Individual provider Active NPI

Matthew Jude Pall, AUD

  • Audiologist
  • Missoula, MT
National Provider Identifier
1669025987
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD60966020 Issued in WA
Practice address
1357 Dickinson St Apt a
Missoula, MT 59802-3463
Phone
(801) 643-5057
NPI assigned
Jul 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD60966020 WA Primary

Addresses

Primary practice location

1357 Dickinson St Apt a
Missoula, MT 59802-3463

Mailing address

340 W Main St # 122
Tremonton, UT 84337-1210
Phone (801) 643-5057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WY, ID, MT4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240408001635 WA Practitioner - Qualified Audiologist 0244678456 Reassigns benefits to 1 organization
I20250507003507 WY Practitioner - Qualified Audiologist 0244678456 Reassigns benefits to 1 organization
I20250730003953 ID Practitioner - Qualified Audiologist 0244678456 Reassigns benefits to 1 organization
I20251106004021 MT Practitioner - Qualified Audiologist 0244678456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bear River Valley Medical LLCGroup PAC ID 9537493903, 3 clinicians

Practice addresses (Care Compare)

Missoula, MT 59802
Phone (570) 704-9758

Pocatello, ID 83204
Phone (801) 643-5057

259 Indian Paintbrush St
Casper, WY 82604-3832
Phone (888) 851-3677

Hospital & facility affiliations

  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066
  • Cody Regional Health Hospital, Cody, WY, CCN 531312
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014
  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD60966020WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
NW Monitoring, LLC CurrentSince Nov 1, 2019 Accepting new patients
Bear River Valley Medical LLC CurrentSince May 21, 2025 Accepting new patients
Reel Monitoring LLC CurrentSince Mar 1, 2025 Accepting new patients
Sound Audiology and Hearing AIDS, LLC Audiologist CurrentSince Mar 1, 2024 Accepting new patients
Highline Audiology PC Audiologist PastSince Sep 24, 2018 Accepting new patients

Locations

340 W Main St
#122
Tremonton, UT 84337
Phone (801) 643-5057

340 W Main St
Ste 122
Tremonton, UT 84337

457 SW 148th St
Ste 101
Burien, WA 98166
Phone (206) 246-8677

2601 Jahn Ave NW
Ste A4
Gig Harbor, WA 98335
Phone (717) 228-8835

9333 Martin Way E
Ste 214
Olympia, WA 98516
Phone (360) 539-8487

1305 Fowler St
Ste 1A
Richland, WA 99352
Phone (509) 572-2444

3107 W McGraw St
Ste B
Seattle, WA 98199
Phone (206) 657-5675

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 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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1669025987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W MAIN ST # 122",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843371210",
            "telephone_number": "801-643-5057",
            "fax_number": "866-311-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 DICKINSON ST APT A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023463",
            "telephone_number": "801-643-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALL",
        "first_name": "MATTHEW",
        "middle_name": "JUDE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-17",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD60966020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.