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DR. JOHN DOMINIC HETZEL MD
NPI 1346975992
Internal Medicine in Augusta, GA

Active since July 19, 2022PECOS Enrolled
1120 15TH ST # BI5070, AUGUSTA, GA 30912(706) 721-2423 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2024, Jul 19, 2022 (2 updates tracked since 2022).

About Dr. John Dominic Hetzel Md NPPES

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

DR. JOHN DOMINIC HETZEL MD (NPI 1346975992) is an individual internal medicine provider in Augusta, Georgia, licensed in Georgia (16486) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346975992
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN DOMINIC HETZELCredential: MD
Location Address1120 15TH ST # BI5070Augusta, GA 30912-0004
Mailing Address1120 15th St # Bi5070Augusta, GA 30912-0004 · (706) 721-2423
Phone(706) 721-2423
Sole ProprietorNo
Enumeration DateJuly 19, 2022
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1346975992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 16486
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1120 15TH ST # BI5070, Augusta, GA 30912
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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 (PECOS)

Dr. John Dominic Hetzel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

DR. MOHAMMAD UMAIR AZAM MD
Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (200) 000-0000
DR. ROBERT SUMMERS MD
Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423
DR. KEVIN SHAHBAZIAN DO
Radiology (Diagnostic Radiology)
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423
WILLEM JEFFERSON DE VRIES
Student in an Organized Health Care Education/Training Program
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423
SEAN MICHAEL O TOOLE MD
Hospitalist
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423
JOANNA EL HAJJ MD
Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423
ADDISON MARIE ISZLER MD
Student in an Organized Health Care Education/Training Program
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423
STEVEN CARROLL MD
Internal Medicine
1120 15TH ST # BI5070
AUGUSTA, GA 30912
Richmond County (706) 721-2423

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 John Hetzel's NPI number?

The NPI number for John Hetzel is 1346975992. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is John Hetzel located?

John Hetzel practices at 1120 15th St # Bi5070, Augusta, GA 30912. The listed phone number is (706) 721-2423.

What is John Hetzel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Hetzel enrolled in Medicare?

Yes. John Hetzel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Hetzel was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.