A Series of Teton Group EnterpriseIdaho Falls, ID · 42 clinicians
- Tennessee Valley Radiology LLCMacon, GA · 41 clinicians
- Teton Radiology Madison LLCRexburg, ID · 39 clinicians
- Cache Valley VeinDeer Lodge, MT · 38 clinicians
- Teton Radiology CaldwellAfton, WY · 17 clinicians
Hospital affiliations
- Christus Southeast Texas- St ElizabethBeaumont, TX
- Eastern Idaho Regional Medical CenterIdaho Falls, ID
- Mountain View HospitalIdaho Falls, ID
- Portneuf Medical CenterPocatello, ID
- Steele Memorial Medical CenterSalmon, 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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