Physician

Matthew P Heckman, MD, PHD

According to 2025 Medicare claims, Matthew Heckman, MD, PHD (NPI: 1669738654) practices family practice in the Gettysburg, PA market, with the plurality of this provider's patient population coming from Adams, PA. This provider's primary affiliated billing organization is CLEARFIELD-JEFFERSON PRIMARY CARE ASSOCIATES PC (NPI: 1710233895; TIN: 460627085) and primary practice location at 17325-7501.

Heckman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 307 traditional Medicare patients, billed 563 HCPCS/CPT codes, and received $38,478 in Medicare payments. The top billing code was 99305 (Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes). Part D data shows 1,887 prescription claims across 303 beneficiaries totaling $69,169 in drug costs, led by Eliquis (Apixaban). DME data shows 13 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $227 to $38,478. In contrast, Part D prescription costs have fallen sharply in recent years, from $27,728 to $69,169. For DME billing, this smaller-volume category fell sharply in recent years, from $390 to $3,788.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	18	33	$227
2017	64	156	$1,332
2018	88	220	$1,896
2019	85	153	$1,166
2020	21	22	$157
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	307	563	$38,478

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	42	489	$27,728
2016	79	279	$21,663
2017	268	2,509	$260,828
2018	434	5,857	$706,383
2019	583	8,744	$912,195
2020	433	5,318	$578,061
2021	124	1,612	$192,649
2022	162	1,129	$237,493
2023	240	1,682	$112,858
2024	303	1,887	$69,169

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	17	210	$5,469
2018	71	448	$11,275
2019	26	285	$7,423
2020	13	99	$4,160
2021	N/R	36	$3,064
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	13	$773

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99305	Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	65	65	$101
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	90	119	$81
99315	Nursing facility discharge day management, 30 minutes or less	15	15	$62
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	206	329	$56

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	103	915	$15,672
Lacosamide	Lacosamide	15	345	$1,986
Gabapentin	Gabapentin	72	1,863	$1,771
Pregabalin	Pregabalin	63	764	$1,681
Tramadol Hcl	Tramadol Hcl	146	1,764	$1,471

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	13	$773

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Matthew P. Heckman, MD, PHD?

Tedicare shows public-source Medicare data for Matthew P. Heckman, MD, PHD (NPI 1669738654), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Matthew P. Heckman, MD, PHD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Matthew P. Heckman, MD, PHD?

Matthew P. Heckman, MD, PHD is linked to CLEARFIELD-JEFFERSON PRIMARY CARE ASSOCIATES PC (billing NPI 1710233895) in the available physician profile data.

Does Matthew P. Heckman, MD, PHD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.