DR. JAMES MATHEW HELTZER MD
NPI 1336171248
Ophthalmology in Bethesda, MD

Q: 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.

Q: What is James Heltzer's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: 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.

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment

83.66/100

CMS Quality Rating

6430 ROCKLEDGE DR, 270, BETHESDA, MD 20817(301) 493-9600(301) 493-9235 Get Directions Write a Review

NPPES record last updated: November 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1336171248

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JAMES MATHEW HELTZERCredential: MD

Location Address6430 ROCKLEDGE DR, 270Bethesda, MD 20817-1805

Mailing Address6430 Rockledge Dr, 270Bethesda, MD 20817-1805 · (301) 493-9600 · Fax (301) 493-9235

Phone(301) 493-9600

Fax(301) 493-9235

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1995

Enumeration DateJuly 7, 2006

Last NPPES UpdateNovember 16, 2009

✔ NPI 1336171248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MD · D0056040

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

6430 ROCKLEDGE DR, Bethesda, MD 20817

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Other Identifiers 6

Other3851682MD · Aetna (pin)

Other389802MD · Alliance Pin Number

OtherB456-0002MD · Blue Cross National

Other289802MD · Mdipa, Opt. Choice...

Medicare UPINH33094MD

Other63386601MD · Blue Cross Maryland Nat'l

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. 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.

PECOS PAC ID4284709056

PECOS Enrollment IDI20110523000177

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 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.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,566 services1,193 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

674 services635 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

620 services595 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

478 services452 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

477 services357 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

254 services249 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

244 services139 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

210 services127 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.

137 services122 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

65 services61 patients

Measurement of corneal pressure 92145

Measurement of corneal pressure, also known as tonometry, is a simple, painless procedure that checks the pressure inside your eye. It's important for detecting conditions like glaucoma. A device gently touches your eye to take the reading, which is usually quick and doesn't cause discomfort.

63 services60 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

52 services52 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

34 services24 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

33 services32 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

30 services28 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.

28 services28 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

23 services22 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

18 services18 patients

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.

New Patient

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

83.66/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

45.54

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.

GARDINER RAFFO SPORTS MED ORTHO PC

Orthopaedic Surgery

6430 ROCKLEDGE DR, 510
BETHESDA, MD 20817

Montgomery County (301) 515-0900

ARLENE WOODS CRNA

Nurse Anesthetist, Certified Registered

6430 ROCKLEDGE DR, 160
BETHESDA, MD 20817

Montgomery County (301) 312-6144

MATTHEW ZIMMERMANN MD

Orthopaedic Surgery

6430 ROCKLEDGE DR, SUITE 510
BETHESDA, MD 20817

Montgomery County (301) 515-0900

ORTHOSURG PHYSICIAN ASSISTANTS OF MARYLAND LLC

Orthopaedic Surgery (Sports Medicine)

6430 ROCKLEDGE DR, SUITE 510
BETHESDA, MD 20817

Montgomery County (202) 607-4356

JULIA F MALALIS M.D.

Ophthalmology

6430 ROCKLEDGE DR, SUITE 270
BETHESDA, MD 20817

Montgomery County (301) 493-9600

DR. RICHARD M CHAVIS M.D.

Ophthalmology

6430 ROCKLEDGE DR, 270
BETHESDA, MD 20817

Montgomery County (301) 493-9600

LISA LUSE LICSW, LCSW-C

Social Worker (Clinical)

6430 ROCKLEDGE DR
BETHESDA, MD 20817

Montgomery County (202) 607-2497

COSMETIC SURGERY ASSOCIATES, P.A.

Plastic Surgery

6430 ROCKLEDGE DR, SUITE 100
BETHESDA, MD 20817

Montgomery County (301) 493-4334

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.

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.