Dr. Peter Theodore Hetzler III, MD, MHS
Plastic Surgery in Valhalla, NY. Individual provider (NPI-1).
NPI number1437619293
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1437619293
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter Theodore Hetzler III
- Credential
- MD, MHS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2019
- Certification date
- Sep 28, 2026
- Last updated
- Sep 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 346613-01 | NY | Yes |
Practice location
100 Woods RdValhalla, NY 10595-1530
Phone 914-909-6416
Mailing address
100 Woods RdValhalla, NY 10595-1530
Phone 914-909-6416
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