Active NPI 1154633618 Individual Practitioner Male Practitioner

Dr. Matthew Taylor Hefty , MD

Surgery • Dixon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Hefty, MD is a certified Surgery practicing in Dixon, IL. With approximately 16 years of clinical experience since graduating from University Of North Dakota School Of Medicine in 2010, Dr. Hefty delivers high-quality medical care to the local community at 215 E 1ST ST STE 316.

Dr. Hefty is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

215 E 1st St Ste 316

Dixon, IL 610213190

Telephone 8152855842

Fax 8152855845

Medicare Profile & Education

Medical School

University Of North Dakota School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Dixon, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -11.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Dixon, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hefty (16 Years) 16 Yrs

Dixon Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	47	$47.77	$49.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$88.67	$92.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$74.04	$73.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$58.00	$60.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	13	$124.00	$81.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$235.00	$135.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$90.94	$86.06
99213 Established patient office or other outpatient visit, typically 15 minutes	38	32	$46.87	$46.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	24	$66.86	$66.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	13	$124.00	$78.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$58.00	$57.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$29.00	$28.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$235.00	$128.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$49.66	$48.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$58.00	$58.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$87.00	$87.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$65.50	$65.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	11	$124.00	$70.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	46	$53.81	$50.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$68.07	$62.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	24	$172.98	$71.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	26	$122.16	$38.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$39.00	$31.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$76.25	$76.68
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$1528.50	$186.76
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$433.00	$100.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	38	$56.83	$52.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$100.00	$77.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	24	$329.00	$105.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	14	$244.83	$73.12
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$426.57	$103.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$539.50	$140.07
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$81.00	$51.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$47.00	$26.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$159.09	$132.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	33	$241.00	$72.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$103.00	$84.62
99221 Initial hospital inpatient care per day, typically 30 minutes	36	33	$403.19	$102.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	21	$171.00	$38.69
99213 Established patient office or other outpatient visit, typically 15 minutes	28	22	$63.29	$50.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	11	$49.21	$25.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$105.50	$76.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$93.18	$84.46
45380 Biopsy of large bowel using an endoscope	15	15	$1964.00	$196.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1573.00	$88.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$446.84	$197.87

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036147642

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

F400525521 (IL)

Commercial Insurance / Payer ID Educational Limited License

4301096886 (MI)

Commercial Insurance / Payer ID Health Alliance Provider Number

376897 (IL)

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

1840 1st Ave, Sterling, IL 610811202

Phone: 7792516100

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Osf Multi-Specialty Group

403 E 1st St, Dixon, IL 610213116

Phone: 8152885531

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Abdulhamid Alkhalaf , MD

Internal Medicine - Infectious Disease

NPI 1043237035

Doctor of Medicine (M.D.)

Dr. Osmaan Khawaja , MD

Surgery

NPI 1295940724

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location October 08, 2019

Registered at 215 E 1ST ST STE 316, DIXON, IL 610213190 (Tel: 8152855842)

📍

Updated Business Mailing Address October 08, 2019

Registered at 215 E 1ST ST STE 316, DIXON, IL 610213190 (Tel: 8152855842)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2019

Surgery (License #036147642 in IL)

✅

NPI Profile Active November 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 22, 2016

Registered at 1000 HIGHWAY 12, HETTINGER, ND 586397530 (Tel: 7015674561)

📍

Updated Business Mailing Address November 22, 2016

Registered at 1000 HIGHWAY 12, HETTINGER, ND 586397530 (Tel: 7015674561)

👤

Provider Name / Credentials Updated November 22, 2016

Recorded as MATTHEW HEFTY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2016

Surgery (License #13743 in ND)

🟢

Initial NPI Registration & Enumeration July 12, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154633618

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 12, 2010

Last Update: October 08, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

215 E 1st St Ste 316

Dixon, IL 610213190

Phone: 8152855842

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.