NPIMap

Individual provider Active NPI

Matheau Eysser, D.O.

  • Orthopaedic Surgery Physician
  • Rexburg, ID
National Provider Identifier
1356629885
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OT013947 Issued in PA
Practice address
393 E 2ND N
Rexburg, ID 83440-1605
Phone
(208) 359-6781
Fax
(208) 356-3111
NPI assigned
Aug 2, 2011
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS017828 PA
Orthopaedic Surgery Physician 207X00000X OT013947 PA Primary

Addresses

Primary practice location

393 E 2ND N
Rexburg, ID 83440-1605

Mailing address

393 E 2ND N
Rexburg, ID 83440-1605
Phone (208) 359-6781

Other practice location 1

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 231-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170908003246 ID Practitioner - Orthopedic Surgery 4981836947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Co Memorial HospitalGroup PAC ID 8123016367, 34 clinicians

Practice addresses (Care Compare)

393 E 2ND
Rexburg, ID 83440-1605
Phone (208) 359-6498

450 E Main
Rexburg, ID 83440-2048

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement17
Knee replacement37
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS017828PAMDOrthopaedic Surgery Physician
OT013947PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Co Memorial Hospital Family Medicine Current Accepting new patients
Madison Co Memorial Hospital Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Madison Co Memorial Hospital Orthopaedic Surgery CurrentSince Aug 1, 2017 Accepting new patients
Madison Co Memorial Hospital Current Accepting new patients
Podiatric Physicians of Arizona, Inc. Past Accepting new patients

Locations

37 S 2nd E
Rexburg, ID 83440
Phone (208) 356-0234

381 E 4th N
#200
Rexburg, ID 83440
Phone (208) 359-2300

393 E 2nd N
Rexburg, ID 83440
Phone (208) 356-5401

477 Pleasant Country Ln
Rigby, ID 83442
Phone (208) 356-0234

Interoperability endpoints

  • Direct secure messaging: eysserma@direct.madisonmemorial.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1356629885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 E 2ND N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401605",
            "telephone_number": "208-359-6781",
            "fax_number": "208-356-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E 2ND N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401605",
            "telephone_number": "208-359-6781",
            "fax_number": "208-356-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095317",
            "country_code": "US",
            "telephone_number": "717-231-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EYSSER",
        "first_name": "MATHEAU",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS017828",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT013947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.