DR. THOMAS EDWARD HELFST DDS
NPI 1073568556
Dentist - Oral and Maxillofacial Surgery in Rochester, NY
About Dr. Thomas Edward Helfst Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS EDWARD HELFST DDS (NPI 1073568556) is an individual oral and maxillofacial surgery provider in Rochester, New York, licensed in New York (045154) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of State Un Of Ny, Stony Brook School Of Dental Med (1993).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Thomas Edward Helfst Dds 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.
Medicare Billing Reassignments
4Medicare enrollment records show Thomas Helfst reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14621
- Reassigned Medicare billing, New York enrollment
- 1,030 clinicians in this Medicare group
Rochester, NY 14621
- Reassigned Medicare billing, New York enrollment
- 2,285 clinicians in this Medicare group
Clifton Springs, NY 14432
- Reassigned Medicare billing, New York enrollment
- 872 clinicians in this Medicare group
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ROCHESTER, NY 14621
ROCHESTER, NY 14621
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 Thomas Helfst's NPI number?
The NPI number for Thomas Helfst is 1073568556. It was assigned to this individual provider in the NPPES registry on May 23, 2006.
Where is Thomas Helfst located?
Thomas Helfst practices at 1455 E Ridge Rd, Rochester, NY 14621. The listed phone number is (585) 922-4103.
What is Thomas Helfst's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Thomas Helfst enrolled in Medicare?
Yes. Thomas Helfst 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.
Which organizations bill Medicare for Thomas Helfst's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Helfst reassigns Medicare benefits to 4 organizations: Western New York Medical Practice PC (Rochester, NY), Rochester General Hospital (Rochester, NY), Clifton Springs Sanitarium Co (Clifton Springs, NY) and Montefiore Medical Center (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Helfst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Helfst accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Thomas Helfst 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 Thomas Helfst was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Thomas Edward Helfst, DDS · NPI 1073568556
Oral and Maxillofacial Surgery provider in Rochester, New York. Individual provider, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1073568556 (Entity type: Individual)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 045154 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1455 E RIDGE RD, Rochester, NY 14621-2006
- **Phone:** (585) 922-4103 · **Fax:** (585) 922-4495
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Western New York Medical Practice PC (NPI 1780049957, Rochester, NY); Rochester General Hospital (NPI 1063531929, Rochester, NY); Clifton Springs Sanitarium Co (NPI 1366505463, Clifton Springs, NY); Montefiore Medical Center (NPI 1275710519, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State Un Of Ny, Stony Brook School Of Dental Med, class of 1993
## Record status
- **NPPES last updated:** January 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073568556) · Data from the CMS NPPES public registry.