Whether this specific level/type of deanonymization is a problem for your particular use case is an entirely different question. Personally, I wouldn't even care if mutual contacts were to see my IP address outright (and they do for calls), but I'm not every user.
But my PBX and my matrix server both use coturn. Our 10 user "private" PBX we have to VPN into a fortigate in a DC to use, but to my understanding, there's literally no way to eavesdrop on those calls without already compromising the server it's running on, and if that's the case, no extra VPN steps or whatever will help.
anyhow even with a real, publicly routable IP, stock windows 11, stock macos (used to be true), and most linuxes won't get compromised by stuff like backorifice or whatever else l0pht put out as "remote administration tools". that is, there usually isn't any listening ports on a public IP these days. Shield's Up!