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DR. DANIEL K HELLERSTEIN MD
NPI 1790817278
Urology in West Palm Beach, FL

Active since March 11, 2007PECOS EnrolledAccepts Medicare Assignment
83/100
CMS Quality Rating
1411 N FLAGLER DR, SUITE 5100, WEST PALM BEACH, FL 33401(561) 650-0815(561) 650-0819 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 10, 2016, May 12, 2016, Mar 25, 2016 and 1 more (4 updates tracked since 2015).

About Dr. Daniel K Hellerstein Md NPPES

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

DR. DANIEL K HELLERSTEIN MD (NPI 1790817278) is an individual urology provider in West Palm Beach, Florida, licensed in Florida (ME 58634) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1983).

NPPES Registry Identity

NPI1790817278
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DANIEL K HELLERSTEINCredential: MD
Location Address1411 N FLAGLER DR, SUITE 5100West Palm Beach, FL 33401-3404
Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept.Fort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Phone(561) 650-0815
Fax(561) 650-0819
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1983
Enumeration DateMarch 11, 2007
Last NPPES UpdateNovember 10, 20164 updates tracked since enumeration
✔ NPI 1790817278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME 58634
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.
1411 N FLAGLER DR, West Palm Beach, FL 33401
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Other Names 1

Other Name (5)Dr. Daniel K Hellerstein Md

Other Identifiers 13

Other1891624FL · Cigna
Other1050152FL · Careplus
Other202339FL · Avmed
Medicare PIN11636YFL
Other983306FL · Wellcare
Other7433FL · Dimension Health
OtherP971654FL · Optimum
Other11636AFL · Medicare Individual Provider Transaction Access Number (ptan)
Other11636FL · Bcbs
Medicare UPINE68051FL
OtherP01601012FL · Rr Medicare
Other4506635FL · Aetna
OtherP1024507FL · Freedom

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

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

Dr. Daniel K Hellerstein 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 ID345319885
PECOS Enrollment IDI20080523000071
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 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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
386 services290 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.
375 services278 patients
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.
129 services101 patients
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.
59 services59 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
37 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

St Mary's Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100288
Location901 45th StWest Palm Beach, FL 33407 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33401 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability80
Improvement Activities40

Reported Quality Measures

e-Prescribing
88%379 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%457 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
45%175 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims2,580 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers19 claims7,530 services$1.69 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,860 services$5.28 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,650 services$6.69 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. MOUSA MICHAEL HANNA D.O.
Internal Medicine
1411 N FLAGLER DR, SUITE 6300
WEST PALM BEACH, FL 33401
Palm Beach County (561) 659-6023
ERNEST E JABOUR M.D.
Obstetrics & Gynecology
1411 N FLAGLER DR, SUITE 3800
WEST PALM BEACH, FL 33401
Palm Beach County (561) 835-1900
UROLOGY GROUP OF FLORIDA LLC
Urology
1411 N FLAGLER DR, SUITE 5300
WEST PALM BEACH, FL 33401
Palm Beach County (561) 833-5594
SUPRIYA TOMAR M.D.
Dermatology
1411 N FLAGLER DR, SUITE 3900
WEST PALM BEACH, FL 33401
Palm Beach County (561) 805-9399
DR. ERIC STUART FISHMAN M.D.
Orthopaedic Surgery
1411 N FLAGLER DR, SUITE 8600
WEST PALM BEACH, FL 33401
Palm Beach County (561) 659-1200
MDVIP MEDICAL GROUP FL PLLC
Internal Medicine
1411 N FLAGLER DR, SUITE 6200
WEST PALM BEACH, FL 33401
Palm Beach County (561) 659-1238
ROBERSON ALLERGY AND ASTHMA, INC.
Allergy & Immunology
1411 N FLAGLER DR, SUITE #6100
WEST PALM BEACH, FL 33401
Palm Beach County (561) 655-4450
GENESISCARE USA OF FLORIDA LLC
Urology
1411 N FLAGLER DR, SUITE 5100
WEST PALM BEACH, FL 33401
Palm Beach County (561) 650-0815

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 Daniel Hellerstein's NPI number?

The NPI number for Daniel Hellerstein is 1790817278. It was assigned to this individual provider in the NPPES registry on March 11, 2007. The provider is also known as Dr. Daniel K Hellerstein MD.

Where is Daniel Hellerstein located?

Daniel Hellerstein practices at 1411 N Flagler Dr Suite 5100, West Palm Beach, FL 33401. The listed phone number is (561) 650-0815.

What is Daniel Hellerstein's specialty?

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

Is Daniel Hellerstein enrolled in Medicare?

Yes. Daniel Hellerstein 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.

What insurance does Daniel Hellerstein accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 3 other insurers list Daniel Hellerstein 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 Daniel Hellerstein affiliated with any hospitals?

According to CMS data, Daniel Hellerstein is affiliated with Hca Florida Jfk Hospital, Good Samaritan Medical Center and St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Hellerstein was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.