Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HEATHER BENNETT MATHESON MD
NPI 1275858839
Colon & Rectal Surgery in Evansville, IN

Active since April 07, 2010PECOS Enrolled
83.43/100
CMS Quality Rating
950 S KENMORE DR STE B, EVANSVILLE, IN 47714(812) 301-8110(812) 401-4001 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Mar 4, 2024, Jul 25, 2022 and 6 more (9 updates tracked since 2016).

About Heather Bennett Matheson Md NPPES

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

HEATHER BENNETT MATHESON MD (NPI 1275858839) is an individual colon & rectal surgery provider in Evansville, Indiana, licensed in Indiana (01081542A) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1275858839
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameHEATHER BENNETT MATHESONCredential: MD
Location Address950 S KENMORE DR STE BEvansville, IN 47714
Mailing Address520 Mary St Ste 520Evansville, IN 47710-1682 · (812) 424-8231 · Fax (812) 435-8794
Fax(812) 401-4001
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2010
Enumeration DateApril 7, 2010
Last NPPES UpdateJuly 24, 20269 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1275858839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses Licensed in IN · 01081542A Licensed in IN · 99090610A Licensed in FL · ME129307
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
950 S KENMORE DR STE B, Evansville, IN 47714

Other Names 1

Former Name (1)Heather Marie Bennett Md

Secondary Practice Locations 5

Location 1950 S Kenmore Dr Ste BEvansville, IN 47714 · Phone (812) 301-8110 · Fax (812) 401-4001
Location 24133 Gateway Blvd Ste 290Newburgh, IN 47630-7918 · Phone (812) 424-8231 · Fax (812) 435-8794
Location 3801 Saint Marys Dr Ste 200EEvansville, IN 47714-0518 · Phone (812) 424-8231 · Fax (812) 435-8794
Location 44910 Beach BlvdJacksonville, FL 32207-4817 · Phone (214) 399-0667
Location 51617 King StJacksonville, FL 32204-4563 · Phone (904) 384-1348 · Fax (904) 384-4406

Other Identifiers 7

Medicaid300021719IN
Medicaid7100581930KY
OtherIR482ZFL · Medicare
Medicaid018439300FL
Medicaid003181483AGA
Other01081542AIN · In Professional Licensing Agency
Other99090610AIN · In Temporary License

Accepted Insurance

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

Heather Bennett Matheson Md 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 ID5395032015
PECOS Enrollment IDI20190118002882
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 10

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 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.
120 services91 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
49 services49 patients
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.
45 services39 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.
32 services32 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
27 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150115
Location800 W 9th StJasper, IN 47546 · Dubois County
Emergency services Birthing friendly

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180056
Location1305 N Elm StHenderson, KY 42420 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47714 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

83.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.15
Promoting Interoperability100
Improvement Activities40
Cost49.63

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
84%167 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
76%913 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%265 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
84%367 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
37%543 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
14%151 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
13%401 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 42% · 250 patients
35%250 patients2/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
62%543 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
52%543 patients3/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers11 claims42 services$5.01 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
4 suppliers13 claims280 services$2.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Colon & Rectal Surgery
950 S KENMORE DR STE B
EVANSVILLE, IN 47714
Colon & Rectal Surgery
950 S KENMORE DR STE B
EVANSVILLE, IN 47714
Colon & Rectal Surgery
950 S KENMORE DR STE B
EVANSVILLE, IN 47714
Colon & Rectal Surgery
950 S KENMORE DR STE B
EVANSVILLE, IN 47714
Nurse Practitioner
950 S KENMORE DR STE B
EVANSVILLE, IN 47714
Colon & Rectal Surgery
950 S KENMORE DR STE B
EVANSVILLE, IN 47714
Nurse Practitioner
950 S KENMORE DR STE B
EVANSVILLE, IN 47714

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 Heather Matheson's NPI number?

The NPI number for Heather Matheson is 1275858839. It was assigned to this individual provider in the NPPES registry on April 7, 2010. The provider is also known as Heather Marie Bennett MD.

Where is Heather Matheson located?

Heather Matheson practices at 950 S Kenmore Dr Ste B, Evansville, IN 47714. The listed phone number is (812) 301-8110.

What is Heather Matheson's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Heather Matheson enrolled in Medicare?

Yes. Heather Matheson 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.

What insurance does Heather Matheson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Heather Matheson 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 Heather Matheson affiliated with any hospitals?

According to CMS data, Heather Matheson is affiliated with Deaconess Hospital Inc, Ascension St Vincent Evansville, Memorial Hospital And Health Care Center and Deaconess Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Heather Matheson was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.