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DR. MICHELLE ALANE HELTON DO, MBA
NPI 1194257378
Family Medicine in Camdenton, MO

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
82.13/100
CMS Quality Rating
1930 N BUSINESS ROUTE 5, CAMDENTON, MO 65020(573) 346-5654(573) 346-1957 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2026, Sep 9, 2025, Sep 3, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Michelle Alane Helton Do, Mba NPPES

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

DR. MICHELLE ALANE HELTON DO, MBA (NPI 1194257378) is an individual family medicine provider in Camdenton, Missouri, licensed in Missouri (2018023719) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital Jefferson City, and maintains 12 additional practice locations.

NPPES Registry Identity

NPI1194257378
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHELLE ALANE HELTONCredential: DO, MBA
Location Address1930 N BUSINESS ROUTE 5Camdenton, MO 65020-2659
Mailing Address54 Hospital DrOsage Beach, MO 65065-3050 · (573) 346-5624
Phone(573) 346-5654
Fax(573) 346-1957
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateJune 3, 20265 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1194257378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2018023719
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.

1930 N BUSINESS ROUTE 5, Camdenton, MO 65020
Open in Google Maps ↗

Secondary Practice Locations 12

Location 11000 E Primrose St Ste 170Springfield, MO 65807-5192 · Phone (417) 269-0930
Location 21601 Branson Hills Pkwy Ste 130Branson, MO 65616-9821 · Phone (417) 348-8400
Location 33525 E Battlefield StSpringfield, MO 65809-3434 · Phone (417) 269-0065
Location 4501 N Old Wilderness RdNixa, MO 65714-9490 · Phone (417) 269-2150
Location 51819 S National AveSpringfield, MO 65804-2217 · Phone (417) 269-2700
Location 61423 N Jefferson AveSpringfield, MO 65802-1917 · Phone (417) 269-4636
Location 73801 S National AveSpringfield, MO 65807-5210 · Phone (417) 269-9812
Location 85100 N Towne Centre DrOzark, MO 65721-7479 · Phone (417) 581-6411
Location 9510 Highway 32 Ste BLebanon, MO 65536-5342 · Phone (417) 730-5650
Location 10525 Branson Landing Blvd Ste 100Branson, MO 65616-2152 · Phone (417) 348-8646
Location 112200 E Cleveland StMonett, MO 65708-6149 · Phone (417) 354-1570
Location 12311 E Matthews AveJonesboro, AR 72401-3125 · Phone (870) 972-0063

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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. Michelle Alane Helton Do, Mba 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 ID5092085787
PECOS Enrollment IDI20200817000150
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services19 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole County
Emergency services Birthing friendly

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65020 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

82.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.14
Promoting Interoperability100
Improvement Activities40
Cost61.46

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$19.87 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
1 supplier16 claims16 services$116.36 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 9

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

JAMES J.L. NEILL M.D.
Family Medicine
1930 N BUSINESS ROUTE 5, UNIT 1A
CAMDENTON, MO 65020
Camden County (573) 346-5624
DR. LINDA S JABBARI DO
Family Medicine
1930 N BUSINESS ROUTE 5, UNIT 1A
CAMDENTON, MO 65020
Camden County (573) 346-5624
ALEX CLARKE DO
Family Medicine
1930 N BUSINESS ROUTE 5
CAMDENTON, MO 65020
Camden County (573) 346-5624
LAKE REGIONAL HEALTH SYSTEM
Clinic/Center (Rural Health)
1930 N BUSINESS ROUTE 5, UNIT 1A
CAMDENTON, MO 65020
Camden County (573) 346-5624
DR. MICHAEL H LEDBETTER DO
Family Medicine (Geriatric Medicine)
1930 N BUSINESS ROUTE 5, UNIT 1A
CAMDENTON, MO 65020
Camden County (573) 346-5624
CAROLINE ELIZABETH CAMPBELL M.D.
Pediatrics
1930 N BUSINESS ROUTE 5
CAMDENTON, MO 65020
Camden County (573) 346-5624
DR. SHARI LEUWERKE NEILL MD
Pediatrics
1930 N BUSINESS ROUTE 5, UNIT 1A
CAMDENTON, MO 65020
Camden County (573) 346-5624
DR. ANTON KOSOV M.D.
Internal Medicine
1930 N BUSINESS ROUTE 5
CAMDENTON, MO 65020
Camden County (573) 346-5624

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 Michelle Helton's NPI number?

The NPI number for Michelle Helton is 1194257378. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Michelle Helton located?

Michelle Helton practices at 1930 N Business Route 5, Camdenton, MO 65020. The listed phone number is (573) 346-5654.

What is Michelle Helton's specialty?

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

Is Michelle Helton enrolled in Medicare?

Yes. Michelle 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.

What insurance does Michelle Helton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Michelle Helton 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 Michelle Helton affiliated with any hospitals?

According to CMS data, Michelle Helton is affiliated with Ssm Health St Mary's Hospital Jefferson City, Cox Medical Centers and Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Michelle Helton was last updated on June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.