MATTHEW HEITZENRATER DO
NPI 1003251620
Family Medicine in Erie, PA
About Matthew Heitzenrater Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW HEITZENRATER DO (NPI 1003251620) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS018340) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and maintains a secondary practice location in Erie.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Heitzenrater Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Heitzenrater reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Erie, PA 16550
- Reassigned Medicare billing, Pennsylvania enrollment
- 962 clinicians in this Medicare group
Erie, PA 16509
- Reassigned Medicare billing, Pennsylvania enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Hamot
Acute Care Hospitals · Erie, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ERIE, PA 16507
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Matthew Heitzenrater's NPI number?
The NPI number for Matthew Heitzenrater is 1003251620. It was assigned to this individual provider in the NPPES registry on May 9, 2013.
Where is Matthew Heitzenrater located?
Matthew Heitzenrater practices at 300 State St Ste 401, Erie, PA 16507. The listed phone number is (814) 877-5333.
What is Matthew Heitzenrater's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Matthew Heitzenrater enrolled in Medicare?
Yes. Matthew Heitzenrater is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Matthew Heitzenrater's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Heitzenrater reassigns Medicare benefits to 2 organizations: Regional Health Services Inc (Erie, PA) and Epn Hamot Urgent Care LLC (Erie, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Heitzenrater's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Matthew Heitzenrater affiliated with any hospitals?
According to CMS data, Matthew Heitzenrater is affiliated with Upmc Hamot.
When was this NPI record last updated?
The NPPES record for Matthew Heitzenrater was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Matthew Heitzenrater, DO · NPI 1003251620
Family Medicine physician in Erie, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 9, 2013.
## Identity
- **NPI:** 1003251620 (Entity type: Individual)
- **Enumerated:** May 9, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS018340 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 STATE ST STE 401, Erie, PA 16507-1438
- **Phone:** (814) 877-5333 · **Fax:** (814) 877-5329
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Regional Health Services Inc (NPI 1174520654, Erie, PA); Epn Hamot Urgent Care LLC (NPI 1518283753, Erie, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2013
## Record status
- **NPPES last updated:** May 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003251620) · Data from the CMS NPPES public registry.