Dr. Helmut Pfalz, MD

  • Prince Frederick, MD
  • General surgeon
NPI1336237411PAC ID6507852290
Medicare services, 2024
763
Medicare patients, 2024
344
Part D claims, 2024
70
MIPS score, 2024
86
Hospital affiliations
1
Practice address
985 Prince Frederick Boulevard, Suite 104, Prince Frederick, MD 20678
Practice phone
Call (443) 975-7966
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Calvert Digestive Disease Associates, Endoscopy and Surgery Center

Surgery Center - Medicare-Certified · Prince Frederick, Maryland

See all 5 affiliations

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Dr. Helmut Pfalz is a general surgeon in Prince Frederick, Maryland

Dr. Pfalz practices at Calvert Digestive Disease Associates, Endoscopy and Surgery Center in Prince Frederick, Maryland.

Dr. Pfalz's NPI, 1336237411, was assigned on October 11, 2006. Dr. Pfalz graduated from University of Ulm Faculty of Medicine in 1994. Dr. Pfalz's Maryland license number on file is D0059467.

NPI and contact details
Medicare PAC ID
6507852290
NPI enumeration date
October 11, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(443) 975-7966
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
58
Medical school graduation
1994

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Helmut Pfalz practices at Calvert Digestive Disease Associates, Endoscopy and Surgery Center in Prince Frederick, Maryland

Dr. Pfalz's primary practice is Calvert Digestive Disease Associates, Endoscopy and Surgery Center, at 985 Prince Frederick Boulevard, Suite 104, Prince Frederick, MD 20678. The practice phone is (443) 975-7966.

  • Calvert Digestive Disease Associates, Endoscopy and Surgery Center
    985 Prince Frederick Boulevard, Suite 104, Prince Frederick, MD 20678Phone(443) 975-7966

Source: Dmand AI Affiliation Data

Dr. Helmut Pfalz is affiliated with 4 sites of care and 1 medical group

Dr. Pfalz's primary practice is Calvert Digestive Disease Associates, Endoscopy and Surgery Center in Prince Frederick, Maryland. Dr. Pfalz is also affiliated with CalvertHealth Medical Center. The medical group on file is CalvertHealth Medical Group. Dmand AI also links Dr. Pfalz to 1 more physician office and 1 group practice or clinic, each named with a free account.

See all 5 affiliations for Dr. Pfalz

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Helmut Pfalz's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Pfalz practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Calvert Digestive Disease Associates, Endoscopy and Surgery CenterAvailable with a free account
+3 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Helmut Pfalz is one of 532 general surgeons in Maryland

Surgery is Dr. Pfalz's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Pfalz is board certified in surgery by the American Board of Surgery. Dmand AI has Dr. Pfalz's licenses on file in 3 states: Maryland, New Hampshire and Ohio.

Specialties and state licenses

  • Surgery, MarylandPrimaryLicense D0059467 · 2002 to 2025 · taxonomy 208600000X
  • New Hampshire licenseSince 2007
  • Ohio license2000 to 2006

Clinical focus

Dmand AI lists abdominal adhesion surgery, abdominal hernia repair surgery, appendectomy, colon removal, gallbladder removal, groin hernia surgery, intestinal or bowel obstruction and removal of damaged skin or skin graft among the conditions Dr. Pfalz treats.

General surgeons near Dr. Pfalz

Counts of general surgeons with a Dmand AI profile, by place and practice. Each opens the list.

532general surgeons in Maryland
6general surgeons in Prince Frederick

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Helmut Pfalz billed Medicare for 763 services in 2024

CMS data shows 763 Medicare services from Dr. Pfalz across 12 procedure codes in 2024, for 344 Medicare patients. Medicare paid $103,116 for them.

Medicare services, 2024763
Medicare patients344
Paid by Medicare$103,116
Procedure codes12

Dr. Pfalz's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 5652024: 5542%
Surgery
2023: 1322024: 1374%
Drugs given in the office
2023: 02024: 52
Tests and treatments
2023: 02024: 20

Where Dr. Pfalz's Medicare services took place, 2024

  • In an office54672%
  • In a facility21728%

Dr. Pfalz compared with the Maryland median for general surgeons, 2024

  • Dr. Pfalz
  • Maryland median
Medicare services
763vs 2303.3 times
Medicare patients
344vs 1622.1 times
Part D claims
48vs 2685% above

Medians across 485 general surgeons in Maryland with Dmand AI profiles that report each measure.

Dr. Pfalz's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Pfalz

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Helmut Pfalz treated 344 Medicare patients in 2024, average age 74

CMS counts 344 Medicare patients who saw Dr. Pfalz in 2024. The largest group is 65 to 74, with 170 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 7% are also on Medicaid. Their average risk score is 1.22, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Pfalz's median patient age at 64, with 57% women.

Medicare patients, 2024344
Average age74
Average risk score1.22
Also on Medicaid7%

Dr. Pfalz's Medicare patients by age, 2024

Dr. Pfalz's Medicare patients by sex, 2024

  • Women17751%
  • Men16749%

Chronic conditions among Dr. Pfalz's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis67%
  4. Diabetes36%
  5. Ischemic heart disease31%
  6. Anxiety26%
  7. Chronic kidney disease25%
  8. Mood disorders25%

Share of Medicare patients with each condition. A patient can have several.

Dr. Pfalz's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 64

Patient panel by sex, all payers

  • Women57%
  • Men42%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Helmut Pfalz wrote 70 Medicare Part D claims in 2024

In 2024, Dr. Pfalz wrote 70 Medicare Part D claims for 60 patients. 100% of them were for generic drugs. CMS names the drug for 48 of them, across 1 drug with 11 or more claims each, at $119 in total drug cost. In 2023, CMS named 32 claims across 1 drug.

Part D claims, 202470
Drugs named by CMS1
Total drug cost$119
Part D patients60

Dr. Pfalz's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Pfalz's Part D claims, 2024

  • Opioids80%56 of 70 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 322024: 4850%

Drugs named by CMS: 1 in 2024, 1 in 2023.

See all prescribing by Dr. Pfalz

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Helmut Pfalz scored 86 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 86 out of 100 for Dr. Pfalz for performance year 2024, reported as part of a group. Dr. Pfalz accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Pfalz's MIPS scores, performance year 2024

  • 86of 100Final score
  • 74.5of 100Quality
  • 99of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 81of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Hernia repair (minimally invasive): 1 to 10 procedures (CMS shows small counts as a range)

Hernia repair - groin (open): 1 to 10 procedures (CMS shows small counts as a range)

Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)

Removal of nail tissue: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Helmut Pfalz received $5,465 in industry payments from 2016 to 2025

CMS Open Payments shows 16 general payments to Dr. Pfalz from 5 drug and device companies from 2016 to 2025. Education make up the largest share, 73% of the total. Intuitive Surgical, Inc. paid the most, $5,375.

General payments to Dr. Pfalz by program year, 2016 to 2025

General payments to Dr. Pfalz by kind, 2016 to 2025

$5.5Kin total
  • Education$4,00073%
  • Travel and lodging$1,23523%
  • Food and beverage$2304%

Companies that paid Dr. Pfalz the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Pfalz

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Helmut Pfalz has 2 awards and honors on record

Dmand AI lists 2 awards for Dr. Pfalz, most recently ACS Fellow in 2014.

Awards and honors for Dr. Pfalz

  1. 2014
    • ACS Fellow
  2. Undated
    • CMS Stage 1 EHR

Source: Dmand AI Professional Profile Data

Dr. Helmut Pfalz graduated from University of Ulm Faculty of Medicine

Dr. Pfalz graduated from University of Ulm Faculty of Medicine in 1994. Dr. Pfalz is a member of ACS.

  1. Medical schoolUniversity of Ulm Faculty of Medicine
  2. Board certified in surgeryAmerican Board of Surgery
  3. Board certified in surgery of the handAmerican Board of Surgery

Source: Dmand AI Professional Profile Data

Dr. Helmut Pfalz accepts plans from 10 insurance carriers

Dr. Pfalz is in network with 10 carriers, including Aetna, Blue Cross Blue Shield of Michigan and CareFirst BlueCross BlueShield. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • CareFirst BlueCross BlueShield
  • United Healthcare
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Kaiser Permanente
  • Regence Health Plans
  • +2 more carriersWith a free account

Plan types Dr. Pfalz accepts, by number of carriers

  1. Medicare9
  2. PPO6
  3. HMO4
  4. POS3
  5. EPO2
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Helmut Pfalz's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Helmut Pfalz

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Helmut Pfalz's NPI number?

Dr. Helmut Pfalz's NPI number is 1336237411. It was assigned on October 11, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Helmut Pfalz?

Dr. Helmut Pfalz is a general surgeon in Prince Frederick, Maryland. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).

Where does Dr. Helmut Pfalz practice?

Dr. Pfalz practices at 985 Prince Frederick Boulevard, Suite 104, Prince Frederick, MD 20678. Dr. Pfalz's primary practice is Calvert Digestive Disease Associates, Endoscopy and Surgery Center in Prince Frederick, Maryland. Dmand AI also links Dr. Pfalz to 1 physician office and 1 group practice or clinic.

What is Dr. Helmut Pfalz's office phone number?

The practice phone on file for Dr. Pfalz is (443) 975-7966.

What is Dr. Helmut Pfalz's medical license number?

Dr. Pfalz's Maryland license number on file is D0059467, one of the licenses on file in 3 states.

Which states has Dr. Helmut Pfalz been licensed in?

Dmand AI has state licenses on file for Dr. Pfalz in Maryland (2002 to 2025), New Hampshire (since 2007) and Ohio (2000 to 2006).

Which hospitals is Dr. Helmut Pfalz affiliated with?

Dr. Pfalz is affiliated with CalvertHealth Medical Center.

What medical group is Dr. Helmut Pfalz part of?

Dr. Pfalz is linked to CalvertHealth Medical Group.

Does Dr. Helmut Pfalz accept Medicare?

Yes. CMS data shows Dr. Pfalz billed Medicare for 763 services in 2024, and Dr. Pfalz accepts Medicare assignment.

What is Dr. Helmut Pfalz's MIPS score?

Dr. Pfalz's MIPS final score for performance year 2024 is 86 out of 100, reported as part of a group.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Helmut Pfalz see?

CMS counts 344 Medicare patients who saw Dr. Pfalz in 2024, with an average age of 74.

Is Dr. Helmut Pfalz board certified?

Yes. Dr. Pfalz is board certified in surgery by the American Board of Surgery.

What services does Dr. Helmut Pfalz bill to Medicare?

In 2024, Dr. Pfalz's most billed Medicare services were office visit, established patient (99213), office visit, new patient (99203) and office visit, established patient (99214).

Where did Dr. Helmut Pfalz go to medical school?

Dr. Pfalz graduated from University of Ulm Faculty of Medicine in 1994.

What drugs does Dr. Helmut Pfalz prescribe most?

In 2024 Medicare Part D data, Dr. Pfalz's most prescribed drugs by claims were Hydrocodone-Acetaminophen.

Has Dr. Helmut Pfalz received payments from drug or device companies?

CMS Open Payments shows $5,465 in general payments to Dr. Pfalz from 5 companies from 2016 to 2025. The largest total came from Intuitive Surgical, Inc.

How long has Dr. Helmut Pfalz been practicing?

Dr. Pfalz graduated from medical school in 1994, 32 years ago.

What insurance does Dr. Helmut Pfalz accept?

Dr. Pfalz is in network with 10 carriers, including Aetna, Blue Cross Blue Shield of Michigan and CareFirst BlueCross BlueShield. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

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