DR. MATTHEW TAYLOR HEFTY (M.D.) – Surgery Physician, NPI 1154633618

DR. MATTHEW TAYLOR HEFTY (M.D.) is a healthcare provider. based in Dixon, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 036147642 (IL). The NPI Number for DR. MATTHEW TAYLOR HEFTY (M.D.) is 1154633618

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW TAYLOR HEFTY (M.D.)
NPI
1154633618
Phone
(815) 285-5842
Address
215 E 1ST ST STE 316
Enumeration Date
12 July 2010
Last Update Date
8 October 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
8152885531
Graduation Year
2010 (16 years ago)
PAC ID
3375771652
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20181221000571
Address ID
IL610213116DI403XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,422 GENERAL SURGERY in IL

Provider Addresses for DR. MATTHEW TAYLOR HEFTY (M.D.)

  • 215 E 1ST ST STE 316

    DIXON, IL 610213190

    Phone: (815) 285-5842

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-12-21

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
I20181221000571IGeneral SurgeryILTBD

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 minutes4848$0
99213Established patient office or other outpatient visit, 20-29 minutes3832$0
99214Established patient office or other outpatient visit, 30-39 minutes2824$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2513$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 61021)

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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: 3678889789View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. MATTHEW TAYLOR HEFTY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1154633618 for DR. MATTHEW TAYLOR HEFTY (M.D.).
Should I treat DR. MATTHEW TAYLOR HEFTY (M.D.) as an active provider?
Patients and plans typically see DR. MATTHEW TAYLOR HEFTY (M.D.) as active in the national extract.
How should patients interpret DR. MATTHEW TAYLOR HEFTY (M.D.)'s specialty?
The extract shows Surgery Physician for DR. MATTHEW TAYLOR HEFTY (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. MATTHEW TAYLOR HEFTY (M.D.)?
The directory associates DR. MATTHEW TAYLOR HEFTY (M.D.) with Dixon, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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