DR. JAMES MATHEW HELTZER MD
NPI 1336171248
Ophthalmology in Bethesda, MD
About Dr. James Mathew Heltzer Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES MATHEW HELTZER MD (NPI 1336171248) is an individual ophthalmology provider in Bethesda, Maryland, licensed in Maryland (D0056040) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James Mathew Heltzer 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.
Medicare Billing Reassignments
2Medicare enrollment records show James Heltzer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bethesda, MD 20817
- Reassigned Medicare billing, District of Columbia enrollment
- 15 clinicians in this Medicare group
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia enrollment
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 18
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BETHESDA, MD 20817
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 Heltzer's NPI number?
The NPI number for James Heltzer is 1336171248. It was assigned to this individual provider in the NPPES registry on July 7, 2006.
Where is James Heltzer located?
James Heltzer practices at 6430 Rockledge Dr 270, Bethesda, MD 20817. The listed phone number is (301) 493-9600.
What is James Heltzer's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is James Heltzer enrolled in Medicare?
Yes. James Heltzer 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.
Which organizations bill Medicare for James Heltzer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Heltzer reassigns Medicare benefits to 2 organizations: Capital Eye Care LLC (Bethesda, MD) and Washington National Eye Center (Washington, DC). Each 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 James Heltzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for James Heltzer was last updated on November 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. James Mathew Heltzer, MD · NPI 1336171248
Ophthalmology physician in Bethesda, Maryland. Individual provider, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1336171248 (Entity type: Individual)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** D0056040 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6430 ROCKLEDGE DR, 270, Bethesda, MD 20817-1805
- **Phone:** (301) 493-9600 · **Fax:** (301) 493-9235
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Capital Eye Care LLC (NPI 1861952616, Bethesda, MD); Washington National Eye Center (NPI 1437175684, Washington, DC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** November 16, 2009
- **Other identifiers:** Other 3851682 (MD); Other 389802 (MD); Other B456-0002 (MD); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1336171248) · Data from the CMS NPPES public registry.