Doctor profile · Federal record

Dr. Matt Tannenbaum, MD

Anatomic Pathology & Clinical Pathology Physician (CMS: Pathology) · Idaho Falls, ID

  • NPI 1093783375
  • Accepts Medicare
  • MIPS 85.4 / 100 · 2023
  • 33 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3100 Channing Way
Idaho Falls, ID 834047533
(208) 529-6050
fax (208) 529-7085
Mailing address
1820 E 17Th St, Ste 230
Idaho Falls, ID 834046521

Credentials & registration

NPPES · NUCC
NPI registered
March 2006 — 20 yrs on file
Profile last updated
December 27, 2012
Year of graduation
1993 — 33 yrs since
Specialty taxonomy
207ZP0102X — NUCC code
State license (1)
Idaho #M7775
Medicaid
ID #805449000

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1093783375. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
2,366
Distinct HCPCS
10
Medicare allowed
$86,166
HCPCS Description Services Patients Avg allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity 1,063 612 $43
88305 Pathology examination of tissue using a microscope, intermediate complexity 239 151 $35
88341 Special stained specimen slides to examine tissue, each additional procedure 207 49 $26
88341 Special stained specimen slides to examine tissue, each additional procedure 136 42 $29
84165 Protein measurement, serum 75 55 $17
88342 Special stained specimen slides to examine tissue, initial procedure 75 75 $45
88304 Pathology examination of tissue using a microscope, moderately low complexity 66 62 $16
88342 Special stained specimen slides to examine tissue, initial procedure 65 63 $32
88313 Special stained specimen slides to examine tissue including interpretation and report 62 26 $11
88311 Preparation of tissue for examination by removing any calcium present 58 55 $12

In context: peer comparison

Among 2 peers in Idaho Falls Anatomic Pathology & Clinical Pathology Physician, average services per provider: 110. This provider delivers 22× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Matt Tannenbaum's medical specialty?
Dr. Matt Tannenbaum practices Anatomic Pathology & Clinical Pathology Physician in Idaho Falls, ID.
Where does Dr. Matt Tannenbaum practice?
Dr. Matt Tannenbaum practices at 3100 Channing Way, Idaho Falls, ID 834047533. Office phone: 2085296050.
What is Dr. Matt Tannenbaum's NPI?
Dr. Matt Tannenbaum's National Provider Identifier (NPI) is 1093783375, issued by NPPES.
Does Dr. Matt Tannenbaum accept Medicare assignment?
Yes. Dr. Matt Tannenbaum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Matt Tannenbaum commonly perform?
Top Medicare-reported procedures in 2023: Pathology examination of tissue using a microscope, intermediate complexity (HCPCS 88305); Pathology examination of tissue using a microscope, intermediate complexity (HCPCS 88305); Special stained specimen slides to examine tissue, each additional procedure (HCPCS 88341). Source: CMS Medicare Physician & Other Practitioners file.