Individual provider Active NPI

Heather Bennett Matheson, MD

  • Colon & Rectal Surgery Physician
  • Evansville, IN
National Provider Identifier
1275858839
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
01081542A Issued in IN
Practice address
950 S Kenmore Dr Ste B
Evansville, IN 47714
Phone
(812) 301-8110
Fax
(812) 401-4001
NPI assigned
Apr 7, 2010
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 99090610A IN
Colon & Rectal Surgery Physician 208C00000X ME129307 FL
Colon & Rectal Surgery Physician 208C00000X 01081542A IN Primary

Addresses

Primary practice location

950 S Kenmore Dr Ste B
Evansville, IN 47714

Mailing address

520 Mary St Ste 520
Evansville, IN 47710-1682
Phone (812) 424-8231

Other practice location 1

4910 Beach Blvd
Jacksonville, FL 32207-4817
Phone (214) 399-0667

Other practice location 2

950 S Kenmore Dr Ste B
Evansville, IN 47714
Phone (812) 301-8110

Other practice location 3

1617 King St
Jacksonville, FL 32204-4563
Phone (904) 384-1348

Other identifiers 7

IdentifierTypeStateIssuer
IR482ZOtherFLMEDICARE
99090610AOtherININ TEMPORARY LICENSE
300021719MedicaidIN
003181483AMedicaidGA
01081542AOtherININ PROFESSIONAL LICENSING AGENCY
018439300MedicaidFL
7100581930MedicaidKY

Other names 1

  • Heather Marie Bennett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190118002882 IN Practitioner - Colorectal Surgery (Proctology) 5395032015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of Kentucky College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4055 Gateway Blvd
Newburgh, IN 47630-7451
Phone (812) 858-3051

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
37.54 of 100Reported as group
Promoting interoperability
0
Improvement activities
40
Cost
65.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy56
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME129307FLMDColon & Rectal Surgery Physician
99090610AINMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Colorectal Group, LLC Colon & Rectal Surgery CurrentSince Feb 1, 2019 Accepting new patients
Deaconess Specialty Physicians, Inc CurrentSince Oct 20, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Oct 20, 2025 Accepting new patients
Jax Anesthesia Providers LLC PastSince Jun 12, 2006 Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

950 S Kenmore Dr
Ste B
Evansville, IN 47714
Phone (812) 301-8110

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210

4099 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2720

Interoperability endpoints

  • Direct secure messaging: heather.matheson@evansvillesurgical.directbygreenway.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1275858839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MARY ST STE 520",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101682",
            "telephone_number": "812-424-8231",
            "fax_number": "812-435-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S KENMORE DR STE B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47714",
            "telephone_number": "812-301-8110",
            "fax_number": "812-401-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322074817",
            "country_code": "US",
            "telephone_number": "214-399-0667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 S Kenmore Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "47714",
            "country_code": "US",
            "telephone_number": "812-301-8110",
            "fax_number": "812-401-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1617 King St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044563",
            "country_code": "US",
            "telephone_number": "904-384-1348",
            "fax_number": "904-384-4406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "HEATHER",
        "middle_name": "BENNETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2026-09-29",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "99090610A",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME129307",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "01081542A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IR482Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN TEMPORARY LICENSE",
            "identifier": "99090610A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021719",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003181483A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN PROFESSIONAL LICENSING AGENCY",
            "identifier": "01081542A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018439300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100581930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BENNETT",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.