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ILEANA A. HELMS MD
NPI 1225039142
Internal Medicine - Nephrology in Concord, CA

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
93.49/100
CMS Quality Rating
2485 HIGH SCHOOL AVE, SUITE 311, CONCORD, CA 94520(925) 687-7272(925) 687-1847 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2025, Mar 28, 2016 (2 updates tracked since 2016).

About Ileana A. Helms Md NPPES

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

ILEANA A. HELMS MD (NPI 1225039142) is an individual nephrology provider in Concord, California, licensed in California (A48003) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1225039142
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameILEANA A. HELMSCredential: MD
Location Address2485 HIGH SCHOOL AVE, SUITE 311Concord, CA 94520-1819
Mailing Address2485 High School Ave, Suite 311Concord, CA 94520-1819 · (925) 687-7272 · Fax (925) 687-1847
Phone(925) 687-7272
Fax(925) 687-1847
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateAugust 2, 2005
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1225039142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A48003
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2485 HIGH SCHOOL AVE, Concord, CA 94520
Open in Google Maps ↗

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

Ileana A. Helms Md 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 ID5799708558
PECOS Enrollment IDI20060106000456
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 8

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 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.
851 services95 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
613 services89 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.
344 services181 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
242 services91 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.
191 services100 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
180 services115 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94520 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

93.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.74
Improvement Activities40
Cost78.46

Reported Quality Measures

Breast Cancer Screening
70%50 patients4/55-star benchmark: 93%
Cervical Cancer Screening
31%36 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
57%124 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
68%111 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
31%68 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
31%68 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
5%547 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
47%167 patients2/55-star benchmark: 100%
HIV Screening
28%96 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
47%242 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
42%177 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 93% · 176 patients
90%176 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%149 patients4/55-star benchmark: 91%
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.

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.

Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers12 claims1,670 services$0.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers13 claims15 services$12.62 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.

CHRISTIAN NATHAN KIRMAN M.D.
Surgery (Plastic and Reconstructive Surgery)
2485 HIGH SCHOOL AVE, SUITE 222
CONCORD, CA 94520
Contra Costa County (925) 705-4900
CHRISTIAN KIRMAN, MD, INC.
Plastic Surgery
2485 HIGH SCHOOL AVE, SUITE 222
CONCORD, CA 94520
Contra Costa County (925) 705-4900
MARK DAVID LEVINE, MD, CONCORD PROFESSIONAL CORPORATION
Psychiatry & Neurology (Psychiatry)
2485 HIGH SCHOOL AVE, STE 218
CONCORD, CA 94520
Contra Costa County (925) 356-0561
WAYLAND LIM M.D.
Internal Medicine (Interventional Cardiology)
2485 HIGH SCHOOL AVE, STE 100
CONCORD, CA 94520
Contra Costa County (925) 671-0610
DR. DETLEF K. EHLING M.D.
Family Medicine
2485 HIGH SCHOOL AVE, SUITE 208
CONCORD, CA 94520
Contra Costa County (925) 682-0390
DR. COLLEEN MARIE KENNEY D.P.M.
Podiatrist (Foot & Ankle Surgery)
2485 HIGH SCHOOL AVE, STE 222
CONCORD, CA 94520
Contra Costa County (925) 685-3117
DAVID N VARON M.D.
Internal Medicine (Gastroenterology)
2485 HIGH SCHOOL AVE, SUITE 306
CONCORD, CA 94520
Contra Costa County (925) 676-6622
DR. AMARJIT SINGH DOSANJH M.D.
Plastic Surgery
2485 HIGH SCHOOL AVE, SUITE 222
CONCORD, CA 94520
Contra Costa County (925) 705-4900

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 Ileana Helms's NPI number?

The NPI number for Ileana Helms is 1225039142. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Ileana Helms located?

Ileana Helms practices at 2485 High School Ave Suite 311, Concord, CA 94520. The listed phone number is (925) 687-7272.

What is Ileana Helms's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ileana Helms enrolled in Medicare?

Yes. Ileana 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.

When was this NPI record last updated?

The NPPES record for Ileana Helms was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.