CARL S HELLER (M.D.) – Family Medicine Physician, NPI 1942225347

CARL S HELLER (M.D.) is a healthcare provider. based in Kingwood, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. F8154 (TX). The NPI Number for CARL S HELLER (M.D.) is 1942225347

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
CARL S HELLER (M.D.)
NPI
1942225347
Phone
(281) 319-8300
Address
22751 PROFESSIONAL DR
Enumeration Date
13 July 2006
Last Update Date
29 May 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
2813198300
Graduation Year
1980 (46 years ago)
PAC ID
3274517792
Group Practice PAC ID
9830215748
Professional Enrollment ID
I20100929001316
Address ID
TX773394471KI23330NXXX402

Contacts

Secure Messaging
carl.heller.1@30157.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

8,705 FAMILY PRACTICE in TX

Provider Addresses for CARL S HELLER (M.D.)

  • 22751 PROFESSIONAL DR

    STE 1000

    KINGWOOD, TX 773396021

    Phone: (281) 319-8300

    Fax: (281) 465-0501

    Type: Mailing

  • 23330 HWY 59 N STE 300

    KINGWOOD, TX 773394471

    Phone: (281) 359-3223

    Fax: (281) 359-2089

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $272.

Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($42).

Total Amount

$272

General + Research + Ownership

Payments

14

Total payment records

General Amount

$272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100929001316IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7762$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3333$0
99213Established patient office or other outpatient visit, 20-29 minutes2622$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 77339)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830215748View full group profile
NameSpecialtyState
Family PracticeTX
Internal MedicineTX
Family PracticeTX
Internal MedicineTX
Family PracticeTX
-TX

Reviews

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Frequently asked questions

What is the 10-digit NPI for CARL S HELLER (M.D.)?
CARL S HELLER (M.D.) — NPI 1942225347 — is the standard way to identify this listing.
Is CARL S HELLER (M.D.) listed as active for patients and plans?
The listing shows CARL S HELLER (M.D.) as active in the NPI system.
What taxonomy line describes CARL S HELLER (M.D.)?
For research purposes, treat CARL S HELLER (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CARL S HELLER (M.D.) on a map?
Expect Kingwood, Texas as a primary anchor for CARL S HELLER (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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