Derek Heldzinger, M.D.
NPI 1336442037 · Family Medicine Physician · Dalton, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Heldzinger, M.D. is a Family Medicine Physician provider in Dalton, GA (NPI 1336442037).
Provider details
- NPI number
- 1336442037
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 65259 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
688 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 130 | $115 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 112 | $83 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 74 | $16 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 63 | $105 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 60 | $13 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefdinir | 101 | 95 |
| Doxycycline Hyclate | 44 | 44 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 28 | 25 |
| Amoxicillin | 26 | 25 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 24 | 24 |
| Azithromycin | 23 | 22 |
| Cephalexin | 23 | 22 |
| Nitrofurantoin Monohyd/M-Cryst |
Practice location
Mailing address
Additional practice locations (2)
- 398 Curtis Pkwy NeCalhoun, GA 30701-2084Phone: (423) 827-7251
- 1107 Memorial Dr Ste 201Dalton, GA 30720-8662Phone: (706) 277-7311Fax: (706) 272-3512
Registry dates
- Enumerated
- 2010-12-18
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Frequently asked questions
- What is Derek Heldzinger's NPI number?
- Derek Heldzinger's National Provider Identifier (NPI) is 1336442037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Heldzinger's specialty?
- Derek Heldzinger is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Derek Heldzinger located?
- Derek Heldzinger's practice location on file with NPPES is 1504 N Thornton Ave Ste 107, Dalton, GA 30720-8394.
- What is Derek Heldzinger's phone number?
- The practice phone number listed in the NPPES registry for Derek Heldzinger is (706) 226-1565.
- Does Derek Heldzinger accept Medicare?
- Derek Heldzinger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Heldzinger's NPI active?
- Yes — Derek Heldzinger's NPI (1336442037) is active in the NPPES registry as of the last update on 2026-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.