MATTHEW D WHEALON (MD) – Colon & Rectal Surgery Physician, NPI 1902163710

MATTHEW D WHEALON (MD) is a healthcare provider. based in Redlands, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A128935 (CA). The NPI Number for MATTHEW D WHEALON (MD) is 1902163710

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW D WHEALON (MD)
NPI
1902163710
Phone
(909) 580-3353
Address
PO BOX 670
Enumeration Date
18 April 2012
Last Update Date
10 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
7146345549
Graduation Year
2012 (14 years ago)
PAC ID
3375822703
Group Practice PAC ID
6901705227
Professional Enrollment ID
I20170425001751
Address ID
CA928683201OR101XXSXXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

3,317 GENERAL SURGERY in CA

Provider Addresses for MATTHEW D WHEALON (MD)

  • PO BOX 670

    REDLANDS, CA 923730221

    Phone: (909) 580-3353

    Fax: (909) 580-1363

    Type: Mailing

  • 400 N. PEPPER AVE.

    MOB SUITE 308

    COLTON, CA 923241801

    Phone: (909) 580-3353

    Fax: (909) 580-1363

    Type: Location

  • 333 City Blvd W Ste 1600

    Orange, CA 928685903

    Phone: (714) 456-6262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,173.

Total Amount is formed as General ($1,173) + Research ($0) + Ownership ($0) = $1,173.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($865).

Total Amount

$1,173

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,173

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170425001751IGeneral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes3333$0
99213Established patient office or other outpatient visit, 20-29 minutes3225$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2914$0
99441Telephone medical discussion with physician, 5-10 minutes2318$0
45330Diagnostic exam of lower portion of large bowel using a flexible endoscope1312$0
View full utilization report →

Insurance plans in this area (ZIP 92373)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901705227View full group profile
NameSpecialtyState
P S Y C H I A T R YNC
Physician AssistantPA
General SurgeryCA
Physician AssistantCA
Surgical OncologyMA
Physician AssistantFL
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
General Surgery, Vascular SurgeryCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MATTHEW D WHEALON (MD)?
MATTHEW D WHEALON (MD) — NPI 1902163710 — is the standard way to identify this listing.
Does the file indicate MATTHEW D WHEALON (MD) is practicing under active NPI?
Directory data currently reports MATTHEW D WHEALON (MD) as active.
What healthcare role does MATTHEW D WHEALON (MD) hold?
Scheduling teams often label MATTHEW D WHEALON (MD) under Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MATTHEW D WHEALON (MD) on a map?
Expect Redlands, California as a primary anchor for MATTHEW D WHEALON (MD) unless the record lists multiple sites.
Is the information about MATTHEW D WHEALON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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