Matthew Lidstrom, MD
NPI 1447512348 · Diagnostic Radiology Physician · Coeur D Alene, ID
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Lidstrom, MD is a Diagnostic Radiology Physician provider in Coeur D Alene, ID (NPI 1447512348).
Provider details
- NPI number
- 1447512348
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-14997 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
4,634 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Screening 3d Breast Mammography77063 | 364 | $26 |
| Screening Mammography77067 | 364 | $34 |
| Screening 3d Breast Mammography77063 | 342 | $24 |
| Screening Mammography77067 | 342 | $60 |
| X-Ray of Chest, 1 View71045 | 313 | $8 |
| Ct Scan Head Or Brain Without Contrast70450 | 226 | $37 |
| Ct Scan of Abdomen and Pelvis With Contrast |
Practice location
Mailing address
Additional practice locations (2)
- 2003 Kootenai Health WayCoeur D Alene, ID 83814-6051Phone: (208) 625-6360Fax: (208) 625-6361
- 25 Jacobs Gulch RdKellogg, ID 83837-2023Phone: (208) 784-1221Fax: (208) 784-0961
Registry dates
- Enumerated
- 2012-06-15
- Last updated
- 2026-02-18
- Certified
- 2026-02-18
Frequently asked questions
- What is Matthew Lidstrom's NPI number?
- Matthew Lidstrom's National Provider Identifier (NPI) is 1447512348, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Lidstrom's specialty?
- Matthew Lidstrom is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Lidstrom located?
- Matthew Lidstrom's practice location on file with NPPES is 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814-4401.
- What is Matthew Lidstrom's phone number?
- The practice phone number listed in the NPPES registry for Matthew Lidstrom is (208) 625-6300.
- Does Matthew Lidstrom accept Medicare?
- Matthew Lidstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Lidstrom's NPI active?
- Yes — Matthew Lidstrom's NPI (1447512348) is active in the NPPES registry as of the last update on 2026-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.