MARK LEROY HELM MD
NPI 1275643918
Ophthalmology in Steamboat Springs, CO
About Mark Leroy Helm Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK LEROY HELM MD (NPI 1275643918) is an individual ophthalmology provider in Steamboat Springs, Colorado, licensed in Colorado (30453) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1983).
NPPES Registry Identity
Specialties & Licenses
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Other Identifiers 2
Accepted 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
Mark Leroy Helm 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.
Areas of Expertise CMS Part B claims 11
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 80487 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 2
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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STEAMBOAT SPRINGS, CO 80487
STEAMBOAT SPRINGS, CO 80487
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 Mark Helm's NPI number?
The NPI number for Mark Helm is 1275643918. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Mark Helm located?
Mark Helm practices at 505 Anglers Dr Suite 202, Steamboat Springs, CO 80487. The listed phone number is (970) 879-3750.
What is Mark Helm's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Mark Helm enrolled in Medicare?
Yes. Mark 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.
What insurance does Mark Helm accept?
Health plans from UnitedHealthcare list Mark Helm 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.
When was this NPI record last updated?
The NPPES record for Mark Helm was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.