Active NPI
Matthew C. Bean, MD
- Family Medicine Physician
- Coeur D Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M13757
- Practice address
- 1919 Lincoln Way Ste 315
Coeur D Alene, ID 83814-2527 - Phone
- (208) 625-6000
- Fax
- (208) 625-6001
- NPI assigned
- Jun 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M13757 | ID | Primary |
Addresses
Primary practice location
1919 Lincoln Way Ste 315
Coeur D Alene, ID 83814-2527
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-5085
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032402 | Medicaid | AZ | |
| R73512 | Other | AZ | TRAINING PERMIT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbean609487@direct.multicare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170630001099 | ID | Practitioner - Family Practice | 5193039113 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- George Washington University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kootenai Health Inc
Practice addresses (Care Compare)
1055 Riverside Ave
Orofino, ID 83544-9029
Phone (208) 476-5777
1919 Lincoln Way
Coeur D Alene, ID 83814-2527
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Hospital & facility affiliations
- Hospice of North Idaho
- Kootenai Health
- Northwest Specialty Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 89.26
- Promoting interoperability
- 69.9
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 23 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Incyte Pathology, PLLC | Current | Accepting new patients |
Locations
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
1919 Lincoln Way
Ste 315
Coeur D Alene, ID 83814
Phone (208) 625-6000
1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564
Interoperability endpoints
- mbean609487@direct.multicare.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Coeur D Alene, ID
- NPI 1992798409
-
- Community/Retail Pharmacy
- Hayden, ID
- NPI 1235986290
-
- Hematology & Oncology Physician
- Coeur D Alene, ID
- NPI 1699807743
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1326086745
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Coeur D Alene, ID
- NPI 1245235878
Hospice
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1053675009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 KOOTENAI HEALTH WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838146051",
"telephone_number": "208-625-5085",
"fax_number": "208-625-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 LINCOLN WAY STE 315",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142527",
"telephone_number": "208-625-6000",
"fax_number": "208-625-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "MATTHEW",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-25",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M13757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032402",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAINING PERMIT",
"identifier": "R73512",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbean609487@direct.multicare.org",
"affiliation": "N",
"address_1": "1919 Lincoln Way Ste 315",
"city": "Coeur D Alene",
"state": "ID",
"country_code": "US",
"postal_code": "838142527",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.