NPPES file of Aug 9, 2026

James Mathew Heltzer, MD

Ophthalmology Physician · Bethesda, MD

James Mathew Heltzer, MD is an ophthalmology physician with a practice address in Bethesda, Maryland, and NPI 1336171248, issued on Jul 7, 2006. Check the license (Maryland D0056040, as entered in NPPES) on the Maryland Board of Physicians; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1336171248
Name
James Mathew Heltzer
Credential
MD
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
D0056040 MD
Self-reported in NPPES; status is on the state search
Practice location
6430 Rockledge Dr, Bethesda, MD 20817
Phone
(301) 493-9600
Enumerated
Jul 7, 2006
Record last updated
Nov 16, 2009 (not updated in 17 years: call before relying on the address or phone)
Fax
(301) 493-9235
Medicare enrollment
Enrolled (PECOS I20110523000177); accepts Medicare assignment
Medical or professional school
University Of Maryland School Of Medicine, 1995
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 6430 Rockledge Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Omar Chaudhary, M.D.Ophthalmology Physician1992902381
  2. Richard Chavis, M.D.Ophthalmology Physician1285654905
  3. Lisa Luse, LICSW, LCSW-CClinical Social Worker1548512437
  4. Julia Malalis, M.D.Ophthalmology Physician1255642237
  5. Arlene Woods, CRNACertified Registered Nurse Anesthetist1225036999
  6. Matthew Zimmermann, MDOrthopaedic Surgery Physician1245457142

Verify James Mathew Heltzer in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMaryland Board of Physicians
    Search for license D0056040
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Maryland license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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91% more Medicare Part D claims than the average ophthalmology physician in 2024

2,902 Medicare Part D claims for 681 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 34% of claims.

  1. James Heltzer2,902
  2. Specialty average1,518

Most prescribed

  1. Latanoprost642 claims
  2. Timolol Maleate362 claims
  3. Dorzolamide-Timolol291 claims
  4. Brimonidine Tartrate200 claims
  5. Brimonidine Tartrate-Timolol106 claims
  6. Lumigan106 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 83.7 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%45.5
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $703.08

22 payments; by number, the most common kind was food and beverage; the largest payer was Glaukos Corporation. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Heltzer$703.08
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Capital Eye Care LLCBethesda, MD

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James Mathew Heltzer among 588 ophthalmology physician records in Maryland

James Mathew Heltzer, MD is one of 588 ophthalmology physician records with a practice address in Maryland. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 14% of them.

  • NPI issued2006 · 14% of these records are older, 44% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated1995 · median 2002 among the 369 with a school on file
  • Record last updated2009 · 65% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in Maryland

There are 588 ophthalmology physician records in Maryland.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Omar Chaudhary, M.D.Bethesda, MD 208171992902381
  2. Richard Chavis, M.D.Bethesda, MD 208171285654905
  3. Michael Duplessie, MDBethesda, MD 208171699757971
  4. Harry Huang, M.D.Bethesda, MD 208171992976146
  5. Marielle Mahan, MDBethesda, MD 208171487115010
  6. Julia Malalis, M.D.Bethesda, MD 208171255642237
  7. Ely MansteinBethesda, MD 208171295478725
  8. Stephen Pappas, M.D.Bethesda, MD 208171306849716

Common questions

What is James Mathew Heltzer, MD's NPI number?

James Mathew Heltzer, MD's National Provider Identifier (NPI) is 1336171248, issued on Jul 7, 2006. An NPI identifies a provider in billing; it is not a license.

Where is James Mathew Heltzer, MD located?

The NPPES record lists a practice address at 6430 Rockledge Dr, Bethesda, MD, 20817. Phone: (301) 493-9600. Providers update this record themselves, so call before visiting.

How can I verify James Mathew Heltzer, MD's license?

NPPES lists Maryland license number D0056040, as entered by the provider. Search the Maryland Board of Physicians at https://www.mbp.state.md.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Mathew Heltzer, MD prescribe under Medicare Part D?

In 2024, James Mathew Heltzer, MD had 2,902 Medicare Part D claims for 681 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is James Mathew Heltzer, MD's MIPS final score?

The 2023 MIPS final score is 83.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.