Active NPI 1730190836 Individual Practitioner Male Practitioner

Dr. Matthew R Macha , MD

Surgery • Eagle, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Macha, MD is a certified Surgery practicing in Eagle, ID. With approximately 37 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 1989, Dr. Macha delivers high-quality medical care to the local community at 323 E RIVERSIDE DR STE 220.

Dr. Macha accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

323 E Riverside Dr Ste 220

Eagle, ID 836165246

Telephone 2083435600

Fax 2087792898

Associated Practice Facility / Clinic

🏢 Idaho Surgical Partners, Pc Facility NPI 1598817348

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Eagle, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +7.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Eagle, ID (187 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Macha (37 Years) 37 Yrs

Eagle Specialty Average (29.5 Years) 29.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$287.00	$119.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$115.00	$89.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	37	$118.07	$89.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	37	$287.00	$120.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	23	$92.74	$45.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$200.40	$123.53
47562 Removal of gallbladder using an endoscope	15	15	$2046.00	$514.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$476.00	$110.61
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$74.00	$61.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$425.00	$176.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	13	$287.00	$117.69
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$70.31	$62.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$417.20	$187.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$147.63	$67.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	11	$117.00	$69.02
47562 Removal of gallbladder using an endoscope	18	18	$1362.00	$574.85
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$162.00	$95.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	22	19	$197.64	$90.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	14	$152.18	$65.31
47562 Removal of gallbladder using an endoscope	13	13	$1963.23	$509.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$282.00	$122.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$432.00	$179.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$296.00	$120.98
47562 Removal of gallbladder using an endoscope	25	25	$2339.00	$541.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	13	$88.00	$34.75

Medical Specialties & State Licenses

CMS Verified: 2024-09-30

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ID M6834

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

002279400 (ID)

Commercial Insurance / Payer ID Regenbe Bs Mtn Home

000010144925 (ID)

Commercial Insurance / Payer ID Tricare

020030135 (ID)

Commercial Insurance / Payer ID Blue Cross Of Id Emmett

B3861 (ID)

Commercial Insurance / Payer ID Regence Bs Emmett

000010149831 (ID)

Commercial Insurance / Payer ID Bc Of Idaho Mtn Home

B3879 (ID)

Commercial Insurance / Payer ID Regence Bs Boi

000010001037 (ID)

Commercial Insurance / Payer ID Blue Cross Of Idaho Bois

70334 (ID)

Secondary Practice Locations

166 W Jefferson St

Boise, ID 837026124

Phone: 2083435600

1906 Fairview Ave Ste 140

Caldwell, ID 836055433

Phone: 2083435600

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location September 30, 2024

Registered at 323 E RIVERSIDE DR STE 220, EAGLE, ID 836165246 (Tel: 2083435600)

📍

Updated Business Mailing Address September 30, 2024

Registered at PO BOX 2045, EAGLE, ID 836169110 (Tel: 2083435600)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 166 W JEFFERSON ST, BOISE, ID 837026124 (Tel: 2083435600)

📍

Updated Business Mailing Address July 09, 2007

Registered at 166 W JEFFERSON ST, BOISE, ID 837026124 (Tel: 2083435600)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as MATTHEW MACHA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Surgery (License #M6834 in ID)

🟢

Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730190836

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 11, 2006

Last Update: September 30, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2045

Eagle, ID 836169110

Phone: 2083435600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.