MATTHEW P HECKMAN MD, PHD
NPI 1669738654
Family Medicine in Elkland, PA

Q: What is Matthew Heckman's NPI number?

The NPI number for Matthew Heckman is 1669738654. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Q: What is Matthew Heckman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Heckman was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment

71.17/100

CMS Quality Rating

103 FORESTVIEW AVE, ELKLAND, PA 16920(814) 258-5117(814) 258-5510 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2016, Jul 16, 2016 (2 updates tracked since 2016).

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About Matthew P Heckman Md, Phd NPPES

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

MATTHEW P HECKMAN MD, PHD (NPI 1669738654) is an individual family medicine provider in Elkland, Pennsylvania, licensed in Pennsylvania (MD458866) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Gettysburg Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2012).

NPPES Registry Identity

NPI1669738654

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMATTHEW P HECKMANCredential: MD, PHD

Location Address103 FORESTVIEW AVEElkland, PA 16920-1403

Mailing Address103 Forestview AveElkland, PA 16920-1403 · (814) 258-5117 · Fax (814) 258-5510

Phone(814) 258-5117

Fax(814) 258-5510

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2012

Enumeration DateApril 4, 2012

Last NPPES UpdateOctober 11, 20162 updates tracked since enumeration

✔ NPI 1669738654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in PA · MD458866✔ Licensed in NY · 281344-1

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.

103 FORESTVIEW AVE, Elkland, PA 16920

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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

Matthew P Heckman 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 ID4688984651

PECOS Enrollment IDI20161108000448

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 5

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

310 services191 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

119 services90 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

65 services65 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

19 services15 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390065

Location147 Gettys StreetGettysburg, PA 17325 · Adams County

Emergency services Birthing friendly

Upmc Wellsboro

Critical Access Hospitals · Wellsboro, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391316

Location32-36 Central AvenueWellsboro, PA 16901 · Tioga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16920 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.

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.

71.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

46.05

Promoting Interoperability

Improvement Activities

Cost

58.7

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.

NORTH PENN COMPREHENSIVE HEALTH SERVICES

Clinic/Center (Federally Qualified Health Center (FQHC))