MATTHEW P DATZMAN (MD) – Emergency Medicine Physician, NPI 1043254386

MATTHEW P DATZMAN (MD) is a healthcare provider. based in Eldorado, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. The NPI Number for MATTHEW P DATZMAN (MD) is 1043254386

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW P DATZMAN (MD)
NPI
1043254386
Phone
(618) 268-6212
Address
105 KANE RD
Enumeration Date
16 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8128853810
Graduation Year
1985 (41 years ago)
PAC ID
0244209401
Group Practice PAC ID
1052666575
Professional Enrollment ID
I20100429000519
Address ID
IN475911038VI520XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for MATTHEW P DATZMAN (MD)

  • 105 KANE RD

    ELDORADO, IL 629303736

    Phone: (618) 268-6212

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-06-24 • Largest payer in this snapshot: PFIZER INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$13
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: 2010-04-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040927000003IEmergency MedicineILTBD
I20100429000519IEmergency MedicineINTBD

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
99285Emergency department visit with high level of medical decision making232225$0
99284Emergency department visit with moderate level of medical decision making106104$0
99283Emergency department visit with low level of medical decision making2119$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1513$0
View full utilization report →

Insurance plans in this area (ZIP 62930)

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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: 1052666575View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineIN
Family PracticeIN
Nurse PractitionerIL
Emergency MedicineIN
Nurse PractitionerIN
Nurse PractitionerIN
Family PracticeIN
Emergency Medicine, Family PracticeIN
Nurse PractitionerIN
Emergency MedicineIN

Reviews

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Frequently asked questions

What is MATTHEW P DATZMAN (MD)'s NPI number?
MATTHEW P DATZMAN (MD)'s NPI is 1043254386 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MATTHEW P DATZMAN (MD)?
For scheduling context, MATTHEW P DATZMAN (MD) is shown as active in the registry.
How would a patient describe MATTHEW P DATZMAN (MD)'s focus?
For MATTHEW P DATZMAN (MD), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MATTHEW P DATZMAN (MD)?
Travel planning: use Eldorado, Illinois as the reference point for MATTHEW P DATZMAN (MD), then confirm.
Can I trust this NPI listing for MATTHEW P DATZMAN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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