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DR. JOSEPH RICHARD HELLMANN M.D.
NPI 1821039306
Otolaryngology in Cincinnati, OH

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
7691 5 MILE RD, SUITE 214, CINCINNATI, OH 45230(513) 232-3277(513) 232-3444 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joseph Richard Hellmann M.d. NPPES

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

DR. JOSEPH RICHARD HELLMANN M.D. (NPI 1821039306) is an individual otolaryngology provider in Cincinnati, Ohio, licensed in Ohio (055687) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1987).

NPPES Registry Identity

NPI1821039306
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JOSEPH RICHARD HELLMANNCredential: M.D.
Location Address7691 5 MILE RD, SUITE 214Cincinnati, OH 45230-4348
Mailing Address237 William Howard Taft, Phys Div, 2nd Fl, Cbo2-3, Attn: CredentialingCincinnati, OH 45219-2906 · (513) 263-8571 · Fax (513) 366-4480
Phone(513) 232-3277
Fax(513) 232-3444
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1987
Enumeration DateJune 8, 2006
Last NPPES UpdateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
✔ NPI 1821039306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OH · 055687
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
7691 5 MILE RD, Cincinnati, OH 45230
Open in Google Maps ↗

Other Identifiers 7

Other270577733076OH · Caresource
Medicaid0881283OH
Medicaid201229680IN
Other4229116OH · Aetna
Other1628296OH · Gateway Health
OtherP01139508OH · Railroad Medicare
Other793768OH · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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. Joseph Richard Hellmann M.d. 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 ID244410082
PECOS Enrollment IDI20110210000574
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 6

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 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.
232 services173 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.
163 services136 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.
107 services107 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
82 services82 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services35 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
29 services27 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45230 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.26
Promoting Interoperability100
Improvement Activities40
Cost77.87

Other Providers at the Same Location NPPES 11

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

DESTINY MICHELE HINES CNM
Advanced Practice Midwife
7691 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 231-3447
ANNE W LUCKY M.D.
Dermatology (Pediatric Dermatology)
7691 5 MILE RD, STE. 312
CINCINNATI, OH 45230
Hamilton County (513) 232-3332
MRS. MARIA LYNN KERSTING AUD
Audiologist
7691 5 MILE RD, SUITE 214
CINCINNATI, OH 45230
Hamilton County (513) 232-3277
ANDERSON SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
7691 5 MILE RD, SUITE 10 B
CINCINNATI, OH 45230
Hamilton County (513) 624-7246
KIERSTEN ANDERSON
Audiologist-Hearing Aid Fitter
7691 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 421-5558
P K LAMBERT & ASSOCIATES, LLC
Clinic/Center (Hearing and Speech)
7691 5 MILE RD, SUITE 213
CINCINNATI, OH 45230
Hamilton County (513) 231-3197
NANCY MILLS AUDIOLOGY, LLC
Clinic/Center (Hearing and Speech)
7691 5 MILE RD, SUITE 305
CINCINNATI, OH 45230
Hamilton County (513) 233-9560
DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC.
Physician Assistant
7691 5 MILE RD, SUITE 312
CINCINNATI, OH 45230
Hamilton County (513) 232-3332

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 Joseph Hellmann's NPI number?

The NPI number for Joseph Hellmann is 1821039306. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Joseph Hellmann located?

Joseph Hellmann practices at 7691 5 Mile Rd Suite 214, Cincinnati, OH 45230. The listed phone number is (513) 232-3277.

What is Joseph Hellmann's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Joseph Hellmann enrolled in Medicare?

Yes. Joseph Hellmann 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 Joseph Hellmann accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Joseph Hellmann 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 Joseph Hellmann affiliated with any hospitals?

According to CMS data, Joseph Hellmann is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Hellmann was last updated on November 17, 2020. 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.