LOREN J HELMUTH MD
NPI 1023070281
Surgery in Lagrange, IN

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
207 N TOWNLINE RD STE 101, LAGRANGE, IN 46761(260) 463-2143(260) 463-9334 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2022, Apr 23, 2019 (2 updates tracked since 2019).

About Loren J Helmuth Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOREN J HELMUTH MD (NPI 1023070281) is an individual surgery provider in Lagrange, Indiana, licensed in Indiana (01066528A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1987).

NPPES Registry Identity

NPI1023070281
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameLOREN J HELMUTHCredential: MD
Location Address207 N TOWNLINE RD STE 101Lagrange, IN 46761-1325
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 463-9334
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1987
Enumeration DateApril 4, 2006
Last NPPES UpdateNovember 23, 20222 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
NPI 1023070281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IN · 01066528A
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License 17126 (SC)
207 N TOWNLINE RD STE 101, Lagrange, IN 46761

Other Identifiers 3

Medicaid200948410IN
Other000000614454IN · Anthem
OtherP00836703IN · R.r. Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Loren J Helmuth Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193828903
PECOS Enrollment IDI20090623000065
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
207 N TOWNLINE RD STE 101
LAGRANGE, IN 46761
Surgery
207 N TOWNLINE RD STE 101
LAGRANGE, IN 46761
Surgery
207 N TOWNLINE RD STE 101
LAGRANGE, IN 46761
Surgery
207 N TOWNLINE RD STE 101
LAGRANGE, IN 46761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loren Helmuth's NPI number?

The NPI number for Loren Helmuth is 1023070281. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Loren Helmuth located?

Loren Helmuth practices at 207 N Townline Rd Ste 101, Lagrange, IN 46761. The listed phone number is (260) 463-2143.

What is Loren Helmuth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Loren Helmuth enrolled in Medicare?

Yes. Loren Helmuth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Loren Helmuth accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Loren Helmuth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Loren Helmuth was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.