MATTHEW OWEN HEISEL M.D.
NPI 1801030077
Pediatrics - Pediatric Gastroenterology in Tacoma, WA

Active since May 01, 2009PECOS Enrolled
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431(253) 968-3885 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2021, Aug 14, 2018 (2 updates tracked since 2018).

About Matthew Owen Heisel M.d. NPPES

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

MATTHEW OWEN HEISEL M.D. (NPI 1801030077) is an individual pediatric gastroenterology provider in Tacoma, Washington, licensed in Nebraska (25968) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1801030077
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameMATTHEW OWEN HEISELCredential: M.D.
Location AddressMADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVETacoma, WA 98431-0001
Mailing AddressMadigan Army Medical Center 9040 Jackson AveTacoma, WA 98431-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 1, 2009
Last NPPES UpdateJuly 27, 20212 updates tracked since enumeration
NPPES CertifiedJuly 27, 2021
✔ NPI 1801030077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in NE · 25968
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 25968 (NE)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, Tacoma, WA 98431

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Owen Heisel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284882523
PECOS Enrollment IDI20251112000434
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 Heisel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
9514 GRAVELLY LAKE DR SW
Lakewood, WA 98499
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

Social Worker (Clinical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Counselor (Mental Health)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Registered Nurse (Case Management)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Military Health Care Provider
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Physician Assistant (Medical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
General Practice
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Emergency Medicine
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431

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 Heisel's NPI number?

The NPI number for Matthew Heisel is 1801030077. It was assigned to this individual provider in the NPPES registry on May 1, 2009.

Where is Matthew Heisel located?

Matthew Heisel practices at Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-3885.

What is Matthew Heisel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Matthew Heisel enrolled in Medicare?

Yes. Matthew Heisel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Heisel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Heisel reassigns Medicare benefits to Multicare Health System (Lakewood, WA). 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 Heisel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Heisel accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Matthew Heisel 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 Heisel was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.