MATTHEW HEITZENRATER DO
NPI 1003251620
Family Medicine in Erie, PA

Active since May 09, 2013PECOS EnrolledAccepts Medicare Assignment
85.28/100
CMS Quality Rating
300 STATE ST STE 401, ERIE, PA 16507(814) 877-5333(814) 877-5329 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2022, May 24, 2021, Nov 27, 2019 and 1 more (4 updates tracked since 2017).

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

NPI1003251620
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW HEITZENRATERCredential: DO
Location Address300 STATE ST STE 401Erie, PA 16507-1438
Mailing Address300 State St Ste 401Erie, PA 16507-1438 · (814) 877-5333
Fax(814) 877-5329
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2013
Enumeration DateMay 9, 2013
Last NPPES UpdateMay 16, 20224 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
NPI 1003251620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS018340
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

300 STATE ST STE 401, Erie, PA 16507

Secondary Practice Location 1

Location 12861 W 26th St, Unit 16Erie, PA 16506-3064 · Phone (814) 835-6695 · Fax (814) 877-5329

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3375831381
PECOS Enrollment IDI20161230000072
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
363 services216 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
133 services133 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients

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, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

85.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.22
Promoting Interoperability100
Improvement Activities40
Cost76.72

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.

Nurse Practitioner (Family)
300 STATE ST STE 401
ERIE, PA 16507
Nurse Practitioner
300 STATE ST STE 401
ERIE, PA 16507
Physician Assistant (Surgical)
300 STATE ST STE 401
ERIE, PA 16507
Physician Assistant (Surgical)
300 STATE ST STE 401, 4TH FLOOR, SUITE 401
ERIE, PA 16507
Surgery
300 STATE ST STE 401
ERIE, PA 16507
Neurological Surgery
300 STATE ST STE 401
ERIE, PA 16507
Neurological Surgery
300 STATE ST STE 401
ERIE, PA 16507
Physician Assistant (Surgical)
300 STATE ST STE 401
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.

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 with the weekly NPPES data releases published by CMS.