Matthew P Heckman, MD, PHD
Individual provider Active NPI Family Medicine Physician · Elkland, PA
NPI 1669738654 · NPPES record last updated Oct 11, 2016
Key facts
- NPI
- 1669738654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD458866 (PA)
- Practice address
- 103 Forestview Ave
Elkland, PA 16920-1403 - Phone
- (814) 258-5117
- Fax
- (814) 258-5510
- NPI assigned
- Apr 4, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Pennsylvania State University College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clearfield-Jefferson Primary Care Associates PC
Practice addresses (Care Compare)
33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434
Phone (814) 503-8070
Hospital & facility affiliations
- Gettysburg Hospital
- Upmc Wellsboro
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.37 of 100
- Quality
- 86.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 44.81
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161108000448 | PA | Practitioner - Family Practice |
4688984651 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281344-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| Clearfield-Jefferson Primary Care Associates PC | Family Medicine | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990
867 York Rd
Gettysburg, PA 17325
Phone (717) 337-3238
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 281344-1 | NY | |
| Family Medicine Physician | 207Q00000X | MD458866 | PA | Yes |
Addresses
Primary practice location
103 Forestview Ave
Elkland, PA 16920-1403
Mailing address
103 Forestview Ave
Elkland, PA 16920-1403
Phone (814) 258-5117
Other providers in Elkland, PA
- Bull Family Chiropractic, LLC
- Lisa Lynn Bull
- Concern-Professional Services for Children, Youth & Families
- David Nicholas Hartranft
- North Penn Comprehensive Health Services
- Northern Tioga School District
- Novapharm Enterprises Inc.
- Scott L Pawlak
- Jessica C Prutsman
All providers in Elkland, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.