● Active Type 1 · Individual

Mr. Matthew Frank Ivie, PA-C

Medical (Physician Assistant)·Gooding, ID· NPI 1003325937 · Enumerated 2017 · 9 years on NPI

Ivie is 1 of 4 medical (physician assistant) providers in Gooding and 1 of 400 in Idaho.

NPI age

9 years

Enumerated 2017-09-22

Primary specialty

Medical (Physician Assistant)

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2017-09-22

Source: CMS NPPES provider record

Sole proprietor

May be part of a larger org

How this provider compares

Across 400 active medical (physician assistant) providers in Idaho.

NPI age

9 years

↓ 7 yr below median (16 yr)

State licenses

1 state

20% of peers hold multiple states

Subspecialties

29% of peers hold subspecialties

NPI lifetime · 2017 → 2017

2017-09Enumerated in NPPES

2017 2017

Where they practice

Practice location

267 N Canyon Dr

Gooding, ID 833305500

📞 2089344433

Mailing address

940 E 1400 N

Shelley, ID 832745143

📞 2082069631

Specialties

Physician Assistants & Advanced Practice Nursing Providers › Physician Assistant

Physician Assistant Primary

CMS NPPES uses NUCC taxonomy code 363AM0700X for provider records classified as Medical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...

taxonomy 363AM0700X

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.

Medicare specialties

Physician Assistant

Largest Medicare group

272 members

Largest listed enrollment group

Facility affiliations reported by CMS

Medical Imaging Associates Of Idaho Falls Inc
Mountain View Hospital Llc
Teton Radiology Diagnostic A Series Of Teton Group Enterprise
Teton Radiology Madison Llc

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

Part of a multi-provider practice. 37 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.