Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MATTHEW VANDERHEIDEN MD PHD
NPI 1356312946
Internal Medicine - Hematology & Oncology in Boston, MA

Active since January 31, 2006PECOS Enrolled
86.28/100
CMS Quality Rating
55 FRUIT ST YAW 7, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114(617) 724-2241 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew Vanderheiden Md Phd NPPES

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

DR. MATTHEW VANDERHEIDEN MD PHD (NPI 1356312946) is an individual hematology & oncology provider in Boston, Massachusetts, licensed in Massachusetts (222812) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (2002).

NPPES Registry Identity

NPI1356312946
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MATTHEW VANDERHEIDENCredential: MD PHD
Location Address55 FRUIT ST YAW 7, MASSACHUSETTS GENERAL HOSPITALBoston, MA 02114
Mailing AddressPo Box 9142, Mass General Physician OrganizationCharlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2002
Enumeration DateJanuary 31, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1356312946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in MA · 222812
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
55 FRUIT ST YAW 7, Boston, MA 02114

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

Dr. Matthew Vanderheiden Md Phd 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 ID4385678473
PECOS Enrollment IDI20050919000547
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.36
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Medical Oncology)
55 FRUIT ST YAW 7, HEMATOLOGY/ONCOLOGY
BOSTON, MA 02114
Internal Medicine (Medical Oncology)
55 FRUIT ST YAW 7, HEMATOLOGY ONCOLOGY
BOSTON, MA 02114
Internal Medicine (Medical Oncology)
55 FRUIT ST YAW 7, HEMATOLOGY/ONCOLOGY
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST YAW 7
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST YAW 7, MASS GENERAL HOSPITAL
BOSTON, MA 02114

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 Vanderheiden's NPI number?

The NPI number for Matthew Vanderheiden is 1356312946. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Matthew Vanderheiden located?

Matthew Vanderheiden practices at 55 Fruit St Yaw 7 Massachusetts General Hospital, Boston, MA 02114. The listed phone number is (617) 724-2241.

What is Matthew Vanderheiden's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Matthew Vanderheiden enrolled in Medicare?

Yes. Matthew Vanderheiden 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 Vanderheiden accept?

Health plans from Anthem Blue Cross and Blue Shield list Matthew Vanderheiden 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.

When was this NPI record last updated?

The NPPES record for Matthew Vanderheiden was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.