Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PETER THEODORE HETZLER III MD, MHS
NPI 1437619293
Plastic Surgery in Valhalla, NY

Active since March 20, 2019PECOS Enrolled
100 WOODS RD, VALHALLA, NY 10595(914) 909-6416 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2026, Jul 7, 2026, Jun 18, 2025 and 3 more (6 updates tracked since 2019).

About Dr. Peter Theodore Hetzler Iii Md, Mhs NPPES

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

DR. PETER THEODORE HETZLER III MD, MHS (NPI 1437619293) is an individual plastic surgery provider in Valhalla, New York, licensed in New York (346613-01) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Yale University School Of Medicine (2019).

NPPES Registry Identity

NPI1437619293
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. PETER THEODORE HETZLER IIICredential: MD, MHS
Location Address100 WOODS RDValhalla, NY 10595-1530
Mailing Address100 Woods RdValhalla, NY 10595-1530 · (914) 909-6416
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateSeptember 28, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1437619293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NY · 346613-01
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
100 WOODS RD, Valhalla, NY 10595

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Theodore Hetzler Iii Md, Mhs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133661903
PECOS Enrollment IDI20250613001395
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Peter Hetzler reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
Ophthalmology
4692 MILLENNIUM DRIVE, SUITE 200
Belcamp, MD 21017
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Virginia enrollment
  • 501 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Maryland enrollment
  • 227 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.

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10595 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

Internal Medicine (Hospice and Palliative Medicine)
100 WOODS RD
VALHALLA, NY 10595
Nurse Practitioner (Neonatal, Critical Care)
100 WOODS RD
VALHALLA, NY 10595
Anesthesiology
100 WOODS RD
VALHALLA, NY 10595
Dietitian, Registered
100 WOODS RD
VALHALLA, NY 10595
Internal Medicine
100 WOODS RD
VALHALLA, NY 10595
Internal Medicine
100 WOODS RD
VALHALLA, NY 10595
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595

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 Peter Hetzler's NPI number?

The NPI number for Peter Hetzler is 1437619293. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Peter Hetzler located?

Peter Hetzler practices at 100 Woods Rd, Valhalla, NY 10595. The listed phone number is (914) 909-6416.

What is Peter Hetzler's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Peter Hetzler enrolled in Medicare?

Yes. Peter Hetzler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peter Hetzler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Hetzler reassigns Medicare benefits to 4 organizations: Westchester Medical Center Advanced Physician Services PC (Valhalla, NY), Johns Hopkins University (Belcamp, MD), Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Peter Hetzler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Peter Hetzler affiliated with any hospitals?

According to CMS data, Peter Hetzler is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Hetzler was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.