NICHOLAS JOHN HELLENTHAL M.D.
NPI 1225004716
Urology in Cooperstown, NY

Q: What is Nicholas Hellenthal's NPI number?

The NPI number for Nicholas Hellenthal is 1225004716. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Q: What is Nicholas Hellenthal's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment

86.64/100

CMS Quality Rating

1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3075 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nicholas John Hellenthal M.d. NPPES

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

NICHOLAS JOHN HELLENTHAL M.D. (NPI 1225004716) is an individual urology provider in Cooperstown, New York, licensed in New York (250637) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and is a graduate of Georgetown University School Of Medicine (2003).

NPPES Registry Identity

NPI1225004716

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameNICHOLAS JOHN HELLENTHALCredential: M.D.

Location Address1 ATWELL RDCooperstown, NY 13326-1301

Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (607) 547-3075

Phone(607) 547-3075

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2003

Enumeration DateFebruary 24, 2006

Last NPPES UpdateJuly 8, 2010

✔ NPI 1225004716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in NY · 250637

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1 ATWELL RD, Cooperstown, NY 13326

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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

Nicholas John Hellenthal 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 ID5294880324

PECOS Enrollment IDI20090826000040

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.

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.

258 services222 patients

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

195 services162 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

90 services74 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

83 services67 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

63 services54 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

42 services40 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

41 services39 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.

41 services41 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

27 services18 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.

27 services27 patients

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

21 services21 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm 52235

This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.

13 services12 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

12 services11 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330085

LocationOne Norton AvenueOneonta, NY 13820 · Otsego County

Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330136

LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County

Emergency services Birthing friendly

O'connor Hospital

Critical Access Hospitals · Delhi, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331305

Location460 Andes RoadDelhi, NY 13753 · Delaware County

Emergency services

Little Falls Hospital

Critical Access Hospitals · Little Falls, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331311

Location140 Burwell StreetLittle Falls, NY 13365 · Herkimer County

Emergency services

Cobleskill Regional Hospital

Critical Access Hospitals · Cobleskill, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number331320

Location178 Grandview DriveCobleskill, NY 12043 · Schoharie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13326 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

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.

86.64/100

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

Scored through an Alternative Payment Model

Quality

80.13

Promoting Interoperability

Improvement Activities

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.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers28 claims4,010 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers37 claims5,160 services$1.42 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

5 suppliers29 claims5,670 services$6.19 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.

SHIRLEY SCHUE ARNP

Nurse Practitioner (Pediatrics)