Matthew Heavner, MD
NPI 1285096636 · Urology Physician · Annapolis, MD
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Heavner, MD is a Urology Physician provider in Annapolis, MD (NPI 1285096636).
Provider details
- NPI number
- 1285096636
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MT211746 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
6,571 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) |
|---|---|---|
| Detection Test By Nucleic Acid for Organism, Amplified Probe Technique87798 | 1,753 | $34 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 736 | $17 |
| Urinalysis, Manual Test81002 | 716 | $3 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 534 | $12 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 405 | $134 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 200 | 80 |
| Vibegronbrand: Gemtesa | 60 | 18 |
| Alfuzosin Hclbrand: Alfuzosin Hcl Er | 52 | 11 |
| Cefuroxime Axetilbrand: Cefuroxime | 26 | 25 |
| Finasteride | 24 | — |
| Ciprofloxacin Hcl | 23 | 23 |
| Cephalexin | 16 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$895 across 25 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 (1)
- 3400 Civic Center BlvdUrology, 3rd Floor, Pcam WestPhiladelphia, PA 19104-5127Phone: (215) 662-6156Fax: (215) 662-7413
Registry dates
- Enumerated
- 2016-03-24
- Last updated
- 2021-08-05
- Certified
- 2021-08-05
Frequently asked questions
- What is Matthew Heavner's NPI number?
- Matthew Heavner's National Provider Identifier (NPI) is 1285096636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Heavner's specialty?
- Matthew Heavner is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Heavner located?
- Matthew Heavner's practice location on file with NPPES is 600 Ridgely Ave Ste 222, Annapolis, MD 21401-1073.
- What is Matthew Heavner's phone number?
- The practice phone number listed in the NPPES registry for Matthew Heavner is (410) 266-8049.
- Does Matthew Heavner accept Medicare?
- Matthew Heavner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Heavner's NPI active?
- Yes — Matthew Heavner's NPI (1285096636) is active in the NPPES registry as of the last update on 2021-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.