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

Matthew James Wolter, DO

Individual provider Internal Medicine Physician · NPI 1528552031

Matthew James Wolter, DO is an Internal Medicine in Boise, Idaho. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2020, 6 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
ID
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-5015
Fax: (208) 381-1873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3145 S Falling Brook Ln, Boise, ID 83706-5205 — (208) 631-6426

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence O-1866 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence MRO1909 (ID)

Record details

NPI number1528552031
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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