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NORMAN A HETZLER JR. MD
NPI 1487660775
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Portsmouth, VA

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
77/100
CMS Quality Rating
3640 HIGH ST STE 1E, PORTSMOUTH, VA 23707(757) 398-2222 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Norman A Hetzler Jr. Md NPPES

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

NORMAN A HETZLER JR. MD (NPI 1487660775) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Portsmouth, Virginia, licensed in Virginia (0101285915) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Maryview Medical Center, and maintains a secondary practice location in Huntington.

NPPES Registry Identity

NPI1487660775
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameNORMAN A HETZLER JR.Credential: MD
Location Address3640 HIGH ST STE 1EPortsmouth, VA 23707-3213
Mailing AddressPo Box 88, 5 E Alvon Road Suite 7White Sulphur Springs, WV 24986-2373 · (304) 536-5030 · Fax (304) 536-5031
Phone(757) 398-2222
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 1982
Enumeration DateJuly 31, 2006
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1487660775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in VA · 0101285915✔ Licensed in WV · TMP02476✔ Licensed in AL · 46710
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License MD03596SE (PA)
3640 HIGH ST STE 1E, Portsmouth, VA 23707
Open in Google Maps ↗

Secondary Practice Location 1

Location 12828 1st Ave, Suite 200Huntington, WV 25702-1236 · Phone (304) 399-7530 · Fax (304) 399-7532

Other Identifiers 1

Medicaid0019049070001PA

Accepted Insurance

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

Norman A Hetzler Jr. 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 ID2668577016
PECOS Enrollment IDI20250911003431
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

5

Medicare enrollment records show Norman Hetzler reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bon Secours Medical Group Hampton Roads Specialty Care LLC
82 mi
Cardiovascular Disease
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
NPI 1629637475 (804) 627-5573
Baptist Health Centers LLC
589 mi
Family Medicine
48 CEDARS RD
Munford, AL 36268
  • Reassigned Medicare billing, Alabama enrollment
  • 430 clinicians in this Medicare group
NPI 1427012566 (256) 358-4553
Methodist Medical Center Of Illinois
762 mi
Psychiatric Unit
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
NPI 1275583155 (309) 672-5522
Proctor Health Systems
763 mi
Family Medicine
5401 N KNOXVILLE AVE, SUITE 209
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 349 clinicians in this Medicare group
NPI 1134173917 (309) 689-6049
Providence Health & Services Washington
2,458 mi
Family Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
NPI 1174744304 (360) 793-7230

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

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.

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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23707 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.3
Promoting Interoperability44.5
Improvement Activities40

Reported Quality Measures

Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery
Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.
46%46 patients2/55-star benchmark: 100%
Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%45 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%28 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%50 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

AMUTALLAH ABDUSSALAAM AGNP-C
Nurse Practitioner (Adult Health)
3640 HIGH ST STE 1E
PORTSMOUTH, VA 23707
Portsmouth City (757) 399-2639
DR. GEETANJLI SANGWAN M.D.
Internal Medicine (Cardiovascular Disease)
3640 HIGH ST STE 1E
PORTSMOUTH, VA 23707
Portsmouth City (757) 399-2639
HENRY EUGENE HOOKS III RN
Student in an Organized Health Care Education/Training Program
3640 HIGH ST STE 1E
PORTSMOUTH, VA 23707
Portsmouth City (757) 399-2639

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 Norman Hetzler's NPI number?

The NPI number for Norman Hetzler is 1487660775. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Norman Hetzler located?

Norman Hetzler practices at 3640 High St Ste 1E, Portsmouth, VA 23707. The listed phone number is (757) 398-2222.

What is Norman Hetzler's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Norman Hetzler enrolled in Medicare?

Yes. Norman Hetzler 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.

Which organizations bill Medicare for Norman Hetzler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Norman Hetzler reassigns Medicare benefits to 5 organizations: Bon Secours Medical Group Hampton Roads Specialty Care LLC (Richmond, VA), Baptist Health Centers LLC (Munford, AL), Methodist Medical Center Of Illinois (Peoria, IL), Proctor Health Systems (Peoria, IL) and Providence Health & Services Washington (Olympia, WA). 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 Norman Hetzler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Norman Hetzler accept?

Health plans from Oscar Health and Oscar Insurance Company list Norman Hetzler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Norman Hetzler affiliated with any hospitals?

According to CMS data, Norman Hetzler is affiliated with Bon Secours Maryview Medical Center.

When was this NPI record last updated?

The NPPES record for Norman Hetzler was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.