Active NPI
Heather Bennett Matheson, MD
- Colon & Rectal Surgery Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 01081542A
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IR482Z | Other | FL | MEDICARE |
| 99090610A | Other | IN | IN TEMPORARY LICENSE |
| 300021719 | Medicaid | IN | |
| 003181483A | Medicaid | GA | |
| 01081542A | Other | IN | IN PROFESSIONAL LICENSING AGENCY |
| 018439300 | Medicaid | FL | |
| 7100581930 | Medicaid | KY |
Other names 1
- Heather Marie Bennett
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
Enrollment records 1
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
- Deaconess Hospital Inc
- Ascension St Vincent Evansville
- Deaconess Henderson Hospital
- Memorial Hospital and Health Care Center
- Gibson General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 37.54 of 100
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 65.72
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 56 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME129307 | FL | MD | Colon & Rectal Surgery Physician |
| 99090610A | IN | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Colorectal Group, LLC | Colon & Rectal Surgery | Current | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Current | Accepting new patients | |
| Deaconess Specialty Physicians, Inc | Current | Accepting new patients | |
| Deaconess Specialty Physicians Inc | Current | Accepting new patients | |
| Jax Anesthesia Providers LLC | Past | 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
- 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.
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1306344817
-
- Colon & Rectal Surgery Physician
- Evansville, IN
- NPI 1083130751
-
- Family Medicine Physician
- Huntingburg, IN
- NPI 1831980945
-
- Cardiovascular Disease Physician
- Newburgh, IN
- NPI 1215431846
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1245271154
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Memorial Hospital & Health Care Center
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
- Critical Access Hospital
- Princeton, IN
- NPI 1558346007
-
dba Ascension St. Vincent Evansville
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
dba Deaconess Henderson Hospital
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.