MICAH HELTON M.D.
NPI 1194172379
Internal Medicine in Durango, CO
About Micah Helton M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICAH HELTON M.D. (NPI 1194172379) is an individual internal medicine provider in Durango, Colorado, licensed in Colorado (DR.0065171) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Oklahoma College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
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
Micah Helton 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.
Medicare Billing Reassignment
Medicare enrollment records show Micah Helton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durango, CO 81301
- Reassigned Medicare billing, Colorado enrollment
- 1,193 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 5
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 81301 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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Micah Helton's NPI number?
The NPI number for Micah Helton is 1194172379. It was assigned to this individual provider in the NPPES registry on May 18, 2016.
Where is Micah Helton located?
Micah Helton practices at 810 E 3rd St Unit 201, Durango, CO 81301. The listed phone number is (970) 764-1790.
What is Micah Helton's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Micah Helton enrolled in Medicare?
Yes. Micah Helton 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 organization bills Medicare for Micah Helton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Micah Helton reassigns Medicare benefits to Catholic Health Initiatives Colorado (Durango, CO). The 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 Micah Helton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Micah Helton was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Micah Helton, M.D. · NPI 1194172379
Internal Medicine physician in Durango, Colorado. Individual provider, active in the CMS NPPES registry since May 18, 2016.
## Identity
- **NPI:** 1194172379 (Entity type: Individual)
- **Enumerated:** May 18, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** DR.0065171 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 810 E 3RD ST UNIT 201, Durango, CO 81301-5759
- **Phone:** (970) 764-1790
## 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:** Catholic Health Initiatives Colorado (NPI 1396044681, Durango, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Oklahoma College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** March 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194172379) · Data from the CMS NPPES public registry.