MARGAUX MAE HETZMAN MD
NPI 1083102883
Internal Medicine in Louisville, KY

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
3950 KRESGE WAY STE 308, LOUISVILLE, KY 40207(502) 852-5666(502) 852-8980 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2021, Jun 11, 2021, Apr 26, 2018 (3 updates tracked since 2018).

About Margaux Mae Hetzman Md NPPES

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

MARGAUX MAE HETZMAN MD (NPI 1083102883) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (55566) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083102883
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARGAUX MAE HETZMANCredential: MD
Location Address3950 KRESGE WAY STE 308Louisville, KY 40207-4637
Mailing Address3950 Kresge Way Ste 308Louisville, KY 40207-4637 · (502) 895-8911 · Fax (502) 895-8977
Fax(502) 852-8980
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 26, 2018
Last NPPES UpdateJune 25, 20213 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
NPI 1083102883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in KY · 55566 Licensed in KY · TP049
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3950 KRESGE WAY STE 308, Louisville, KY 40207

Other Identifiers 1

Medicaid7100606960KY

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

Margaux Mae Hetzman Md 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 ID3577890532
PECOS Enrollment IDI20210803003990
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
950 services409 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
252 services244 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
215 services212 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.
128 services83 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$14.61 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers14 claims14 services$2.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers33 claims33 services$59.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Internal Medicine
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Internal Medicine
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Nurse Practitioner
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Internal Medicine
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Internal Medicine
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Internal Medicine
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Hospitalist
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207

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 Margaux Hetzman's NPI number?

The NPI number for Margaux Hetzman is 1083102883. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Margaux Hetzman located?

Margaux Hetzman practices at 3950 Kresge Way Ste 308, Louisville, KY 40207. The listed phone number is (502) 852-5666.

What is Margaux Hetzman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Margaux Hetzman enrolled in Medicare?

Yes. Margaux Hetzman 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 Margaux Hetzman affiliated with any hospitals?

According to CMS data, Margaux Hetzman is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Margaux Hetzman was last updated on June 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.