DR. PAUL DANIEL HIERHOLZER DO
NPI 1467415851
Internal Medicine in Somers Point, NJ

Q: What is Paul Hierholzer's NPI number?

The NPI number for Paul Hierholzer is 1467415851. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Q: What is Paul Hierholzer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Hierholzer was last updated on September 4, 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.

Active since April 08, 2006PECOS EnrolledAccepts Medicare Assignment

750 SHORE RD, SOMERS POINT, NJ 08244(609) 653-2101 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2024, Jun 19, 2024 (2 updates tracked since 2024).

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About Dr. Paul Daniel Hierholzer Do NPPES

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

DR. PAUL DANIEL HIERHOLZER DO (NPI 1467415851) is an individual internal medicine provider in Somers Point, New Jersey, licensed in New Jersey (MB059402) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and maintains a secondary practice location in Avalon.

NPPES Registry Identity

NPI1467415851

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. PAUL DANIEL HIERHOLZERCredential: DO

Location Address750 SHORE RDSomers Point, NJ 08244-2363

Mailing Address2778 Dune DrAvalon, NJ 08202-1978 · (609) 967-4070 · Fax (609) 967-4115

Phone(609) 653-2101

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1990

Enumeration DateApril 8, 2006

Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1467415851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · MB059402

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.

750 SHORE RD, Somers Point, NJ 08244

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Secondary Practice Location 1

Location 12778 Dune DrAvalon, NJ 08202-1978 · Phone (609) 967-4070 · Fax (609) 967-4115

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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. Paul Daniel Hierholzer Do 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 ID4688868748

PECOS Enrollment IDI20101102001293

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 Reassignment

Medicare enrollment records show Paul Hierholzer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlanticare Physician Group PA

8.6 mi

Clinic/Center

2500 ENGLISH CREEK AVE STE 602
Egg Harbor Township, NJ 08234

Reassigned Medicare billing, New Jersey enrollment
921 clinicians in this Medicare group

NPI 1093829608 (800) 658-1010

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 11

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.

541 services323 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.

295 services183 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

172 services172 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

115 services82 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

74 services74 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

71 services71 patients

Hospital Affiliations CMS Care Compare 3

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

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310011

LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County

Emergency services

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310047

Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County

Emergency services Birthing friendly

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310064

Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08244 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers25 claims53 services$6.18 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers12 claims14 services$1.16 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

2 suppliers13 claims650 services$0.22 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

2 suppliers12 claims450 services$0.23 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers21 claims21 services$200.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD ANTHONY DELANZO JR. D.C.

Chiropractor