DR. MATTHEW JOEL HELLMAN M.D.
NPI 1952694523
Pain Medicine - Interventional Pain Medicine in Kyle, TX

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment
72.77/100
CMS Quality Rating
135 BUNTON CREEK RD STE 302, KYLE, TX 78640(512) 244-4272(512) 244-2895 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2021, Jun 2, 2020, Jun 6, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Matthew Joel Hellman M.d. NPPES

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

DR. MATTHEW JOEL HELLMAN M.D. (NPI 1952694523) is an individual interventional pain medicine provider in Kyle, Texas, licensed in Texas (R4237) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1952694523
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. MATTHEW JOEL HELLMANCredential: M.D.
Location Address135 BUNTON CREEK RD STE 302Kyle, TX 78640-5701
Mailing Address2000 S Mays St Ste 201Round Rock, TX 78664-7580 · (512) 244-4272 · Fax (512) 244-2895
Fax(512) 244-2895
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 16, 2011
Last NPPES UpdateAugust 2, 20215 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
NPI 1952694523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in TX · R4237
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedSpecialistTaxonomy 174400000X · License R4237 (TX)
Also ListedAnesthesiologyTaxonomy 207L00000X · License R4237 (TX)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License R4237 (TX)
135 BUNTON CREEK RD STE 302, Kyle, TX 78640

Other Identifiers 1

OtherR4237TX · Tx Medical License

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. Matthew Joel Hellman 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 ID4183932452
PECOS Enrollment IDI20171002000845
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 24

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.
240 services144 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
177 services160 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
159 services111 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
92 services62 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
67 services62 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.
66 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78640 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

72.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality56.18
Promoting Interoperability84
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
52%167 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
63%145 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
86%97 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,442 patients5/55-star benchmark: 100%
e-Prescribing
85%2,675 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%1,067 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
58%1,014 patients3/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
71%743 patients3/55-star benchmark: 100%
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 4

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

Anesthesiology (Pain Medicine)
135 BUNTON CREEK RD STE 302
KYLE, TX 78640
Social Worker (Clinical)
135 BUNTON CREEK RD STE 302
KYLE, TX 78640
Nurse Practitioner
135 BUNTON CREEK RD STE 302
KYLE, TX 78640
Physical Therapist
135 BUNTON CREEK RD STE 302
KYLE, TX 78640

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 Matthew Hellman's NPI number?

The NPI number for Matthew Hellman is 1952694523. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Matthew Hellman located?

Matthew Hellman practices at 135 Bunton Creek Rd Ste 302, Kyle, TX 78640. The listed phone number is (512) 244-4272.

What is Matthew Hellman's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Matthew Hellman enrolled in Medicare?

Yes. Matthew 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 Matthew Hellman accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Matthew 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.

When was this NPI record last updated?

The NPPES record for Matthew Hellman was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.