Doctor profile · Federal record

Dr. Derek Heldzinger, M.D.

Family Medicine Physician (CMS: Family Practice) · Dalton, GA

  • NPI 1336442037
  • Accepts Medicare
  • 39 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
1107 Memorial Dr Ste 201
Dalton, GA 307208662
(706) 277-7311
fax (706) 272-3512
Additional location
398 Curtis Pkwy Ne
Calhoun, GA 307012084
(423) 827-7251
Mailing address
743 Banther RD
Mc Donald, TN 373535024

Credentials & registration

NPPES · NUCC
NPI registered
December 2010 — 16 yrs on file
Profile last updated
February 28, 2024
Year of graduation
1987 — 39 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Georgia #65259

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1336442037. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
998
Distinct HCPCS
10
Medicare allowed
$34,817
HCPCS Description Services Patients Avg allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg 416 39 $0
99213 Established patient office or other outpatient visit, 20-29 minutes 162 144 $84
87804 Detection test by immunoassay with direct visual observation for influenza virus 100 47 $16
99203 New patient office or other outpatient visit, 30-44 minutes 93 93 $105
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 59 57 $34
96372 Injection of drug or substance under skin or into muscle 51 46 $13
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 36 35 $16
99214 Established patient office or other outpatient visit, 30-39 minutes 35 34 $116
81003 Automated urinalysis test 30 29 $2
99204 New patient office or other outpatient visit, 45-59 minutes 16 16 $157

In context: peer comparison

Among 10 peers in Dalton Family Medicine Physician, average services per provider: 152. This provider delivers 6.6× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
352
Patients
267
Total drug cost
$4,998
Drug Type Claims Patients Total cost
Doxycycline Hyclate Generic 103 98 $1,819
Cephalexin Generic 24 24 $744
Methylprednisolone Generic 24 23 $224
Paxlovid (Eua) (Nirmatrelvir/Ritonavir) Brand 24 24 $228
Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) Brand 23 23 $135
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 21 20 $209
Lisinopril Generic 20 0 $272
Fluconazole Generic 18 11 $147
Azithromycin Generic 17 15 $105
Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) Brand 16 16 $362

Frequently asked questions

Auto-generated from federal data
What is Dr. Derek Heldzinger's medical specialty?
Dr. Derek Heldzinger practices Family Medicine Physician in Dalton, GA.
Where does Dr. Derek Heldzinger practice?
Dr. Derek Heldzinger practices at 1107 Memorial Dr Ste 201, Dalton, GA 307208662. Office phone: 7062777311.
What is Dr. Derek Heldzinger's NPI?
Dr. Derek Heldzinger's National Provider Identifier (NPI) is 1336442037, issued by NPPES.
Does Dr. Derek Heldzinger accept Medicare assignment?
Yes. Dr. Derek Heldzinger accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Derek Heldzinger commonly perform?
Top Medicare-reported procedures in 2023: Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100); Established patient office or other outpatient visit (HCPCS 99213); Detection test by immunoassay with direct visual observation for influenza virus (HCPCS 87804). Source: CMS Medicare Physician & Other Practitioners file.