HEATHER CHALFIN
NPI 1750652152
Urology in Frederick, MD

Active since January 18, 2012PECOS EnrolledAccepts Medicare Assignment
80.25/100
CMS Quality Rating
1562 OPOSSUMTOWN PIKE FL 3, FREDERICK, MD 21702(301) 663-4774(301) 695-1364 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather Chalfin NPPES

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

HEATHER CHALFIN (NPI 1750652152) is an individual urology provider in Frederick, Maryland, licensed in Maryland (D0088964) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2013).

NPPES Registry Identity

NPI1750652152
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameHEATHER CHALFIN
Location Address1562 OPOSSUMTOWN PIKE FL 3Frederick, MD 21702
Mailing Address1562 Opossumtown Pike Fl 3Frederick, MD 21702 · (301) 663-4774 · Fax (301) 695-1364
Fax(301) 695-1364
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2013
Enumeration DateJanuary 18, 2012
Last NPPES UpdateMay 19, 2021
NPPES CertifiedMay 19, 2021
NPI 1750652152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MD · D0088964
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1562 OPOSSUMTOWN PIKE FL 3, Frederick, MD 21702

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

Heather Chalfin 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 ID9638319064
PECOS Enrollment IDI20200604000843
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 18

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 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.
331 services205 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
117 services85 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
99 services91 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
63 services59 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
63 services59 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
63 services59 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
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.

80.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Promoting Interoperability100
Improvement Activities40
Cost54.89

Other Providers at the Same Location NPPES

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

Urology
1562 OPOSSUMTOWN PIKE FL 3
FREDERICK, MD 21702

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 Heather Chalfin's NPI number?

The NPI number for Heather Chalfin is 1750652152. It was assigned to this individual provider in the NPPES registry on January 18, 2012.

Where is Heather Chalfin located?

Heather Chalfin practices at 1562 Opossumtown Pike Fl 3, Frederick, MD 21702. The listed phone number is (301) 663-4774.

What is Heather Chalfin's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Heather Chalfin enrolled in Medicare?

Yes. Heather Chalfin 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 Heather Chalfin affiliated with any hospitals?

According to CMS data, Heather Chalfin is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Heather Chalfin was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.