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DR. MATTHEW JOSEPH HYSER MD
NPI 1336155092
Surgery - Surgical Critical Care in Evanston, IL

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
800 AUSTIN ST, EAST TOWER, SUITE 563, EVANSTON, IL 60202(847) 869-0522(847) 869-0652 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Matthew Joseph Hyser Md NPPES

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

DR. MATTHEW JOSEPH HYSER MD (NPI 1336155092) is an individual surgical critical care provider in Evanston, Illinois, licensed in Illinois (036073532) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and is a graduate of Rush Medical College Of Rush University (1985).

NPPES Registry Identity

NPI1336155092
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. MATTHEW JOSEPH HYSERCredential: MD
Location Address800 AUSTIN ST, EAST TOWER, SUITE 563Evanston, IL 60202-3439
Mailing Address800 Austin St, East Tower, Suite 563Evanston, IL 60202-3439 · (847) 869-0522 · Fax (847) 869-0652
Phone(847) 869-0522
Fax(847) 869-0652
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1985
Enumeration DateAugust 1, 2006
Last NPPES UpdateMay 19, 2025
NPPES CertifiedMay 19, 2025
✔ NPI 1336155092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in IL · 036073532
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSpecialistTaxonomy 174400000X
Also ListedSurgeryTaxonomy 208600000X · License 036073532 (IL)
800 AUSTIN ST, Evanston, IL 60202
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Other Identifiers 1

Medicaid036073532IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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 Joseph Hyser 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 ID8426946898
PECOS Enrollment IDI20040308000638
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 Reassignment

Medicare enrollment records show Matthew Hyser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prime Healthcare Illinois Medical Group LLC
9.5 mi
Multi-Specialty
2380 E DEMPSTER ST
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 443 clinicians in this Medicare group
NPI 1023837689 (833) 291-0464

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
60 services37 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.
35 services31 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.
31 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
82%113 patients4/55-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
52%183 patients3/55-star benchmark: 100%
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…
84%209 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%195 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
40%108 patients2/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
3%130 patients1/55-star benchmark: 100%
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.

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.

AJIT KUMAR KESANI M.D.
Internal Medicine (Nephrology)
800 AUSTIN ST, ST. FRANCIS PROFESSIONAL BUILDING, WEST TOWER SUITE 503
EVANSTON, IL 60202
Cook County (847) 864-5550
ENVISION MOBILE IMAGING, LLC
Clinic/Center (Radiology, Mobile)
800 AUSTIN ST
EVANSTON, IL 60202
Cook County (312) 515-0289
ALBERTO E FOSCHI MD
Internal Medicine (Cardiovascular Disease)
800 AUSTIN ST, SUITE 454 EAST TOWER
EVANSTON, IL 60202
Cook County (847) 864-4370
DR. CHARLES R GRUNER M.D.
Surgery
800 AUSTIN ST, EAST TOWER, SUITE 563
EVANSTON, IL 60202
Cook County (847) 869-0522
DR. HENRY ISAAC MEISELS M.D.
Ophthalmology
800 AUSTIN ST, SUITE 401W
EVANSTON, IL 60202
Cook County (847) 425-9400
BENJAMIN PHILLIPS
Counselor (Mental Health)
800 AUSTIN ST
EVANSTON, IL 60202
Cook County (847) 868-8664
YOUSEF DARWISH MD.PC
Specialist
800 AUSTIN ST, SUITE 163
EVANSTON, IL 60202
Cook County (847) 316-3880
VISION SURGEONS AND CONSULTANTS, LTD
Surgery
800 AUSTIN ST, EAST TOWER STE 151
EVANSTON, IL 60202
Cook County (847) 328-2300

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 Hyser's NPI number?

The NPI number for Matthew Hyser is 1336155092. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Matthew Hyser located?

Matthew Hyser practices at 800 Austin St East Tower, Suite 563, Evanston, IL 60202. The listed phone number is (847) 869-0522.

What is Matthew Hyser's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Matthew Hyser enrolled in Medicare?

Yes. Matthew Hyser 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 organization bills Medicare for Matthew Hyser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Hyser reassigns Medicare benefits to Prime Healthcare Illinois Medical Group LLC (Des Plaines, IL). The 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 Hyser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Hyser accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Matthew Hyser 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 Hyser affiliated with any hospitals?

According to CMS data, Matthew Hyser is affiliated with Presence Saint Francis Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Hyser was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.