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

MATTHEW ALEXANDER HECKROTH MD
NPI 1780145219
Internal Medicine - Gastroenterology in St Augustine, FL

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
475 W TOWN PL STE 109, ST AUGUSTINE, FL 32092(904) 398-7205 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2026, Jun 24, 2024, Jun 12, 2024 and 2 more (5 updates tracked since 2022).

About Matthew Alexander Heckroth Md NPPES

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

MATTHEW ALEXANDER HECKROTH MD (NPI 1780145219) is an individual gastroenterology provider in St Augustine, Florida, licensed in Florida (ME161079) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1780145219
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMATTHEW ALEXANDER HECKROTHCredential: MD
Location Address475 W TOWN PL STE 109St Augustine, FL 32092-3648
Mailing Address4800 Belfort RdJacksonville, FL 32256-6004 · (904) 398-7205
Phone(904) 398-7205
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateJuly 10, 20265 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1780145219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME161079
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME161079 (FL)
475 W TOWN PL STE 109, St Augustine, FL 32092
Open in Google Maps ↗

Secondary Practice Location 1

Location 112902 Usf Magnolia DrTampa, FL 33612-9416 · Phone (813) 745-4673 · Fax (813) 449-8999

Other Identifiers 2

Medicaid122143800FL
Medicaid7100691880KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Matthew Alexander Heckroth 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 ID3476964719
PECOS Enrollment IDI20240503001213
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32092 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

AMIT KUMAR AGARWAL MD
Internal Medicine (Gastroenterology)
475 W TOWN PL STE 109
ST AUGUSTINE, FL 32092
St. Johns County (904) 398-7205

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 Heckroth's NPI number?

The NPI number for Matthew Heckroth is 1780145219. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Matthew Heckroth located?

Matthew Heckroth practices at 475 W Town Pl Ste 109, St Augustine, FL 32092. The listed phone number is (904) 398-7205.

What is Matthew Heckroth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Matthew Heckroth enrolled in Medicare?

Yes. Matthew Heckroth 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 Heckroth accept?

Health plans from CareSource, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Matthew Heckroth 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 Heckroth affiliated with any hospitals?

According to CMS data, Matthew Heckroth is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Heckroth was last updated on July 10, 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.