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DONALD HOELZEL MD
NPI 1194797456
Pediatrics in Morristown, NJ

Active since February 02, 2006PECOS Enrolled
100 MADISON AVE, MORRISTOWN, NJ 07960(973) 971-5595 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donald Hoelzel Md NPPES

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

DONALD HOELZEL MD (NPI 1194797456) is an individual pediatrics provider in Morristown, New Jersey, licensed in New Jersey (25MA05525600) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194797456
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDONALD HOELZELCredential: MD
Location Address100 MADISON AVEMorristown, NJ 07960-6136
Mailing AddressPo Box 23831Newark, NJ 07189-0001 · (973) 971-5595
Phone(973) 971-5595
Sole ProprietorNo
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194797456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA05525600
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 MADISON AVE, Morristown, NJ 07960
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Other Identifiers 2

Medicare ID-Type Unspecified31584AUKNJ
Medicare UPINH04596NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald Hoelzel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Donald Hoelzel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Practice Associates Medical Group
Same address
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07960 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

MELISSA LOPES M.D
Anesthesiology
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (201) 943-5831
MORRISTOWN MEMORIAL HOSPITAL
General Acute Care Hospital
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (888) 250-9947
VINCENT MAIXNER LCSW
Social Worker (Clinical)
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (973) 971-5000
MEGAN LYNN CATHEY NP-C
Nurse Practitioner (Adult Health)
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (973) 971-5358
ANTHONY RIZZUTI
Nurse Anesthetist, Certified Registered
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (800) 991-9133
OMAR MOHAMMED ABDELFATTAH MBBCH
Student in an Organized Health Care Education/Training Program
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (973) 971-5000
ALEXANDER CASCAIS MD
Student in an Organized Health Care Education/Training Program
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (973) 971-5000
DEVEA RANI DE MD
Student in an Organized Health Care Education/Training Program
100 MADISON AVE
MORRISTOWN, NJ 07960
Morris County (973) 971-5000

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 Donald Hoelzel's NPI number?

The NPI number for Donald Hoelzel is 1194797456. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Donald Hoelzel located?

Donald Hoelzel practices at 100 Madison Ave, Morristown, NJ 07960. The listed phone number is (973) 971-5595.

What is Donald Hoelzel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Donald Hoelzel enrolled in Medicare?

Yes. Donald Hoelzel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Hoelzel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Hoelzel reassigns Medicare benefits to Practice Associates Medical Group (Morristown, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Hoelzel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Hoelzel accept?

Health plans from Oscar Health list Donald Hoelzel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Hoelzel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.