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MR. BENJAMIN REED HELMS
NPI 1194958942
Hospitalist in Knoxville, TN

Active since August 27, 2009PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1924 ALCOA HWY, U56, KNOXVILLE, TN 37920(865) 305-9081(865) 305-8769 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 19, 2017 (3 updates tracked since 2017).

About Mr. Benjamin Reed Helms NPPES

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

MR. BENJAMIN REED HELMS (NPI 1194958942) is an individual hospitalist provider in Knoxville, Tennessee, licensed in Tennessee (2361) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1194958942
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMR. BENJAMIN REED HELMS
Location Address1924 ALCOA HWY, U56Knoxville, TN 37920-1511
Mailing AddressPo Box 440426Knoxville, TN 37244-0426 · (865) 670-6199 · Fax (865) 670-6198
Phone(865) 305-9081
Fax(865) 305-8769
Sole ProprietorYes
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2009
Enumeration DateAugust 27, 2009
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1194958942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TN · 2361
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1924 ALCOA HWY, Knoxville, TN 37920
Open in Google Maps ↗

Secondary Practice Location 1

Location 11924 Alcoa HwyKnoxville, TN 37920-1511 · Phone (865) 305-9081

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Mr. Benjamin Reed Helms 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 ID2466617162
PECOS Enrollment IDI20120703000014
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 6

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.
279 services112 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
199 services98 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
80 services80 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services44 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
43 services42 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

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 supplier27 claims27 services$81.57 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 20

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

MRS. SUSANNE LORI MITCHELL RN
Registered Nurse (Obstetric, High-Risk)
1924 ALCOA HWY, 6S
KNOXVILLE, TN 37920
Knox County (865) 305-8888
DR. FELIX JOSEPH NEPVEUX V M.D.
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY, UNIV. OF TENNESSEE MEDICAL CENTER, DEPT. OF PATHOLOGY
KNOXVILLE, TN 37920
Knox County (864) 498-8960
DR. SPENCER PUGH M.D.
Internal Medicine (Pulmonary Disease)
1924 ALCOA HWY, DEPARTMENT OF MEDICINE U-114 GSM, UTMCK
KNOXVILLE, TN 37920
Knox County (865) 305-9340
CAITLIN TABLER LOWE
Nurse Practitioner (Gerontology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-7255
JOAN JAKAB
Pharmacist
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-5337
UNIVERSITY PATHOLOGISTS, P.C.
Pathology (Anatomic Pathology & Clinical Pathology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-9080
DAPHNE M. NORWOOD, MD
Internal Medicine
1924 ALCOA HWY, BOX U114
KNOXVILLE, TN 37920
Knox County (865) 305-9349
ALEJANDRO CONDE
Nurse Anesthetist, Certified Registered
1924 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-9000

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 Benjamin Helms's NPI number?

The NPI number for Benjamin Helms is 1194958942. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Where is Benjamin Helms located?

Benjamin Helms practices at 1924 Alcoa Hwy U56, Knoxville, TN 37920. The listed phone number is (865) 305-9081.

What is Benjamin Helms's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Benjamin Helms enrolled in Medicare?

Yes. Benjamin 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.

What insurance does Benjamin Helms accept?

Health plans from AvMed list Benjamin 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 Benjamin Helms affiliated with any hospitals?

According to CMS data, Benjamin Helms is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Benjamin Helms was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.