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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARL S HELLER M.D.
NPI 1942225347
Family Medicine in Kingwood, TX

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
23330 HWY 59 N STE 300, KINGWOOD, TX 77339(281) 359-3223(281) 359-2089 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carl S Heller M.d. NPPES

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

CARL S HELLER M.D. (NPI 1942225347) is an individual family medicine provider in Kingwood, Texas, licensed in Texas (F8154) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Kingwood, and is a graduate of State University Of Ny Upstate Medical University (1980).

NPPES Registry Identity

NPI1942225347
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARL S HELLERCredential: M.D.
Location Address23330 HWY 59 N STE 300Kingwood, TX 77339-4471
Mailing Address23330 Hwy 59 N Ste 300Kingwood, TX 77339-4471 · (281) 359-3223 · Fax (281) 359-2089
Phone(281) 359-3223
Fax(281) 359-2089
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1980
Enumeration DateJuly 13, 2006
Last NPPES UpdateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1942225347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · F8154
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.
23330 HWY 59 N STE 300, Kingwood, TX 77339
Open in Google Maps ↗

Other Identifiers 1

Other080031994TX · Medicare Railroad Pin

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carl S Heller 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 ID3274517792
PECOS Enrollment IDI20100929001316
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carl Heller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vytalus Medical Group, PLLC
Same address
Family Medicine
23330 HIGHWAY 59 N STE 300
Kingwood, TX 77339
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1053631275 (281) 359-3223
Texienne Physicians Medical Association PLLC
15 mi
Hematology & Oncology
9303 PINECROFT DR STE 280
The Woodlands, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
NPI 1679001200 (832) 813-5259

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
50 services41 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.
25 services20 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77339 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
100%21 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.

Other Providers at the Same Location NPPES 5

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

MRS. CLAIRE LOUISE TRAPPEY N.P.
Nurse Practitioner
23330 HWY 59 N STE 300
KINGWOOD, TX 77339
Harris County (281) 359-3223
JEFFREY ANGELL NP-C
Nurse Practitioner (Family)
23330 HWY 59 N STE 300
KINGWOOD, TX 77339
Harris County (281) 359-3223
ALLAN H DANIELS M.D.
Internal Medicine
23330 HWY 59 N STE 300
KINGWOOD, TX 77339
Harris County (281) 359-3223
DR. MARTIN BASALDUA M.D.
Family Medicine
23330 HWY 59 N STE 300
KINGWOOD, TX 77339
Harris County (281) 359-3223
MARRIYAM JAWAD MD
Internal Medicine
23330 HWY 59 N STE 300
KINGWOOD, TX 77339
Harris County (281) 359-3223

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 Carl Heller's NPI number?

The NPI number for Carl Heller is 1942225347. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Carl Heller located?

Carl Heller practices at 23330 Hwy 59 N Ste 300, Kingwood, TX 77339. The listed phone number is (281) 359-3223.

What is Carl Heller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carl Heller enrolled in Medicare?

Yes. Carl Heller 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.

Which organizations bill Medicare for Carl Heller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Heller reassigns Medicare benefits to 2 organizations: Vytalus Medical Group, PLLC (Kingwood, TX) and Texienne Physicians Medical Association PLLC (The Woodlands, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Heller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Heller accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Carl 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 Carl Heller affiliated with any hospitals?

According to CMS data, Carl Heller is affiliated with Hca Houston Healthcare Kingwood.

When was this NPI record last updated?

The NPPES record for Carl Heller was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.