1. Home
  2. Directory
  3. Florida
  4. Boynton Beach
  5. Internal Medicine
  6. NPI Profile

DR. DAVID CRAIG HELLMAN D.O.
NPI 1881679314
Internal Medicine - Gastroenterology in Boynton Beach, FL

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
10151 ENTERPRISE CTR, STE 103, BOYNTON BEACH, FL 33437(561) 733-0379(561) 733-0096 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Craig Hellman D.o. NPPES

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

DR. DAVID CRAIG HELLMAN D.O. (NPI 1881679314) is an individual gastroenterology provider in Boynton Beach, Florida, licensed in Florida (207RG0100X) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Nova Southeastern College Of Osteo Medicine (1988).

NPPES Registry Identity

NPI1881679314
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DAVID CRAIG HELLMANCredential: D.O.
Location Address10151 ENTERPRISE CTR, STE 103Boynton Beach, FL 33437-3759
Mailing Address4800 Belfort RdJacksonville, FL 32256-6004 · (904) 398-7205 · Fax (904) 265-6409
Phone(561) 733-0379
Fax(561) 733-0096
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 1988
Enumeration DateDecember 7, 2005
Last NPPES UpdateDecember 21, 2011
✔ NPI 1881679314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · 207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
10151 ENTERPRISE CTR, Boynton Beach, FL 33437
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF77494FL
Medicaid375631900FL
Medicare PIN80876FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. David Craig Hellman D.o. 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 ID8820186679
PECOS Enrollment IDI20071113000339
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.

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.
106 services87 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.
68 services56 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.
64 services64 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.
51 services51 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services36 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
31 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Cleveland Clinic Hospital

Acute Care Hospitals · Weston, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100289
Location3100 Weston RdWeston, FL 33331 · Broward County
Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33437 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
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
79%618 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%1,915 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
82%1,373 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%943 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
69%1,243 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
10%448 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
17%1,030 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
0%462 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 63% · 516 patients
Patients tobacco: 2% · 47 patients
56%516 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%1,243 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
34%1,243 patients2/55-star benchmark: 79%
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.

Other Providers at the Same Location NPPES 7

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

SOUTH PALM MEDICAL ASSOCIATES
Internal Medicine
10151 ENTERPRISE CTR, SUITE 101
BOYNTON BEACH, FL 33437
Palm Beach County (561) 734-4352
DAVID CRAIG HELLMAN DO PA
Internal Medicine (Gastroenterology)
10151 ENTERPRISE CTR, SUITE 103
BOYNTON BEACH, FL 33437
Palm Beach County (561) 733-0379
IBIS MEDICAL CORPORATION
Internal Medicine (Gastroenterology)
10151 ENTERPRISE CTR, SUITE 106
BOYNTON BEACH, FL 33437
Palm Beach County (561) 737-0211
ERICA C EDLUND ARNP
Nurse Practitioner
10151 ENTERPRISE CTR, SUITE 108
BOYNTON BEACH, FL 33437
Palm Beach County (561) 740-4855
KEVIN PALLONE MPT PA
Physical Therapist
10151 ENTERPRISE CTR, SUITE 107
BOYNTON BEACH, FL 33437
Palm Beach County (561) 859-6711
KEVIN G PALLONE
Physical Therapist
10151 ENTERPRISE CTR, SUITE 107
BOYNTON BEACH, FL 33437
Palm Beach County (561) 859-6711
PALM BEACH INSTITUTE OF HEMATOLOGY & ONCOLOGY, LLC
Specialist
10151 ENTERPRISE CTR, SUITE 102
BOYNTON BEACH, FL 33437
Palm Beach County (561) 847-2494

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 David Hellman's NPI number?

The NPI number for David Hellman is 1881679314. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is David Hellman located?

David Hellman practices at 10151 Enterprise Ctr Ste 103, Boynton Beach, FL 33437. The listed phone number is (561) 733-0379.

What is David Hellman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is David Hellman enrolled in Medicare?

Yes. David Hellman 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 David Hellman accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list David Hellman 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 David Hellman affiliated with any hospitals?

According to CMS data, David Hellman is affiliated with Cleveland Clinic Martin North Hospital, Cleveland Clinic Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for David Hellman was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.