MICHELE L HELFGOTT M.D.
NPI 1285633990
Obstetrics & Gynecology in Fort Wayne, IN

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
1234 E DUPONT RD STE 3, FORT WAYNE, IN 46825(260) 672-6590(260) 672-6599 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michele L Helfgott M.d. NPPES

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

MICHELE L HELFGOTT M.D. (NPI 1285633990) is an individual obstetrics & gynecology provider in Fort Wayne, Indiana, licensed in Indiana (01044211A) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1991).

NPPES Registry Identity

NPI1285633990
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMICHELE L HELFGOTTCredential: M.D.
Location Address1234 E DUPONT RD STE 3Fort Wayne, IN 46825-1545
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 672-6599
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1991
Enumeration DateJuly 15, 2005
Last NPPES UpdateNovember 15, 2022
NPPES CertifiedNovember 15, 2022
NPI 1285633990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IN · 01044211A
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.
1234 E DUPONT RD STE 3, Fort Wayne, IN 46825

Other Identifiers 6

Other000000511560IN · Anthem Provider Id# - Whc
Other000000595616IN · Anthem
Medicaid200060320AIN
Medicaid200292470IN
Other3013269IN · Oh Medicaid
OtherP00711628IN · Medicare Railroad

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

Michele L Helfgott 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 ID8123089372
PECOS Enrollment IDI20041021000706
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
133 services69 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.
45 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151310
Location10 John Kissinger DriveWabash, IN 46992 · Wabash County
Emergency services Birthing friendly

Cameron Memorial Community Hospital Inc

Critical Access Hospitals · Angola, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151315
Location416 E Maumee StAngola, IN 46703 · Steuben County
Emergency services Birthing friendly

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN
OwnershipGovernment - Local
CMS Certification Number151330
Location1100 Mercer AveDecatur, IN 46733 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Nurse Practitioner
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Nurse Practitioner
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Nurse Practitioner
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Dietitian, Registered
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Nurse Practitioner
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Family Medicine
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Physician Assistant
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825

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 Michele Helfgott's NPI number?

The NPI number for Michele Helfgott is 1285633990. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Michele Helfgott located?

Michele Helfgott practices at 1234 E Dupont Rd Ste 3, Fort Wayne, IN 46825. The listed phone number is (260) 672-6590.

What is Michele Helfgott's specialty?

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

Is Michele Helfgott enrolled in Medicare?

Yes. Michele Helfgott 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 Michele Helfgott accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Michele Helfgott 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 Michele Helfgott affiliated with any hospitals?

According to CMS data, Michele Helfgott is affiliated with Parkview Regional Medical Center, Parkview Whitley Hospital, Parkview Wabash Hospital, Inc, Cameron Memorial Community Hospital Inc and Adams Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michele Helfgott was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.