NPI age
13 years
Enumerated 2012-08-12
● Active
Type 1 · Individual
Matthew Hagan, M.D.
Hagan is 1 of 25 surgery providers in Idaho Falls and 1 of 260 in Idaho.
Primary specialty
Surgery
Plus 3 subspecialties
Licensed in
ID, IL, PA
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-06-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 260 active surgery providers in Idaho.
NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
3 states
Top 71% — 28% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-08Enumerated in NPPES
2012
2026
Where they practice
Practice location
1855 Madison Ave
Idaho Falls, ID 834041212
Mailing address
Po Box 3446
Idaho Falls, ID 834033446
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
3500 N Broad St
Philadelphia, PA 191404106
Location 3
820 S Wood St Ste 525
Chicago, IL 606124325
Specialties
-
Surgery PrimaryA 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...
-
SurgeryA surgeon who specializes in plastic and reconstructive surgery.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 1 new surgery provider has been added in Idaho Falls in the last 180 days.
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- 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.