DR. CHARLES BRIAN HELM M.D.
NPI 1194732990
Obstetrics & Gynecology in Wallingford, CT

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
185 CENTER ST, SUITE H, WALLINGFORD, CT 06492(203) 284-1060(203) 284-3161 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Brian Helm M.d. NPPES

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

DR. CHARLES BRIAN HELM M.D. (NPI 1194732990) is an individual obstetrics & gynecology provider in Wallingford, Connecticut, licensed in Connecticut (025660) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (1980).

NPPES Registry Identity

NPI1194732990
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. CHARLES BRIAN HELMCredential: M.D.
Location Address185 CENTER ST, SUITE HWallingford, CT 06492-4100
Mailing Address303 Lincoln DrCheshire, CT 06410-2115 · (203) 284-1060 · Fax (203) 284-3161
Fax(203) 284-3161
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1980
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1194732990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CT · 025660
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
185 CENTER ST, Wallingford, CT 06492

Other Identifiers 1

Medicare UPIND03067CT

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. Charles Brian Helm 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 ID3678761145
PECOS Enrollment IDI20101228000408
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 4

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
48 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services37 patients
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.
19 services13 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06492 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.17
Promoting Interoperability100
Improvement Activities40
Cost73.04

Reported Quality Measures

Breast Cancer Screening
90%554 patients4/55-star benchmark: 93%
Cervical Cancer Screening
93%894 patients4/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
31%1,084 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
92%1,152 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%1,230 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 986 patients
0%986 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Obstetrics & Gynecology
185 CENTER ST, SUITE H
WALLINGFORD, CT 06492
Clinic/Center (Health Service)
185 CENTER ST, SUITE 1B
WALLINGFORD, CT 06492
Nurse Practitioner (Psychiatric/Mental Health)
185 CENTER ST
WALLINGFORD, CT 06492
Specialist
185 CENTER ST, SUITE H
WALLINGFORD, CT 06492
Obstetrics & Gynecology
185 CENTER ST, SUITE H
WALLINGFORD, CT 06492
Obstetrics & Gynecology
185 CENTER ST, SUITE H
WALLINGFORD, CT 06492
Obstetrics & Gynecology
185 CENTER ST, SUITE H.
WALLINGFORD, CT 06492
Psychiatry & Neurology (Psychiatry)
185 CENTER ST, SUITE F
WALLINGFORD, CT 06492

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 Charles Helm's NPI number?

The NPI number for Charles Helm is 1194732990. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Charles Helm located?

Charles Helm practices at 185 Center St Suite H, Wallingford, CT 06492. The listed phone number is (203) 284-1060.

What is Charles Helm's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Charles Helm enrolled in Medicare?

Yes. Charles Helm 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.

When was this NPI record last updated?

The NPPES record for Charles Helm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.