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MS. HELENE WALTZ PA-C
NPI 1780804104
Physician Assistant - Medical in Rochester, NY

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1415 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-0390 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, May 6, 2021 (2 updates tracked since 2021).

About Ms. Helene Waltz Pa-c NPPES

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

MS. HELENE WALTZ PA-C (NPI 1780804104) is an individual medical provider in Rochester, New York, licensed in New York (003492) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1780804104
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. HELENE WALTZCredential: PA-C
Location Address1415 PORTLAND AVERochester, NY 14621-3038
Mailing Address1415 Portland AveRochester, NY 14621-3038 · (585) 732-0788
Phone(585) 922-0390
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1780804104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 003492
1415 PORTLAND AVE, Rochester, NY 14621
Open in Google Maps ↗

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

Ms. Helene Waltz Pa-c 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 ID648314948
PECOS Enrollment IDI20100225000026
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 4

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
160 services52 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.
57 services50 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
49 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services25 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$10.96 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 20

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

DR. LAURA J VON DOENHOFF M.D.
Internal Medicine (Cardiovascular Disease)
1415 PORTLAND AVE, SUITE 555
ROCHESTER, NY 14621
Monroe County (585) 336-5050
MS. SARA ELIZABETH DOE P.A.
Physician Assistant (Surgical)
1415 PORTLAND AVE, DEPARTMENT OF SURGERY
ROCHESTER, NY 14621
Monroe County (585) 922-4715
DR. ABDALLAH YOUSSEF BITAR MD/PHD
Internal Medicine (Cardiovascular Disease)
1415 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 442-5320
DENETRA MORRIS
Social Worker (Clinical)
1415 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-3653
DR. MEREDITH J CRICCO M.D.
Internal Medicine (Geriatric Medicine)
1415 PORTLAND AVE, GERIATRIC CONSULTATIVE SERVICES
ROCHESTER, NY 14621
Monroe County (585) 922-0390
NORTHSIDE ECHOCARDIOGRAPHY, PC
Specialist
1415 PORTLAND AVE, SUITE 555
ROCHESTER, NY 14621
Monroe County (585) 336-5050
LARISSA CHAPKOVICH R.D.
Dietitian, Registered
1415 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4200
CHRISTOPHER JESSE RICHARDSON D.O.
Surgery
1415 PORTLAND AVE, SUITE 245
ROCHESTER, NY 14621
Monroe County (585) 922-4891

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 Helene Waltz's NPI number?

The NPI number for Helene Waltz is 1780804104. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Helene Waltz located?

Helene Waltz practices at 1415 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-0390.

What is Helene Waltz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Helene Waltz enrolled in Medicare?

Yes. Helene Waltz 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 Helene Waltz affiliated with any hospitals?

According to CMS data, Helene Waltz is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Helene Waltz was last updated on August 13, 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.