DR. TODD D HELLER M.D.
NPI 1053305763
Internal Medicine - Gastroenterology in Baltimore, MD

Q: What is Todd Heller's NPI number?

The NPI number for Todd Heller is 1053305763. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Todd Heller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Todd Heller was last updated on June 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment

84.79/100

CMS Quality Rating

1838 GREENE TREE RD, SUITE 400, BALTIMORE, MD 21208(410) 602-7782(410) 602-2438 Get Directions Write a Review

NPPES record last updated: June 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Todd D Heller M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TODD D HELLER M.D. (NPI 1053305763) is an individual gastroenterology provider in Baltimore, Maryland, licensed in Maryland (M28237) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Carroll Hospital Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1984).

NPPES Registry Identity

NPI1053305763

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. TODD D HELLERCredential: M.D.

Location Address1838 GREENE TREE RD, SUITE 400Baltimore, MD 21208-6391

Mailing Address1838 Greene Tree Rd, Suite 400Baltimore, MD 21208-6391 · (410) 602-7782 · Fax (410) 602-2438

Phone(410) 602-7782

Fax(410) 602-2438

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1984

Enumeration DateSeptember 8, 2005

Last NPPES UpdateJune 27, 2012

✔ NPI 1053305763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MD · M28237

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1838 GREENE TREE RD, Baltimore, MD 21208

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Other Identifiers 1

Medicare UPINE57466MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Todd D Heller M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294765012

PECOS Enrollment IDI20101021000840

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

211 services211 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

162 services150 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

148 services146 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

118 services99 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

112 services112 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

74 services74 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

68 services68 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

60 services60 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

49 services49 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

35 services35 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

31 services31 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

30 services30 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

12 services12 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carroll Hospital Center

Acute Care Hospitals · Westminster, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210033

Location200 Memorial AvenueWestminster, MD 21157 · Carroll County

Emergency services Birthing friendly

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210040

Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.7

Promoting Interoperability

100

Improvement Activities

Cost

79.62

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD ZIMMERMAN M.D.

Internal Medicine (Gastroenterology)

1838 GREENE TREE RD, STE 400
BALTIMORE, MD 21208

Baltimore County (410) 602-7782

KEN M ZONIES MD LLC

Internal Medicine

1838 GREENE TREE RD, STE 300
PIKESVILLE, MD 21208

Baltimore County (410) 653-0366

DR. NORBERT ZEMANKIEWICZ D.O.

Surgery

1838 GREENE TREE RD, SUITE 285
PIKESVILLE, MD 21208

Baltimore County (410) 602-0777

SHOSHANA COHEN O.D.

Optometrist

1838 GREENE TREE RD, SUITE 225
BALTIMORE, MD 21208

Baltimore County (410) 653-0200

MILAN WISTER M.D.

Internal Medicine

1838 GREENE TREE RD, SUITE 535
PIKESVILLE, MD 21208

Baltimore County (443) 438-4925

OROSZLAN LLC

Internal Medicine

1838 GREENE TREE RD, STE 300
PIKESVILLE, MD 21208

Baltimore County (410) 653-0366

CENTER FOR PAIN MANAGEMENT, LLC

Pain Medicine (Interventional Pain Medicine)

1838 GREENE TREE RD, SUITE 150
PIKESVILLE, MD 21208

Baltimore County (410) 383-7443

LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC

Internal Medicine (Gastroenterology)

1838 GREENE TREE RD, SUITE 400
PIKESVILLE, MD 21208

Baltimore County (410) 602-7782

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd Heller's NPI number?

The NPI number for Todd Heller is 1053305763. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Todd Heller located?

Todd Heller practices at 1838 Greene Tree Rd Suite 400, Baltimore, MD 21208. The listed phone number is (410) 602-7782.

What is Todd Heller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Todd Heller enrolled in Medicare?

Yes. Todd Heller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Todd Heller affiliated with any hospitals?

According to CMS data, Todd Heller is affiliated with Carroll Hospital Center and Northwest Hospital Center.

When was this NPI record last updated?

The NPPES record for Todd Heller was last updated on June 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.