ROBERT LOWELL HETZEL MD
NPI 1811980329
Family Medicine in Leesburg, VA

Q: What is Robert Hetzel's NPI number?

The NPI number for Robert Hetzel is 1811980329. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Q: What is Robert Hetzel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Hetzel was last updated on January 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment

92.61/100

CMS Quality Rating

224D CORNWALL ST NW, SUITE 106, LEESBURG, VA 20176(703) 777-1612(703) 777-2368 Get Directions Write a Review

NPPES record last updated: January 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Robert Lowell Hetzel Md NPPES

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

ROBERT LOWELL HETZEL MD (NPI 1811980329) is an individual family medicine provider in Leesburg, Virginia, licensed in Virginia (0101232586) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Eastern Virginia Medical School (1999).

NPPES Registry Identity

NPI1811980329

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameROBERT LOWELL HETZELCredential: MD

Location Address224D CORNWALL ST NW, SUITE 106Leesburg, VA 20176-2700

Mailing AddressPo Box 17334Baltimore, MD 21297-1334 · (703) 443-6717 · Fax (703) 443-8643

Phone(703) 777-1612

Fax(703) 777-2368

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 1999

Enumeration DateAugust 30, 2005

Last NPPES UpdateJanuary 9, 2010

✔ NPI 1811980329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101232586

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

224D CORNWALL ST NW, Leesburg, VA 20176

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Other Identifiers 7

Medicare PIN006156L19VA

Medicaid010105706VA

Medicare PIN886156L19VA

Medicare UPINH34231

Medicaid010105757VA

Medicaid010105731VA

OtherP00270260Rr Medicare

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

Robert Lowell Hetzel 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 ID2769479369

PECOS Enrollment IDI20040427000493

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 15

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.

628 services367 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.

322 services249 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

205 services62 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

90 services43 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.

82 services82 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

65 services65 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.

55 services54 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.

53 services52 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

45 services41 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

45 services43 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

32 services32 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

29 services29 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

17 services16 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

16 services16 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490043

Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County

Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490050

Location1701 North George Mason DriveArlington, VA 22205 · Arlington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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.

92.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.22

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

11 suppliers45 claims132 services$5.97 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers18 claims28 services$1.13 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

1 supplier11 claims12 services$185.34 avg. paid by Medicare

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

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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.

ANDREA M PYLE OTR-L

Occupational Therapist

224D CORNWALL ST NW, SUITE 200
LEESBURG, VA 20176

Loudoun County (703) 443-2223

ANN I MA MD

Internal Medicine (Gastroenterology)

224D CORNWALL ST NW, SUITE 207
LEESBURG, VA 20176

Loudoun County (703) 771-9001

DULLES MEDICAL GROUP LLC

Internal Medicine (Geriatric Medicine)

224D CORNWALL ST NW, SUITE 303
LEESBURG, VA 20176

Loudoun County (703) 777-8840

DR. WILLIAM E KNUDSON JR. DPM

Podiatrist (Foot & Ankle Surgery)

224D CORNWALL ST NW, SUITE 203
LEESBURG, VA 20176

Loudoun County (703) 777-5830

DR. YOUNG DON PARK MD

Internal Medicine (Cardiovascular Disease)

224D CORNWALL ST NW, #306
LEESBURG, VA 20176

Loudoun County (703) 641-9161

SHAHLA WILLIAMS P.T.

Physical Therapist

224D CORNWALL ST NW, SUITE 200
LEESBURG, VA 20176

Loudoun County (703) 443-2223

LOUDOUN MEDICAL GROUP, PC

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

224D CORNWALL ST NW, SUITE 204
LEESBURG, VA 20176

Loudoun County (703) 777-3262

MS. ANNE LOWERY LPTA

Physical Therapy Assistant

224D CORNWALL ST NW, SUITE 200
LEESBURG, VA 20176

Loudoun County (703) 443-2223

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 Robert Hetzel's NPI number?

The NPI number for Robert Hetzel is 1811980329. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Robert Hetzel located?

Robert Hetzel practices at 224D Cornwall St NW Suite 106, Leesburg, VA 20176. The listed phone number is (703) 777-1612.

What is Robert Hetzel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Hetzel enrolled in Medicare?

Yes. Robert Hetzel 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 Robert Hetzel affiliated with any hospitals?

According to CMS data, Robert Hetzel is affiliated with Inova Loudoun Hospital and Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Robert Hetzel was last updated on January 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.