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DR. JOHN DAVID HIERHOLZER M.D.
NPI 1215912118
Family Medicine in San Antonio, TX

Active since December 13, 2005Opted out of Medicare · through Apr 1, 2028
12000 HUEBNER RD, SUITE 104, SAN ANTONIO, TX 78230(210) 561-2422(210) 561-2466 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John David Hierholzer M.d. NPPES

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

DR. JOHN DAVID HIERHOLZER M.D. (NPI 1215912118) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (L9732) and active in the NPI registry since December 2005. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215912118
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN DAVID HIERHOLZERCredential: M.D.
Location Address12000 HUEBNER RD, SUITE 104San Antonio, TX 78230-1209
Mailing Address12000 Huebner Rd, Suite 104San Antonio, TX 78230-1209 · (210) 561-2422 · Fax (210) 561-2466
Phone(210) 561-2422
Fax(210) 561-2466
Sole ProprietorYes
Enumeration DateDecember 13, 2005
Last NPPES UpdateJune 8, 2015
✔ NPI 1215912118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L9732
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12000 HUEBNER RD, San Antonio, TX 78230
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Other Identifiers 4

Medicare ID-Type Unspecified611671TX
Medicaid1737520-01TX
Other0099MTTX · Blue Cross Blue Shield
Medicare UPINI27613TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John David Hierholzer M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78230 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

DR. MITCHELL FRANK FINNIE MD
Family Medicine
12000 HUEBNER RD, STE 104
SAN ANTONIO, TX 78230
Bexar County (210) 561-2422
SHAVANO FAMILY PRACTICE PA
Family Medicine
12000 HUEBNER RD, #104
SAN ANTONIO, TX 78230
Bexar County (210) 561-2422
EHAB ABDELAZIZ
Family Medicine
12000 HUEBNER RD
SAN ANTONIO, TX 78230
Bexar County (210) 561-2422

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 John Hierholzer's NPI number?

The NPI number for John Hierholzer is 1215912118. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is John Hierholzer located?

John Hierholzer practices at 12000 Huebner Rd Suite 104, San Antonio, TX 78230. The listed phone number is (210) 561-2422.

What is John Hierholzer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Hierholzer enrolled in Medicare?

No. John Hierholzer has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does John Hierholzer accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list John Hierholzer 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 John Hierholzer was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.