DR. MATTHEW JULIAN WIDEROFF (M.D.) – Surgery Physician, NPI 1134448129
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
109 GENERAL SURGERY in SD
Provider Addresses for DR. MATTHEW JULIAN WIDEROFF (M.D.)
2510 SW 27TH LN
MIAMI, FL 331333113
Phone: (561) 715-1642
Type: Mailing
2805 5th St
Rapid City, SD 57701
Phone: (605) 755-5700
Fax: (605) 755-5701
Type: Location
PO BOX 935921
ATLANTA, GA 311935921
Phone:
Type: Mailing
61 MEMORIAL MEDICAL PKWY STE 3805
PALM COAST, FL 321645982
Phone: (386) 586-1605
Fax: (386) 586-1607
Type: Location
2805 5TH ST
RAPID CITY, SD 57701
Phone: (605) 755-5700
Fax: (605) 755-5701
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $38,443.
Total Amount is formed as General ($38,443) + Research ($0) + Ownership ($0) = $38,443.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($37,979).
Total Amount
$38,443
General + Research + Ownership
Payments
29
Total payment records
General Amount
$38,443
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $37,979 |
| Davol Inc. | $371 |
| Medtronic, Inc. | $39 |
| Smith+Nephew, Inc. | $35 |
| Aroa Biosurgery Incorporated | $20 |
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: 2024-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160801002731 | I | General Surgery | SD | TBD |
| I20240611004733 | I | General Surgery | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 26 | 26 | $0 |
| 49650 | Repair of groin hernia using an endoscope | 14 | 14 | $0 |
| 36821 | Relocation of arm vein with connection to arm artery for hemodialysis | 11 | 11 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 33133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| U R O L O G Y | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Thoracic Surgery | FL | |
| Nurse Practitioner | GA | |
| Internal Medicine | NY | |
| General Surgery | FL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Cardiovascular Disease (Cardiology) | FL |
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