NPIMap

Individual provider Active NPI

Matthew R Thompson, DO

  • Family Medicine Physician
  • Winona, MN
National Provider Identifier
1437358041
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
76579 Issued in MN
Practice address
1122 W Highway 61
Winona, MN 55987-1957
Phone
(608) 782-7300
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-8114 IA
Family Medicine Physician 207Q00000X 3907 IA
Family Medicine Physician 207Q00000X 76579 MN Primary

Addresses

Primary practice location

1122 W Highway 61
Winona, MN 55987-1957

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 1

1830 State Highway 9
Decorah, IA 52101-7301
Phone (563) 382-3140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080702000400 IA Practitioner - Family PracticePractitioner - Emergency Medicine 4587736830 Reassigns benefits to 4 organizations
I20240912001716 MN Practitioner - Family Practice 4587736830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gundersen Regional Clinics, LLCGroup PAC ID 8820450919, 51 clinicians

Practice addresses (Care Compare)

1122 W Hwy 61
Winona, MN 55987-1957
Phone (507) 615-0600

1830 State Hwy 9
Suite 100
Decorah, IA 52101-7301
Phone (563) 382-3140

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3907IAMDFamily Medicine Physician
R-8114IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Aug 1, 2010 Accepting new patients
Gundersen Regional Clinics LLC Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Winneshiek Medical Center Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Regional Clinics, LLC CurrentSince Oct 1, 2023 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Sep 1, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Gundersen Clinic LTD CurrentSince Aug 1, 2010 Accepting new patients
Palmer Lutheran Health Center, Inc. Family Medicine CurrentSince May 2, 2018 Accepting new patients
Mercy Health Services-Iowa Corp Past Accepting new patients

Locations

235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101

1830 State Highway 9
Ste 100
Decorah, IA 52101
Phone (563) 382-3140

1830 State Highway 9
Decorah, IA 52101
Phone (563) 382-2639

40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

Interoperability endpoints

  • Direct secure messaging: mthompson13249@direct.emplifyhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1437358041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 W HIGHWAY 61",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559871957",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 State Highway 9",
            "address_purpose": "LOCATION",
            "city": "Decorah",
            "state": "IA",
            "postal_code": "521017301",
            "country_code": "US",
            "telephone_number": "563-382-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-8114",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3907",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "76579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.