DR. MATTHEW DEAN HANSON (MD) – Emergency Medicine Physician, NPI 1174782916

DR. MATTHEW DEAN HANSON (MD) is a healthcare provider. based in Peoria, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 125054033 (IL). The NPI Number for DR. MATTHEW DEAN HANSON (MD) is 1174782916

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW DEAN HANSON (MD)
NPI
1174782916
Phone
(309) 655-6710
Address
530 NE GLEN OAK AVE
Enumeration Date
6 June 2008
Last Update Date
6 June 2008

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5637423180
Graduation Year
2011 (15 years ago)
PAC ID
1153597661
Group Practice PAC ID
2264337518
Professional Enrollment ID
I20120105000205
Address ID
IA527221626BE4500XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for DR. MATTHEW DEAN HANSON (MD)

  • Saint Francis Medical Center, 530, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61637, United States

    PEORIA, IL 61637

    Phone: (309) 655-6710

    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: 2015-07-23

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
I20120105000205IEmergency MedicineIATBD
I20150723006791IEmergency MedicineILTBD

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 making137132$0
99284Emergency department visit with moderate level of medical decision making115113$0
99283Emergency department visit with low level of medical decision making3636$0
99291Critical care, first 30-74 minutes3029$0
View full utilization report →

Insurance plans in this area (ZIP 61637)

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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: 2264337518View full group profile
NameSpecialtyState
Emergency MedicineOH
Interventional Cardiology, Cardiovascular Disease (Cardiology), Pediatric MedicineIA
Nurse PractitionerIL
-IL
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)WI
Neurology, PsychiatryIN
Internal MedicineMI
Nurse PractitionerIA
Nurse PractitionerIL
Emergency MedicineIL

Reviews

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Frequently asked questions

What is DR. MATTHEW DEAN HANSON (MD)'s NPI number?
DR. MATTHEW DEAN HANSON (MD)'s NPI is 1174782916 — the number used across U.S. healthcare to identify this provider.
Would DR. MATTHEW DEAN HANSON (MD) appear as active to a payer?
You can treat DR. MATTHEW DEAN HANSON (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MATTHEW DEAN HANSON (MD)?
At a glance, DR. MATTHEW DEAN HANSON (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MATTHEW DEAN HANSON (MD)?
Travel planning: use Peoria, Illinois as the reference point for DR. MATTHEW DEAN HANSON (MD), then confirm.
When was this NPI issued?
Enumeration for DR. MATTHEW DEAN HANSON (MD) is noted as June 6, 2008 where the registry provides it.

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