Heather Matheson, MD
NPI 1275858839 · Colon & Rectal Surgery Physician · Evansville, IN
Enrolled with Medicare as Practitioner - Colorectal Surgery (proctology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Matheson, MD is a Colon & Rectal Surgery Physician provider in Evansville, IN (NPI 1275858839).
Provider details
- NPI number
- 1275858839
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 99090610A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
7 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
398 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 120 | $89 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 52 | $162 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 49 | $152 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 45 | $127 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 32 | $108 |
| Diagnostic Exam of Anus Using an Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 48 | 42 |
| Metronidazole | 39 | 37 |
| Neomycin Sulfate | 35 | 32 |
| Dicyclomine Hcl | 13 | — |
| Linaclotidebrand: Linzess | 13 | — |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,301 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (6)
- 4910 Beach BlvdJacksonville, FL 32207-4817Phone: (214) 399-0667
- 1617 King StJacksonville, FL 32204-4563Phone: (904) 384-1348Fax: (904) 384-4406
- 950 S Kenmore Dr Ste BEvansville, IN 47714Phone: (812) 301-8110Fax: (812) 401-4001
- 801 Saint Marys Dr Ste 200eEvansville, IN 47714-0518Phone: (812) 424-8231Fax: (812) 435-8794
- 950 S Kenmore Dr Ste BEvansville, IN 47714Phone: (812) 301-8110Fax: (812) 401-4001
- 4133 Gateway Blvd Ste 290Newburgh, IN 47630-7918Phone: (812) 424-8231Fax: (812) 435-8794
Registry dates
- Enumerated
- 2010-04-07
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Frequently asked questions
- What is Heather Matheson's NPI number?
- Heather Matheson's National Provider Identifier (NPI) is 1275858839, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Matheson's specialty?
- Heather Matheson is listed in the NPPES registry with a primary specialty of Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Heather Matheson located?
- Heather Matheson's practice location on file with NPPES is 520 Mary St Ste 520, Evansville, IN 47710-1682.
- What is Heather Matheson's phone number?
- The practice phone number listed in the NPPES registry for Heather Matheson is (812) 424-8231.
- Does Heather Matheson accept Medicare?
- Heather Matheson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Matheson's NPI active?
- Yes — Heather Matheson's NPI (1275858839) is active in the NPPES registry as of the last update on 2024-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.