HELMUT PFALZ MD
NPI 1336237411
Surgery in Prince Frederick, MD

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
30/100
CMS Quality Rating
110 HOSPITAL RD, SUITE 214, PRINCE FREDERICK, MD 20678(410) 535-7530(410) 535-0642 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Helmut Pfalz Md NPPES

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

HELMUT PFALZ MD (NPI 1336237411) is an individual surgery provider in Prince Frederick, Maryland, licensed in Maryland (D0059467) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Calverthealth Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1336237411
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameHELMUT PFALZCredential: MD
Location Address110 HOSPITAL RD, SUITE 214Prince Frederick, MD 20678
Mailing AddressPo Box 54Barstow, MD 20610-0054 · (410) 535-7530 · Fax (410) 535-0642
Fax(410) 535-0642
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 11, 2006
Last NPPES UpdateMarch 21, 2016
NPI 1336237411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MD · D0059467
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License D0059467 (MD)
110 HOSPITAL RD, Prince Frederick, MD 20678

Other Identifiers 2

Medicaid400380200MD
Medicare PIN976MJ642MD

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

Helmut Pfalz 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 ID6507852290
PECOS Enrollment IDI20040420001258
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 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.
148 services116 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.
128 services128 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.
120 services98 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
57 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
55 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services52 patients

Hospital Affiliations CMS Care Compare

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

Calverthealth Medical Center

Acute Care Hospitals · Prince Frederick, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210039
Location100 Hospital RoadPrince Frederick, MD 20678 · Calvert County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20678 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost100

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.

Otolaryngology
110 HOSPITAL RD, SUITE 204
PRINCE FREDERICK, MD 20678
Internal Medicine (Cardiovascular Disease)
110 HOSPITAL RD, SUITE 306
PRINCE FREDERICK, MD 20678
Internal Medicine (Hematology & Oncology)
110 HOSPITAL RD, SUITE 105
PRINCE FREDERICK, MD 20678
Obstetrics & Gynecology
110 HOSPITAL RD, SUITE 203
PRINCE FREDERICK, MD 20678
Obstetrics & Gynecology
110 HOSPITAL RD, SUITE 211
PRINCE FREDERICK, MD 20678
Family Medicine
110 HOSPITAL RD, SUITE 111
PRINCE FREDERICK, MD 20678
Orthopaedic Surgery
110 HOSPITAL RD, SUITE 201
PRINCE FREDERICK, MD 20678
Pharmacist
110 HOSPITAL RD, SUITE 100
PRINCE FREDERICK, MD 20678

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 Helmut Pfalz's NPI number?

The NPI number for Helmut Pfalz is 1336237411. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Helmut Pfalz located?

Helmut Pfalz practices at 110 Hospital Rd Suite 214, Prince Frederick, MD 20678. The listed phone number is (410) 535-7530.

What is Helmut Pfalz's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Helmut Pfalz enrolled in Medicare?

Yes. Helmut Pfalz 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 Helmut Pfalz affiliated with any hospitals?

According to CMS data, Helmut Pfalz is affiliated with Calverthealth Medical Center.

When was this NPI record last updated?

The NPPES record for Helmut Pfalz was last updated on March 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.