DR. MATTHEW RYAN HEBERER M.D.
NPI 1033591565
Surgery in Geneseo, IL

Active since June 20, 2015PECOS EnrolledAccepts Medicare Assignment
83.15/100
CMS Quality Rating
600 N COLLEGE AVE, GENESEO, IL 61254(309) 944-1595 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Matthew Ryan Heberer M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW RYAN HEBERER M.D. (NPI 1033591565) is an individual surgery provider in Geneseo, Illinois, licensed in Illinois (036.153027) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains a secondary practice location in Grand Forks.

NPPES Registry Identity

NPI1033591565
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MATTHEW RYAN HEBERERCredential: M.D.
Location Address600 N COLLEGE AVEGeneseo, IL 61254-1099
Mailing Address600 N College AveGeneseo, IL 61254-1099 · (309) 944-1595
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2015
Enumeration DateJune 20, 2015
Last NPPES UpdateSeptember 14, 2020
NPPES CertifiedSeptember 14, 2020
✔ NPI 1033591565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IL · 036.153027✔ Licensed in ND · RL13724
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
600 N COLLEGE AVE, Geneseo, IL 61254

Secondary Practice Location 1

Location 1501 N Columbia Rd Stop 9037, UND Department of SurgeryGrand Forks, ND 58203-2817 · Phone (701) 777-3067

Accepted Insurance

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

Dr. Matthew Ryan Heberer M.d. 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 ID1658781059
PECOS Enrollment IDI20201112002616
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Matthew Heberer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
600 N COLLEGE AVE
Geneseo, IL 61254
  • Reassigned Medicare billing, Illinois enrollment
  • 55 clinicians in this Medicare group
Rural Health
1051 W SOUTH ST
Kewanee, IL 61443
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1417542804 (Illinois)
  • 183 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Osf Saint Luke Medical Center

Critical Access Hospitals · Kewanee, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141325
Location1051 West South StreetKewanee, IL 61443 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61254 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

83.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.5
Improvement Activities40
Cost90.58

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
600 N COLLEGE AVE
GENESEO, IL 61254
Family Medicine
600 N COLLEGE AVE, SUITE 120
GENESEO, IL 61254
Clinic/Center (Pain)
600 N COLLEGE AVE
GENESEO, IL 61254
Clinic/Center (Rural Health)
600 N COLLEGE AVE
GENESEO, IL 61254
General Acute Care Hospital
600 N COLLEGE AVE
GENESEO, IL 61254
Occupational Therapist
600 N COLLEGE AVE
GENESEO, IL 61254
Nurse Practitioner (Family)
600 N COLLEGE AVE
GENESEO, IL 61254
Rehabilitation Unit
600 N COLLEGE AVE
GENESEO, IL 61254

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 Heberer's NPI number?

The NPI number for Matthew Heberer is 1033591565. It was assigned to this individual provider in the NPPES registry on June 20, 2015.

Where is Matthew Heberer located?

Matthew Heberer practices at 600 N College Ave, Geneseo, IL 61254. The listed phone number is (309) 944-1595.

What is Matthew Heberer's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Heberer enrolled in Medicare?

Yes. Matthew Heberer 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 Heberer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Heberer reassigns Medicare benefits to 3 organizations: Hammond Henry Dist Hospital (Geneseo, IL), Osf Healthcare System (Kewanee, IL) and Osf Multi-Specialty Group (Peoria, IL). 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 Heberer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Heberer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Blue Cross Blue Shield of North Dakota list Matthew Heberer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Heberer affiliated with any hospitals?

According to CMS data, Matthew Heberer is affiliated with St Mary Medical Center and Osf Saint Luke Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Heberer was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.