DR. JAMES HELLERMAN MD
NPI 1164406799
Internal Medicine - Endocrinology, Diabetes & Metabolism in Tarrytown, NY

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
200 S BROADWAY, SUITE 100, TARRYTOWN, NY 10591(914) 631-9300 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Hellerman Md NPPES

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

DR. JAMES HELLERMAN MD (NPI 1164406799) is an individual endocrinology, diabetes & metabolism provider in Tarrytown, New York, licensed in New York (136873) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Northern Westchester Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1976).

NPPES Registry Identity

NPI1164406799
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. JAMES HELLERMANCredential: MD
Location Address200 S BROADWAY, SUITE 100Tarrytown, NY 10591-4500
Mailing Address200 S Broadway, Suite 2-5Tarrytown, NY 10591-4500 · (914) 715-2794
Sole ProprietorYes
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1976
Enumeration DateDecember 6, 2005
Last NPPES UpdateFebruary 14, 2017
NPI 1164406799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NY · 136873
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
200 S BROADWAY, Tarrytown, NY 10591

Other Identifiers 3

Medicare PINA400075893NY
Medicare UPINA61209NY
Medicaid00835209NY

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. James Hellerman 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 ID2062698749
PECOS Enrollment IDI20110513000175
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 5

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
686 services398 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
182 services156 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.
130 services111 patients
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.
45 services45 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Westchester Hospital

Acute Care Hospitals · Mount Kisco, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330162
Location400 East Main StreetMount Kisco, NY 10549 · Westchester County
Emergency services Birthing friendly

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10591 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
21 suppliers87 claims192 services$5.80 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier13 claims13 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers31 claims42 services$1.01 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers375 claims380 services$197.33 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 20

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

Pediatrics (Adolescent Medicine)
200 S BROADWAY, SUITE 201
TARRYTOWN, NY 10591
Psychologist
200 S BROADWAY, SUITE 201
TARRYTOWN, NY 10591
Physical Therapist
200 S BROADWAY, 2-2
TARRYTOWN, NY 10591
Nurse Practitioner
200 S BROADWAY
TARRYTOWN, NY 10591
Ophthalmology
200 S BROADWAY
TARRYTOWN, NY 10591
Dentist (Oral and Maxillofacial Surgery)
200 S BROADWAY
TARRYTOWN, NY 10591
Specialist
200 S BROADWAY
TARRYTOWN, NY 10591
Audiologist
200 S BROADWAY
TARRYTOWN, NY 10591

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 James Hellerman's NPI number?

The NPI number for James Hellerman is 1164406799. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is James Hellerman located?

James Hellerman practices at 200 S Broadway Suite 100, Tarrytown, NY 10591. The listed phone number is (914) 631-9300.

What is James Hellerman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is James Hellerman enrolled in Medicare?

Yes. James Hellerman 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 James Hellerman affiliated with any hospitals?

According to CMS data, James Hellerman is affiliated with Northern Westchester Hospital and Phelps Hospital.

When was this NPI record last updated?

The NPPES record for James Hellerman was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.