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DR. LEAH H HELLERSTEIN MD, MPH
NPI 1821558727
Obstetrics & Gynecology in Philadelphia, PA

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3701 MARKET STREET, 3RD FLOOR, PHILADELPHIA, PA 19104(215) 662-6035(215) 349-5228 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2024, Dec 27, 2021 (2 updates tracked since 2021).

About Dr. Leah H Hellerstein Md, Mph NPPES

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

DR. LEAH H HELLERSTEIN MD, MPH (NPI 1821558727) is an individual obstetrics & gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD480711) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2019).

NPPES Registry Identity

NPI1821558727
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. LEAH H HELLERSTEINCredential: MD, MPH
Location Address3701 MARKET STREET, 3RD FLOORPhiladelphia, PA 19104-5502
Mailing Address3701 Market Street, 3rd FloorPhiladelphia, PA 19104-5502 · (215) 662-6035 · Fax (215) 349-5228
Phone(215) 662-6035
Fax(215) 349-5228
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateMay 10, 20242 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1821558727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD480711
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3701 MARKET STREET, Philadelphia, PA 19104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Leah H Hellerstein Md, Mph 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 ID1759617053
PECOS Enrollment IDI20230928001543
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
78 services78 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.
22 services20 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
19 services19 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.
16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

MICHAEL A STAWNYCHY CRNP
Nurse Practitioner (Adult Health)
3701 MARKET STREET, EDWARD COOPER PRACTICE - 6TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
OANA TOMESCU MD
Internal Medicine
3701 MARKET STREET, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
DR. SALINA BAKSHI M.D.
Internal Medicine
3701 MARKET STREET, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
ELIZABETH KNUDSEN CRNP
Nurse Practitioner (Gerontology)
3701 MARKET STREET, 7TH FLOOR, SUITE 741
PHILADELPHIA, PA 19104
Philadelphia County (516) 428-9058
KYRA C WILLIAMS MD
Obstetrics & Gynecology (Obstetrics)
3701 MARKET STREET, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6035
JAYA AYSOLA MD
Internal Medicine
3701 MARKET STREET, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
PHILIP A MASTERS MD
Hospitalist
3701 MARKET STREET, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
ANDREW WALTERS MAIER MD
Internal Medicine
3701 MARKET STREET, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250

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 Leah Hellerstein's NPI number?

The NPI number for Leah Hellerstein is 1821558727. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Leah Hellerstein located?

Leah Hellerstein practices at 3701 Market Street 3rd Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-6035.

What is Leah Hellerstein's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Leah Hellerstein enrolled in Medicare?

Yes. Leah 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 Leah Hellerstein accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Leah 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 Leah Hellerstein affiliated with any hospitals?

According to CMS data, Leah Hellerstein is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital, Main Line Hospital Lankenau and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Leah Hellerstein was last updated on May 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.