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DR. URSULA B HEBERLEIN M.D.
NPI 1225167323
Family Medicine in Germantown, MD

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
20500 SENECA MEADOWS PKWY, SUITE 2400, GERMANTOWN, MD 20876(240) 912-2738(240) 912-2739 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ursula B Heberlein M.d. NPPES

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

DR. URSULA B HEBERLEIN M.D. (NPI 1225167323) is an individual family medicine provider in Germantown, Maryland, licensed in Maryland (D43369) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of State University Of Ny Upstate Medical University (1989).

NPPES Registry Identity

NPI1225167323
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. URSULA B HEBERLEINCredential: M.D.
Location Address20500 SENECA MEADOWS PKWY, SUITE 2400Germantown, MD 20876-7008
Mailing Address20500 Seneca Meadows Pkwy, Suite 2400Germantown, MD 20876-7008
Phone(240) 912-2738
Fax(240) 912-2739
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1989
Enumeration DateMarch 5, 2007
Last NPPES UpdateMay 9, 2013
✔ NPI 1225167323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D43369
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.
20500 SENECA MEADOWS PKWY, Germantown, MD 20876
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Other Identifiers 1

Medicare UPINF31925

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. Ursula B Heberlein 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 ID2062305618
PECOS Enrollment IDI20040206000090, I20110505000288
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 12

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 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.
552 services252 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
166 services166 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.
154 services94 patients
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.
73 services61 patients
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.
48 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services31 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20876 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Promoting Interoperability97
Improvement Activities40
Cost72

Referred Medical Equipment & Supplies CMS DME claims 2

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
10 suppliers23 claims50 services$6.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims16 services$1.06 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.

ELIZABETH ANN AGUAS
Student in an Organized Health Care Education/Training Program
20500 SENECA MEADOWS PKWY
GERMANTOWN, MD 20876
Montgomery County (240) 771-4843
MICHELLE MARTIN PT
Physical Therapist
20500 SENECA MEADOWS PKWY, SUITE 101
GERMANTOWN, MD 20876
Montgomery County (301) 581-8054
DOROTA M HASSETT PT
Physical Therapist
20500 SENECA MEADOWS PKWY
GERMANTOWN, MD 20876
Montgomery County (301) 540-6140
DR. NINA V AKS DMD
Dentist
20500 SENECA MEADOWS PKWY, SUITE 2220
GERMANTOWN, MD 20876
Montgomery County (301) 916-8570
LESLIE CABALLERO OTA/S
Student in an Organized Health Care Education/Training Program
20500 SENECA MEADOWS PKWY
GERMANTOWN, MD 20876
Montgomery County (301) 916-8500
TRACEY BENDEN PTA
Physical Therapy Assistant
20500 SENECA MEADOWS PKWY
GERMANTOWN, MD 20876
Montgomery County (301) 540-6140
MR. DANTE ANTONIO PUCHALA
Community Health Worker
20500 SENECA MEADOWS PKWY
GERMANTOWN, MD 20876
Montgomery County (240) 686-4500
HAROLD GUILLERMO ANIYA D.D.S.
Dentist (General Practice)
20500 SENECA MEADOWS PKWY, SUITE 2200
GERMANTOWN, MD 20876
Montgomery County (301) 515-9600

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 Ursula Heberlein's NPI number?

The NPI number for Ursula Heberlein is 1225167323. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Ursula Heberlein located?

Ursula Heberlein practices at 20500 Seneca Meadows Pkwy Suite 2400, Germantown, MD 20876. The listed phone number is (240) 912-2738.

What is Ursula Heberlein's specialty?

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

Is Ursula Heberlein enrolled in Medicare?

Yes. Ursula Heberlein 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 Ursula Heberlein affiliated with any hospitals?

According to CMS data, Ursula Heberlein is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Ursula Heberlein was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.