GLENN EDWARD HELTON D.C.,C.C.S.P
NPI 1013095546
Chiropractor - Sports Physician in The Woodlands, TX

NPI Status: Active since November 01, 2006

Contact Information

9004 FOREST XING
STE.C
THE WOODLANDS, TX
ZIP 77381
Phone: (281) 298-5053
Fax: (281) 298-7867

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 27
  • Chiropractor
  • Sports Physician
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About GLENN HELTON

This page provides the complete NPI Profile along with additional information for Glenn Helton, a provider established in The Woodlands, Texas with a medical specialization in Chiropractor, focusing in sports physician and more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1013095546 assigned on November 2006. The practitioner's primary taxonomy code is 111NS0005X with license number 8447 (TX). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1013095546
Provider Name
GLENN EDWARD HELTON D.C.,C.C.S.P
Gender
Male
Entity Type
Individual
Location Address
9004 FOREST XING STE.C THE WOODLANDS, TX 77381
Location Phone
(281) 298-5053
Location Fax
(281) 298-7867
Mailing Address
9004 FOREST XING STE.C THE WOODLANDS, TX 77381
Mailing Phone
(281) 298-5053
Mailing Fax
(281) 298-7867
Medical School Name
OTHER
Graduation Year
1999
Is Sole Proprietor?
Yes
Enumeration Date
11-01-2006
Last Update Date
07-08-2007
Code Navigator

A chiropractor like Glenn Helton helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor Sports Physician

Taxonomy Code
111NS0005X
Type
Chiropractic Providers
License No.
8447
License State
TX
Taxonomy Description
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Glenn Helton is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Glenn Helton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4880604180

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120822000114

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Chiropractic manipulative treatment, 3-4 spinal regions

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

This service was performed 515 times for 57 patients

Reviews for GLENN EDWARD HELTON D.C.,C.C.S.P

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013095546, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 0 + 9 + 1 + 0 + 5 + 8 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1013095546.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Family Medicine
9004 FOREST XING, SUITE D
THE WOODLANDS, TX 77381
Optometrist (Corneal and Contact Management)
9004 FOREST XING, STE A
THE WOODLANDS, TX 77381
Optometrist
9004 FOREST XING, SUITE A
THE WOODLANDS, TX 77381
Internal Medicine
9004 FOREST XING, SUITE E
THE WOODLANDS, TX 77381
Chiropractor (Sports Physician)
9004 FOREST XING, STE. C
THE WOODLANDS, TX 77381
Family Medicine
9004 FOREST XING, STE B
THE WOODLANDS, TX 77381
Optometrist
9004 FOREST XING, SUITE A
THE WOODLANDS, TX 77381
Massage Therapist
9004 FOREST XING, SUITE C
THE WOODLANDS, TX 77381
Optometrist (Corneal and Contact Management)
9004 FOREST XING, SUITE A
THE WOODLANDS, TX 77381
Optometrist
9004 FOREST XING, SUITE A
THE WOODLANDS, TX 77381

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013095546, enumerated as an "individual" on November 01, 2006.

The provider is located at 9004 FOREST XING STE.C THE WOODLANDS, TX 77381 and the phone number is (281) 298-5053.

Chiropractor with taxonomy code 111NS0005X and a focus in Sports Physician.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Providence. Please consult your insurance carrier or call the provider to verify.