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CHARLES K HELLER III D.O.
NPI 1881828390
Surgery - Surgical Oncology in N Dartmouth, MA

Active since May 12, 2009PECOS Enrolled
535 FAUNCE CORNER RD, N DARTMOUTH, MA 02747(508) 996-3991(508) 961-0982 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles K Heller Iii D.o. NPPES

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

CHARLES K HELLER III D.O. (NPI 1881828390) is an individual surgical oncology provider in N Dartmouth, Massachusetts, licensed in Massachusetts (239208) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1881828390
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameCHARLES K HELLER IIICredential: D.O.
Location Address535 FAUNCE CORNER RDN Dartmouth, MA 02747-1242
Mailing Address535 Faunce Corner RdN Dartmouth, MA 02747-1242 · (508) 996-3991
Phone(508) 996-3991
Fax(508) 961-0982
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2001
Enumeration DateMay 12, 2009
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1881828390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in MA · 239208
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
535 FAUNCE CORNER RD, N Dartmouth, MA 02747
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles K Heller Iii D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082769807
PECOS Enrollment IDI20090831000614
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
86 services52 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
67 services43 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.
62 services62 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.
60 services53 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.
48 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02747 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
87%258 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
84%475 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.
100%1,650 patients5/55-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.
99%288 patients5/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
63%324 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
82%611 patients4/55-star benchmark: 88%
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.
100%886 patients5/55-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.
90%1,126 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
72%324 patients4/55-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…
89%1,015 patients4/55-star benchmark: 97%
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: 100% · 245 patients
Patients tobacco: 21% · 29 patients
89%245 patients4/55-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…
85%1,126 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…
84%1,126 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
43%1,126 patients
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.

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.

Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers17 claims650 services$0.23 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
2 suppliers18 claims360 services$3.41 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers19 claims500 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JACK A HOWARD MD
Internal Medicine (Cardiovascular Disease)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
SOUTH COAST ORTHOPEDIC TECHNOLOGY
Prosthetic/Orthotic Supplier
535 FAUNCE CORNER RD, SUITE 201
N DARTMOUTH, MA 02747
Bristol County (508) 998-7268
DR. MARIA PACHECO RUMSEY MD
Internal Medicine (Cardiovascular Disease)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
EILEEN PHANEUF C.C.C.-SLP
Speech-Language Pathologist
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
JENNIFER SADECK
Nurse Practitioner (Acute Care)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
FRANCINE MITCHELL AUD
Audiologist
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
STEPHEN LEIGHTON KEITH M.D.
Surgery (Vascular Surgery)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
HEATHER DUFOUR FNP
Nurse Practitioner (Family)
535 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991

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 Charles Heller's NPI number?

The NPI number for Charles Heller is 1881828390. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Where is Charles Heller located?

Charles Heller practices at 535 Faunce Corner Rd, N Dartmouth, MA 02747. The listed phone number is (508) 996-3991.

What is Charles Heller's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Charles Heller enrolled in Medicare?

Yes. Charles Heller is registered in the Medicare PECOS enrollment system.

What insurance does Charles Heller accept?

Health plans from Anthem Blue Cross and Blue Shield list Charles Heller 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 Charles Heller affiliated with any hospitals?

According to CMS data, Charles Heller is affiliated with Saint Anne's Hospital, St Elizabeth's Medical Center and Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Charles Heller was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.