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MATTHEW D WHEALON MD
NPI 1902163710
Colon & Rectal Surgery in Colton, CA

Active since April 18, 2012PECOS EnrolledAccepts Medicare Assignment
400 N. PEPPER AVE., MOB SUITE 308, COLTON, CA 92324(909) 580-3353(909) 580-1363 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2020, Aug 15, 2019 (2 updates tracked since 2019).

About Matthew D Whealon Md NPPES

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

MATTHEW D WHEALON MD (NPI 1902163710) is an individual colon & rectal surgery provider in Colton, California, licensed in California (A128935) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Orange, and is a graduate of University Of California, Irvine, California College Of Medicine (2012).

NPPES Registry Identity

NPI1902163710
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameMATTHEW D WHEALONCredential: MD
Location Address400 N. PEPPER AVE., MOB SUITE 308Colton, CA 92324-1801
Mailing AddressPo Box 670Redlands, CA 92373-0221 · (909) 580-3353 · Fax (909) 580-1363
Phone(909) 580-3353
Fax(909) 580-1363
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2012
Enumeration DateApril 18, 2012
Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1902163710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses✔ Licensed in CA · A128935✔ Licensed in PA · MT216910✔ Licensed in PA · MD464833
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License A128935 (CA)
400 N. PEPPER AVE., Colton, CA 92324
Open in Google Maps ↗

Secondary Practice Location 1

Location 1333 City Blvd W Ste 1600Orange, CA 92868-5903 · Phone (714) 456-6262

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 D Whealon 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 ID3375822703
PECOS Enrollment IDI20170425001751
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services14 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
18 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers12 claims340 services$4.93 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers11 claims398 services$2.51 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.31 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers13 claims300 services$3.47 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 6

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

DR. FARABI M. HUSSAIN MD
Surgery
400 N. PEPPER AVE., SURGERY - MOB 308
COLTON, CA 92324
San Bernardino County (909) 580-3353
DR. BRUCE ANTHONY REDDIX M.D.
Pediatrics (Neonatal-Perinatal Medicine)
400 N. PEPPER AVE.
COLTON, CA 92324
San Bernardino County (909) 580-3380
ARROWHEAD REGIONAL MEDICAL CENTER
General Acute Care Hospital
400 N. PEPPER AVE.
COLTON, CA 92324
San Bernardino County (909) 580-1800
ARROWHEAD PATHOLOGY MEDICAL GROUP INCORPORATED
Pathology (Anatomic Pathology & Clinical Pathology)
400 N. PEPPER AVE.
COLTON, CA 92324
San Bernardino County (909) 580-0010
CHARLES TELESCO PA-C
Physician Assistant
400 N. PEPPER AVE.
COLTON, CA 92324
San Bernardino County (909) 580-6370
DR. DAVID RUCKLE MD
Orthopaedic Surgery
400 N. PEPPER AVE., MOB 205
COLTON, CA 92324
San Bernardino County (909) 580-1000

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 Whealon's NPI number?

The NPI number for Matthew Whealon is 1902163710. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Where is Matthew Whealon located?

Matthew Whealon practices at 400 N. Pepper Ave. Mob Suite 308, Colton, CA 92324. The listed phone number is (909) 580-3353.

What is Matthew Whealon's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Matthew Whealon enrolled in Medicare?

Yes. Matthew Whealon 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.

When was this NPI record last updated?

The NPPES record for Matthew Whealon was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.