Matthew R Macha, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M6834 Issued in ID

Practice address

323 E Riverside Dr Ste 220
Eagle, ID 83616-5246

Phone

(208) 343-5600

Fax

(208) 779-2898

NPI assigned

Aug 11, 2006

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Texas Tech University Health Science Center School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Valley Medical Center Hospital, Caldwell, ID, CCN 130014
• Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: idsurgicalpartners.matthewmacha@114306.advancedmd-direct.com
• Direct secure messaging: mmacha1564213@direct.trinity-health.org

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.

• Idaho Surgical Partners, PC

  • Specialist
  • Eagle, ID
  • NPI 1598817348
  Medicare reassignment
• West Valley Medical Center Inc

  • General Acute Care Hospital
  • Middleton, ID
  • NPI 1609818483
  NPD (past)

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

• Saint Alphonsus Medical Center Nampa, Inc.

  • General Acute Care Hospital
  • Nampa, ID
  • NPI 1659371870
  Care Compare affiliation
• West Valley Medical Center Inc

  • General Acute Care Hospital
  • Middleton, ID
  • NPI 1609818483
  Care Compare affiliation
• West Valley Medical Center, Inc.

  dba West Valley Medical Center

  • General Acute Care Hospital
  • Caldwell, ID
  • NPI 1891732905
  Care Compare affiliation

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1730190836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2045",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836169110",
            "telephone_number": "208-343-5600",
            "fax_number": "208-779-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E RIVERSIDE DR STE 220",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165246",
            "telephone_number": "208-343-5600",
            "fax_number": "208-779-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026124",
            "country_code": "US",
            "telephone_number": "208-343-5600",
            "fax_number": "208-345-4398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1906 Fairview Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836055433",
            "country_code": "US",
            "telephone_number": "208-343-5600",
            "fax_number": "208-779-2898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHA",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M6834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS EMMETT",
            "identifier": "000010149831",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF IDAHO MTN HOME",
            "identifier": "B3879",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002279400",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO  BOIS",
            "identifier": "70334",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENBE BS MTN HOME",
            "identifier": "000010144925",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "020030135",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS BOI",
            "identifier": "000010001037",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID  EMMETT",
            "identifier": "B3861",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Lowe, DPT
• Lamar Lowell
• Heather Lucas, FNP-C
• Marion Lynn Luque, M.D.
• Rosalie Jane Lynch, LCPC, LMHC, CMHC
• Rayven Macnab
• Kristin Adrianne Mahaffey, MFT-C
• Jennifer Mahlberg-Grant, APRN
• Melissa Major, NP-C
• Mallory Murphy

• Surgery Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.