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DR. MATTHEW W HILLEGASS MD
NPI 1346691813
Family Medicine in New Paris, PA

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
4186 CORTLAND DR, NEW PARIS, PA 15554(814) 839-4108 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2024, Jul 1, 2019, Jun 27, 2016 (3 updates tracked since 2016).

About Dr. Matthew W Hillegass Md NPPES

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

DR. MATTHEW W HILLEGASS MD (NPI 1346691813) is an individual family medicine provider in New Paris, Pennsylvania, licensed in Pennsylvania (MD467996) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1346691813
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW W HILLEGASSCredential: MD
Location Address4186 CORTLAND DRNew Paris, PA 15554
Mailing Address4186 Cortland DrNew Paris, PA 15554-7706 · (814) 839-4108
Phone(814) 839-4108
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 27, 2016
Last NPPES UpdateJuly 30, 20243 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1346691813 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 · MD467996
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.
4186 CORTLAND DR, New Paris, PA 15554
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Matthew W Hillegass 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 ID7517252059
PECOS Enrollment IDI20190816000659
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 2

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.

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
19 services18 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Somerset

Acute Care Hospitals · Somerset, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390039
Location225 South Center AvenueSomerset, PA 15501 · Somerset County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Chan Soon- Shiong Medical Center At Windber

Acute Care Hospitals · Windber, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390112
Location600 Somerset AvenueWindber, PA 15963 · Somerset County
Emergency services

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15554 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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier27 claims27 services$7.41 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers21 claims21 services$185.00 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 19

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

MR. RANDY WAYNE LASUT JR. CRNP FNP-C
Nurse Practitioner (Family)
4186 CORTLAND DR
NEW PARIS, PA 15554
Bedford County (814) 839-4108
HENRY SHOENTHAL MD
Family Medicine
4186 CORTLAND DR
NEW PARIS, PA 15554
Bedford County (814) 839-4108
ORCHARD VALLEY PHYSICIAN SERVICES PLLC
Clinic/Center (Rural Health)
4186 CORTLAND DR
NEW PARIS, PA 15554
Bedford County (814) 839-4108
BRITTANY COGAN FNP-C
Nurse Practitioner (Family)
4186 CORTLAND DR
NEW PARIS, PA 15554
Bedford County (814) 839-4108
MRS. CHRISTINE RENEE BROCIOUS FNP-C
Nurse Practitioner (Family)
4186 CORTLAND DR
NEW PARIS, PA 15554
Bedford County (814) 839-4108
JOSEPH JOHN PALLO
Nurse Practitioner (Family)
4186 CORTLAND DR
NEW PARIS, PA 15554
Bedford County (814) 839-4108
AMANDA L KREUTZBERGER PA-C
Physician Assistant
4186 CORTLAND DR
NEW PARIS, PA 15554
Bedford County (814) 839-4108
EMILY M. MCCOY PA-C
Physician Assistant
4186 CORTLAND DR
NEW PARIS, PA 15554
Bedford County (814) 839-4108

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 Hillegass's NPI number?

The NPI number for Matthew Hillegass is 1346691813. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Matthew Hillegass located?

Matthew Hillegass practices at 4186 Cortland Dr, New Paris, PA 15554. The listed phone number is (814) 839-4108.

What is Matthew Hillegass's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Hillegass enrolled in Medicare?

Yes. Matthew Hillegass 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 Matthew Hillegass accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Matthew Hillegass 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 Hillegass affiliated with any hospitals?

According to CMS data, Matthew Hillegass is affiliated with Upmc Somerset, Upmc Altoona, Conemaugh Memorial Medical Center, Chan Soon- Shiong Medical Center At Windber and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Matthew Hillegass was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.