Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Hagan, MD

Individual provider Surgery Physician · NPI 1477800134

Matthew Hagan, MD is a Plastic and Reconstructive Surgery in Idaho Falls, Idaho. Graduated from Temple University School of Medicine in 2012, 14 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Idaho, Illinois and Pennsylvania.

Years since qualifying
14
Trained at
Temple University School of Medicine
Licensed in
ID, IL, PA
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1855 Madison Ave
Idaho Falls, ID 83404-1212
Phone: (208) 881-5351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 820 S Wood St Ste 525, Chicago, IL 60612-4325 — (312) 996-9313
  • 3500 N Broad St, Philadelphia, PA 19140-4106 — (215) 746-1018

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence M-15773 (ID)
Surgery Physician Taxonomy 208600000X · Licence 036145857 (IL)
Surgery Physician Taxonomy 208600000X · Licence MT201381 (PA)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence M-15773 (ID)

Record details

NPI number1477800134
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 12, 2012
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing addressPo Box 3446, Idaho Falls, ID 83403-3446

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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