DR. ROBERT KARL HETZ DO
NPI 1831175165
Family Medicine in North Charleston, SC

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment
70.05/100
CMS Quality Rating
8091 RIVERS AVE, NORTH CHARLESTON, SC 29406(843) 572-7000(843) 572-4070 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Robert Karl Hetz Do NPPES

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

DR. ROBERT KARL HETZ DO (NPI 1831175165) is an individual family medicine provider in North Charleston, South Carolina, licensed in South Carolina (1245) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1976).

NPPES Registry Identity

NPI1831175165
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT KARL HETZCredential: DO
Location Address8091 RIVERS AVENorth Charleston, SC 29406-9236
Mailing Address4250 Club Course DrNorth Charleston, SC 29420-7506 · (843) 735-5020
Fax(843) 572-4070
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1976
Enumeration DateDecember 19, 2005
Last NPPES UpdateApril 16, 2026
NPPES CertifiedApril 16, 2026
NPI 1831175165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 1245
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.

8091 RIVERS AVE, North Charleston, SC 29406

Accepted 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. Robert Karl Hetz Do 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 ID6608056668
PECOS Enrollment IDI20110208000483
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 2024 & 2026 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, 20-29 minutes 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.
24 services23 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
18 services18 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
17 services17 patients
New patient office or other outpatient visit, 30-44 minutes 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.
16 services16 patients
New patient office or other outpatient visit, 45-59 minutes 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.
15 services15 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

70.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.22
Promoting Interoperability98
Improvement Activities40
Cost53.62

Other Providers at the Same Location NPPES 18

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

Family Medicine
8091 RIVERS AVE
NORTH CHARLESTON, SC 29406
Family Medicine
8091 RIVERS AVE
NORTH CHARLESTON, SC 29406
Physician Assistant
8091 RIVERS AVE
NORTH CHARLESTON, SC 29406
Physician Assistant
8091 RIVERS AVE
NORTH CHARLESTON, SC 29406
Physician Assistant
8091 RIVERS AVE
NORTH CHARLESTON, SC 29406
Physician Assistant
8091 RIVERS AVE
NORTH CHARLESTON, SC 29406
Physical Therapist
8091 RIVERS AVE
NORTH CHARLESTON, SC 29406
Family Medicine
8091 RIVERS AVE
NORTH CHARLESTON, SC 29406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831175165, enumerated as an "individual" on December 19, 2005.

The provider is located at 8091 RIVERS AVE NORTH CHARLESTON, SC 29406 and the phone number is (843) 572-7000.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: First Choice Next. Please consult your insurance carrier or call the provider to verify.