DR. MATTHEW E WILLIAMSON (D.O.) – Diagnostic Radiology Physician, NPI 1467428540
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Provider Addresses for DR. MATTHEW E WILLIAMSON (D.O.)
5950 Vandee Rd
Vidor, TX 776628084
Phone: (208) 251-1698
Type: Location
2265, East Sunnyside Road, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834047598
Phone: (208) 542-5000
Fax: (208) 542-5151
Type: Mailing
Portneuf Medical Center, 777, Hospital Way, Pocatello, Bannock County, Idaho, 83201, United States
BLDG B
POCATELLO, ID 832015175
Phone: (208) 239-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050503001161 | I | Diagnostic Radiology | ID | TBD |
| I20150716003264 | I | Diagnostic Radiology | WY | TBD |
| I20160205000510 | I | Diagnostic Radiology | MT | TBD |
| I20220510002172 | I | Diagnostic Radiology | TX | TBD |
| I20220519002001 | I | Diagnostic Radiology | UT | TBD |
| I20240708002143 | I | Diagnostic Radiology | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 763 | 707 | $0 |
| 73502 | X-ray of hip, 2-3 views | 282 | 261 | $0 |
| 70450 | Ct scan head or brain without contrast | 250 | 249 | $0 |
| 73721 | Mri scan of leg joint without contrast | 239 | 224 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 234 | 232 | $0 |
Insurance plans in this area (ZIP 77662)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | ID | 74177 | CT scan of abdomen and pelvis with contrast | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AK | |
| Pediatric Medicine | UT | |
| Physician Assistant | UT | |
| Family Practice | UT | |
| Nurse Practitioner | UT | |
| P A T H O L O G Y | IL | |
| Family Practice | UT | |
| Family Practice, Emergency Medicine | UT | |
| Nurse Practitioner | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT |
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