DR. ROBIN L HELM MD
NPI 1073564811
Family Medicine in Milwaukee, WI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER, MILWAUKEE, WI 53209(414) 527-8191(414) 527-8046 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Robin L Helm Md NPPES

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

DR. ROBIN L HELM MD (NPI 1073564811) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (36948) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1994).

NPPES Registry Identity

NPI1073564811
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBIN L HELMCredential: MD
Location Address2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTERMilwaukee, WI 53209-4901
Mailing Address2400 W Villard Ave, Wfhc Glendale Family CenterMilwaukee, WI 53209-4901 · (414) 527-8191 · Fax (414) 527-8046
Fax(414) 527-8046
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1994
Enumeration DateMay 15, 2006
Last NPPES UpdateFebruary 26, 2014
NPI 1073564811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 36948
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2400 W VILLARD AVE, Milwaukee, WI 53209

Other Identifiers 4

Medicare PIN018H 73-601WI
Medicaid1073564811WI
Medicare UPING59692
Other002000226VHumana

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

Dr. Robin L Helm 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 ID9234033747
PECOS Enrollment IDI20031125000493
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53209 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims38 services$6.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

General Acute Care Hospital
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Psychologist (Family)
2400 W VILLARD AVE, WHEATON FRANCISCAN GLENDALE FAMILY CARE CENTER
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Case Manager/Care Coordinator
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Nurse Practitioner (Family)
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Psychologist (Clinical Child & Adolescent)
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Case Manager/Care Coordinator
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209

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 Robin Helm's NPI number?

The NPI number for Robin Helm is 1073564811. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Robin Helm located?

Robin Helm practices at 2400 W Villard Ave Wfhc Glendale Family Center, Milwaukee, WI 53209. The listed phone number is (414) 527-8191.

What is Robin Helm's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robin Helm enrolled in Medicare?

Yes. Robin Helm 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 Robin Helm accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Robin Helm 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 Robin Helm was last updated on February 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.