Matthew W. Hillegass, MD
NPI 1346691813ActiveIndividual· Family Medicine· New Paris, PA
Family Medicine (MD) with Dlp Conemaugh Physician Practices LLC and 3 other groups, practicing in New Paris, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $2,354,762 for 19,751 claims, against $507.95 paid for services in 2024. Abbvie Inc. was the largest of 28 companies reporting payments in 2025, $2,712 in all, mostly food and beverage. Lists Chan Soon- Shiong Medical Center at Windber and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1346691813 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 27, 2016 |
| Last updated in NPPES | Jul 30, 2024 |
| Certified by provider | Jul 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD467996 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 56 across 10 procedure codes |
| Paid by Medicare | $507.95 |
Part D prescriptions in 2024
| Prescriptions (claims) | 19,751 · 39,147 30-day fills |
|---|---|
| Patients | 1,012 |
| Total drug cost | $2,354,762 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Family Practice |
Medical groups
- Dlp Conemaugh Physician Practices LLCJohnstown, PA · 293 clinicians
- Vantage Physical Therapy and Rehabilitation IncJohnstown, PA · 260 clinicians
- Orchard Valley Physician Services PLLCNew Paris, PA · 9 clinicians
- Henry W Shoenthal MD IncNew Paris, PA · 9 clinicians
Hospital affiliations
- Chan Soon- Shiong Medical Center at WindberWindber, PA
- Conemaugh Memorial Medical CenterJohnstown, PA
- Upmc AltoonaAltoona, PA
- Upmc Bedford MemorialEverett, PA
- Upmc SomersetSomerset, PA
Other facilities
- Conemaugh Home HealthHome health agency · Johnstown, PA
- Upmc Home Healthcare of Central PennsylvaniaHome health agency · Altoona, PA
- Adoration HospiceHospice · Altoona, PA
- Family HospiceHospice · Altoona, PA
- Gentiva IIHospice · Altoona, PA
- Bedford Post AcuteNursing home · Bedford, PA
Industry payments (Open Payments)
- 2025$2,712 · 166 payments from 28 companies
- 2024$2,498 · 176 payments from 31 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $533.72 | 35 |
| Novo Nordisk Inc | $329.06 | 21 |
| Pfizer Inc. | $250.07 | 16 |
| Astrazeneca Pharmaceuticals LP | $199.60 | 17 |
| Exact Sciences Corporation | $146.75 | 11 |
What the 2025 payments were for
- Food and Beverage$2,712 · 166 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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