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DR. RICHARD HELMS MD PHD
NPI 1174085054
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Kansas City, MO

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000(816) 302-9939 Get Directions Write a Review

NPPES record last updated: December 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2025, Jul 12, 2023, Oct 22, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Richard Helms Md Phd NPPES

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

DR. RICHARD HELMS MD PHD (NPI 1174085054) is an individual pediatric ophthalmology and strabismus specialist in Kansas City, Missouri, licensed in Missouri (2024032562) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Children's Mercy South, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174085054
Entity TypeIndividualMale
Primary Taxonomy207WX0110X
Provider Legal NameDR. RICHARD HELMSCredential: MD PHD
Location Address2401 GILLHAM RDKansas City, MO 64108-4619
Mailing Address2401 Gillham Rd, Provider Enrollment DeptKansas City, MO 64108-4619 · (816) 701-5200 · Fax (816) 302-9939
Phone(816) 234-3000
Fax(816) 302-9939
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateDecember 6, 20254 updates tracked since enumeration
NPPES CertifiedDecember 6, 2025
✔ NPI 1174085054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
Licenses✔ Licensed in MO · 2024032562✔ Licensed in KS · 04-49827
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
2401 GILLHAM RD, Kansas City, MO 64108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and more.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. Richard Helms Md Phd 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 ID1951635218
PECOS Enrollment IDI20241015001987, I20260326001726
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Richard Helms reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Children's Mercy Hospital
Same address
Pediatrics
2401 GILLHAM RD
Kansas City, MO 64108
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • Medicare enrollment name: The Childrens Mercy Hospital
  • 394 clinicians in this Medicare group
NPI 1851437719 (816) 234-3000
Mercy Clinic Springfield Communities
90 mi
Rural Health
309 E HOSPITAL RD
El Dorado Springs, MO 64744
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1245277631 (Missouri)
  • 1,487 clinicians in this Medicare group
NPI 1851427785 (417) 876-5851
Mercy Clinic Joplin LLC
133 mi
Family Medicine
101 W SYCAMORE ST
Columbus, KS 66725
  • Reassigned Medicare billing, Missouri enrollment
  • 562 clinicians in this Medicare group
NPI 1043547474 (620) 429-3636
Regents Of The University Of Michigan
610 mi
Ophthalmology
1000 WALL STREET
Ann Arbor, MI 48105
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group
NPI 1568495299 (734) 763-1415

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Children's Mercy South

Childrens · Overland Park, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number173300
Location5808 W 110th StreetOverland Park, KS 66211 · Johnson County

The Children's Mercy Hospital

Childrens · Kansas City, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number263302
Location2401 Gillham RoadKansas City, MO 64108 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

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.

RYAN A ROMANS MD
Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
JENNIFER BITNER MSN, APRN, FNP-C
Nurse Practitioner (Family)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (913) 234-3000
SAMIRA NAIME M.D.
Pediatrics (Sleep Medicine)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
MICHELLE RENEE MIDDLETON AU.D.
Audiologist
2401 GILLHAM RD, HEARING AND SPEECH CLINIC
KANSAS CITY, MO 64108
Jackson County (816) 960-4009
MRS. SHERILYN KELLY APRN
Nurse Practitioner (Neonatal, Critical Care)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
MADALYN NICOLE SINGLETON DO
Student in an Organized Health Care Education/Training Program
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
EMMA LYNNE WORLEY CAA
Anesthesiologist Assistant
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
DR. FAYTH WALBRIDGE PHD
Psychologist (Clinical)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (308) 655-0842

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 Richard Helms's NPI number?

The NPI number for Richard Helms is 1174085054. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Richard Helms located?

Richard Helms practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 234-3000.

What is Richard Helms's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Richard Helms enrolled in Medicare?

Yes. Richard Helms 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 Richard Helms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Helms reassigns Medicare benefits to 4 organizations: The Children's Mercy Hospital (Kansas City, MO), Mercy Clinic Springfield Communities (El Dorado Springs, MO), Mercy Clinic Joplin LLC (Columbus, KS) and Regents Of The University Of Michigan (Ann Arbor, MI). 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 Richard Helms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Helms accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Richard Helms 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.

Is Richard Helms affiliated with any hospitals?

According to CMS data, Richard Helms is affiliated with Children's Mercy South and The Children's Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Richard Helms was last updated on December 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.