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DR. EDWARD ALLEN HELMAN M.D.
NPI 1174636351
Family Medicine in Medford, OR

Active since August 15, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 38D0627678 · Microscopy
74.26/100
CMS Quality Rating
1017 ROYAL AVE, MEDFORD, OR 97504(541) 770-5188(541) 245-2506 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edward Allen Helman M.d. NPPES

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

DR. EDWARD ALLEN HELMAN M.D. (NPI 1174636351) is an individual family medicine provider in Medford, Oregon, licensed in Oregon (MD09729) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through December 31, 2027, and is affiliated with Asante Three Rivers Medical Center.

NPPES Registry Identity

NPI1174636351
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWARD ALLEN HELMANCredential: M.D.
Location Address1017 ROYAL AVEMedford, OR 97504-6127
Mailing Address1017 Royal AveMedford, OR 97504-6127 · (541) 770-5188 · Fax (541) 245-2506
Phone(541) 770-5188
Fax(541) 245-2506
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1971
Enumeration DateAugust 15, 2006
Last NPPES UpdateSeptember 21, 2010
✔ NPI 1174636351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD09729
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.

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License MD09729 (OR)
1017 ROYAL AVE, Medford, OR 97504
Open in Google Maps ↗

Other Identifiers 3

Medicare PINR0000WCJXTOR
Medicare UPINC92843OR
Medicaid086637OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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. Edward Allen Helman M.d. 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 ID8123015393
PECOS Enrollment IDI20100726000092
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0627678

Edward A Helman MD · Medford, OR
Active · expires Dec 31, 2027
CLIA Number38D0627678
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorEdward A. Helman MD
Laboratory Phone(541) 770-5188
Laboratory LocationEdward A Helman MD1017 Royal Ave, Medford, OR 97504
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 17

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.
467 services179 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
268 services209 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
186 services186 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
179 services179 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
137 services132 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
127 services124 patients

Hospital Affiliations CMS Care Compare 3

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Providence Medford Medical Center

Acute Care Hospitals · Medford, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380075
Location1111 Crater Lake AvenueMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

74.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality40
Improvement Activities40
Cost94.2

Referred Medical Equipment & Supplies CMS DME claims 6

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
4 suppliers13 claims40 services$6.29 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$48.09 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers14 claims74 services$2.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers53 claims53 services$16.51 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier23 claims23 services$888.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers70 claims70 services$84.05 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

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

EDWARD A. HELMAN
Family Medicine
1017 ROYAL AVE
MEDFORD, OR 97504
Jackson County (541) 770-5188

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 Edward Helman's NPI number?

The NPI number for Edward Helman is 1174636351. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Edward Helman located?

Edward Helman practices at 1017 Royal Ave, Medford, OR 97504. The listed phone number is (541) 770-5188.

What is Edward Helman's specialty?

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

Is Edward Helman enrolled in Medicare?

Yes. Edward Helman 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.

Does Edward Helman hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0627678) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Edward Helman accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Edward Helman 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 Edward Helman affiliated with any hospitals?

According to CMS data, Edward Helman is affiliated with Asante Three Rivers Medical Center, Asante Rogue Regional Medical Center and Providence Medford Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Helman was last updated on September 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.