Active NPI 1073944922 Individual Practitioner Female Practitioner

Heidi M Mathew , APN

Nurse Practitioner • Wheaton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heidi Mathew, APN is a certified Nurse Practitioner practicing in Wheaton, IL. With approximately 13 years of clinical experience since completing medical education in 2013, Heidi Mathew delivers high-quality medical care to the local community at 1800 N MAIN ST.

Heidi Mathew is affiliated with Central Dupage Physician Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with high level of medical decision making, per day, if using time, at least, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1800 N Main St

Wheaton, IL 60187

Telephone 6306144960

Fax 6306823727

Associated Practice Facility / Clinic

🏢 Dupage Medical Group, Ltd. Facility NPI 1457596124

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wheaton, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +0.2 yrs vs City Avg

City Avg: 12.8 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

19 Specialists

Practicing in Wheaton, IL (4929 Statewide)

Telehealth Adoption Rate

21.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathew (13 Years) 13 Yrs

Wheaton Specialty Average (12.8 Years) 12.8 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
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	360	104	$234.00	$113.40
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	207	77	$325.00	$165.53
36415 Insertion of needle into vein for collection of blood sample	153	79	$35.00	$8.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$270.00	$117.74
99496 Transitional care management services for problem of high complexity	39	25	$500.00	$251.63
69210 Removal of impacted ear wax	38	18	$149.00	$43.83
G0008 Administration of influenza virus vaccine	29	28	$38.00	$33.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	23	$165.00	$48.35
90662 Influenza vaccine split virus, preservative free	24	24	$110.00	$81.82
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	17	11	$129.00	$37.67
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	15	13	$154.00	$67.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	498	119	$234.00	$114.20
36415 Insertion of needle into vein for collection of blood sample	200	81	$35.00	$8.40
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	145	72	$325.00	$166.37
69210 Removal of impacted ear wax	63	26	$149.00	$43.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$270.00	$116.04
99496 Transitional care management services for problem of high complexity	42	31	$500.00	$248.40
G0008 Administration of influenza virus vaccine	30	30	$38.00	$32.05
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	28	24	$154.00	$67.79
90662 Influenza vaccine split virus, preservative free	27	27	$110.00	$71.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	17	$165.00	$46.82
93793 Anticoagulant management of patient taking warfarin	13	11	$36.00	$10.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	183	53	$300.00	$120.29
36415 Insertion of needle into vein for collection of blood sample	173	82	$35.00	$2.96
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	171	54	$234.00	$113.71
99337 Established patient assisted living visit, typically 60 minutes	156	49	$495.00	$172.42
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	142	51	$325.00	$158.34
69210 Removal of impacted ear wax	88	40	$149.00	$44.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$270.00	$119.23
99496 Transitional care management services for problem of high complexity	35	25	$500.00	$252.67
G0008 Administration of influenza virus vaccine	29	29	$38.00	$31.07
90662 Influenza vaccine split virus, preservative free	26	26	$110.00	$68.54
99335 Established patient assisted living visit, typically 25 minutes	25	18	$196.00	$84.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	254	79	$234.00	$115.80
99336 Established patient assisted living visit, typically 40 minutes	196	58	$300.00	$121.98
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	177	63	$325.00	$160.37
36415 Insertion of needle into vein for collection of blood sample	169	85	$35.00	$3.00
93793 Anticoagulant management of patient taking warfarin	78	21	$36.00	$10.35
99337 Established patient assisted living visit, typically 60 minutes	68	34	$481.75	$174.34
99496 Transitional care management services for problem of high complexity	40	34	$500.00	$253.60
G0008 Administration of influenza virus vaccine	39	39	$38.00	$17.98
90662 Influenza vaccine split virus, preservative free	34	34	$110.00	$65.26
69210 Removal of impacted ear wax	34	24	$149.00	$44.68
99335 Established patient assisted living visit, typically 25 minutes	28	17	$196.00	$85.87
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	28	21	$154.00	$74.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	359	98	$234.00	$116.96
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	158	56	$325.00	$163.74
99336 Established patient assisted living visit, typically 40 minutes	134	44	$300.00	$122.48
93793 Anticoagulant management of patient taking warfarin	125	24	$36.00	$10.66
36415 Insertion of needle into vein for collection of blood sample	121	78	$35.00	$2.99
G0008 Administration of influenza virus vaccine	50	50	$38.00	$17.75
90662 Influenza vaccine split virus, preservative free	46	46	$65.00	$60.98
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	42	36	$154.00	$76.46
99337 Established patient assisted living visit, typically 60 minutes	34	20	$442.00	$177.13
69210 Removal of impacted ear wax	28	20	$149.00	$45.01
99496 Transitional care management services for problem of high complexity	26	22	$500.00	$222.06
99335 Established patient assisted living visit, typically 25 minutes	20	15	$196.00	$86.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	283	113	$234.00	$116.55
93793 Anticoagulant management of patient taking warfarin	204	39	$36.00	$10.85
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	196	79	$325.00	$161.76
99336 Established patient assisted living visit, typically 40 minutes	135	53	$300.00	$122.30
36415 Insertion of needle into vein for collection of blood sample	97	62	$35.00	$2.94
G0008 Administration of influenza virus vaccine	56	54	$38.00	$17.39
90662 Influenza vaccine split virus, preservative free	51	49	$64.49	$54.74
99337 Established patient assisted living visit, typically 60 minutes	46	24	$442.00	$174.99
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	39	30	$154.00	$75.95
99496 Transitional care management services for problem of high complexity	36	27	$500.00	$208.84
69210 Removal of impacted ear wax	36	30	$149.00	$42.80
99335 Established patient assisted living visit, typically 25 minutes	18	17	$196.00	$85.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	188	151	$268.00	$129.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	117	$194.00	$96.25
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	69	43	$234.00	$114.79
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	38	23	$154.00	$75.09
36415 Insertion of needle into vein for collection of blood sample	37	32	$35.00	$2.94
90662 Influenza vaccine split virus, preservative free	25	25	$48.40	$47.43
G0008 Administration of influenza virus vaccine	25	25	$38.00	$21.46
99335 Established patient assisted living visit, typically 25 minutes	22	15	$196.00	$84.40
99336 Established patient assisted living visit, typically 40 minutes	22	16	$300.00	$120.89
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	20	18	$179.00	$62.48
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	18	13	$325.00	$159.63
69210 Removal of impacted ear wax	14	13	$149.00	$44.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	297	203	$268.00	$128.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	137	$194.00	$95.80
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	47	24	$179.00	$61.31

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209010972

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209.010972

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicaid

209010972 (IL)

Commercial Insurance / Payer ID Medicare (Group) Ptan

206147 (IL)

Commercial Insurance / Payer ID Medicare (Individual)ptan

F400119428 (IL)

Hospital & Practice Group Affiliations

Central Dupage Physician Group

1800 N Main St, Wheaton, IL 601873112

Phone: 6309334800

Secondary Practice Locations

25 N Winfield Rd, Osb Suite 424

Winfield, IL 60190

Phone: 6309334056

Practice Associates & Co-Workers

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

7 Associated Practitioners

Ancy Zacharia , NP

Nurse Practitioner

NPI 1053450494

Nurse Practitioner

Dr. Mary Caraher , DO

Family Medicine

NPI 1265411334

Doctor of Osteopathic Medicine (D.O.)

Dr. Audrey Richardson , MD

Family Medicine

NPI 1326031196

Doctor of Medicine (M.D.)

Dr. Thomas Cornwell , MD

Family Medicine

NPI 1386679082

Doctor of Medicine (M.D.)

Dr. Melissa Dattalo , MD, MPH

Internal Medicine

NPI 1578705067

Doctor of Medicine (M.D.), Master of Public Health

Bridget Wiacek , APN

Nurse Practitioner - Adult Health

NPI 1871004838

Advanced Practice Nurse

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 30, 2018

Registered at 1800 N MAIN ST, WHEATON, IL 60187 (Tel: 6306144960)

📍

Updated Business Mailing Address July 30, 2018

Registered at 1800 N MAIN ST, WHEATON, IL 601873112 (Tel: 6306144960)

✅

NPI Profile Active August 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2014

Registered at 25 N WINFIELD RD, OSB SUITE 424, WINFIELD, IL 60190 (Tel: 6309334056)

📍

Updated Business Mailing Address August 15, 2014

Registered at 25 N WINFIELD RD, WINFIELD, IL 601901295 (Tel: 6309334056)

👤

Provider Name / Credentials Updated August 15, 2014

Recorded as HEIDI MATHEW, APN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2014

Nurse Practitioner (License #209.010972 in IL)

🟢

Initial NPI Registration & Enumeration December 03, 2013

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: 1073944922

Entity Type:

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

Enumeration Date: December 03, 2013

Last Update: July 30, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1800 N Main St

Wheaton, IL 601873112

Phone: 6306144960

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.