MATTHEW P TRAYNOR M.D. NPI 1063563823

NPI Information

  • NPI: 1063563823
  • Provider Name: MATTHEW P TRAYNOR, M.D.
  • Classification: Ophthalmology - 207WX0009X
  • Specialization: Glaucoma Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2100 PROVIDENCE WAY
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 529-6600

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NPI Details

Matthew P Traynor, M.D. is a glaucoma specialist ophthalmology in Idaho Falls, ID with 22 years of experience. The provider is an ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. Matthew P Traynor, M.D. NPI is 1063563823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

2100 PROVIDENCE WAY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 529-6600
Fax: (208) 529-6602

The NPI 1063563823 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Imaging of optic nerve (HCPCS:92133)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Photography of the retina (HCPCS:92250)
  • Imaging of retina (HCPCS:92134)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 1/16/2007 and was last updated on 2/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyM-10686IDAHONo
2207W00000XOphthalmology24632OKLAHOMANo
3207WX0009XOphthalmologyGlaucoma SpecialistM-10686IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1808405700MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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