Individual provider Active NPI

Matthew E Wolpoe, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Bozeman, MT
National Provider Identifier
1417025206
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
11225 Issued in MT
Practice address
288 W Haley Springs Rd Ste 2a
Bozeman, MT 59718-4184
Phone
(406) 281-4392
NPI assigned
Dec 1, 2006
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD202201 OR
Otolaryngology Physician 207Y00000X 11225 MT
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 11225 MT Primary

Addresses

Primary practice location

288 W Haley Springs Rd Ste 2a
Bozeman, MT 59718-4184

Mailing address

4087 Cedarwood LN
Billings, MT 59106-9682

Other practice location 1

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-5111

Other practice location 2

801 N 29th St
Billings, MT 59101-0905
Phone (406) 238-2500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwolpoe199973@samhealth.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070625000145 MT Practitioner - Otolaryngology 6800990730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

288 W Haley Springs Rd
Suite 2a
Bozeman, MT 59718-4209
Phone (406) 577-1961

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11225MTMDOtolaryngology Physician
MD202201ORMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Health Center Current Accepting new patients
Sidney Health Center Current Accepting new patients
Sidney Health Center CurrentSince Sep 28, 2023 Accepting new patients
Sidney Health Center CurrentSince Sep 28, 2023 Accepting new patients
Wolpoe Facial Plastic Surgery PLLC CurrentSince Nov 1, 2021 Accepting new patients
Ear Nose & Throat Associates PastSince Jun 29, 2009 Accepting new patients
Central Montana Medical Facilities, Inc. Otolaryngology Past Accepting new patients
Osler Drive Emergency Physcians Associates, P.a. PastSince Apr 11, 2021 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Sidney Health Center Past Accepting new patients

Locations

288 W Haley Springs Rd
Ste 2A
Bozeman, MT 59718
Phone (406) 281-4392

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

Interoperability endpoints

  • Direct secure messaging: matthew.wolpoe.1@24320.direct.athenahealth.com

Organizations & group practices 10

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 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1417025206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4087 CEDARWOOD LN",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591069682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 W HALEY SPRINGS RD STE 2A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184184",
            "telephone_number": "406-281-4392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 NW Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303737",
            "country_code": "US",
            "telephone_number": "541-768-5111",
            "fax_number": "541-768-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 N 29th St",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591010905",
            "country_code": "US",
            "telephone_number": "406-238-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLPOE",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD202201",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MT",
            "license": "11225",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MT",
            "license": "11225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwolpoe199973@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3600 NW Samaritan Dr",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.