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DR. PETER J HELTON DO
NPI 1295775872
Dermatology in Newport Beach, CA

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
1901 WESTCLIFF DR STE 2, NEWPORT BEACH, CA 92660(949) 646-3376(949) 646-3303 Get Directions Write a Review

NPPES record last updated: November 22, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2017, Nov 16, 2017, Nov 12, 2015 (3 updates tracked since 2015).

About Dr. Peter J Helton Do NPPES

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

DR. PETER J HELTON DO (NPI 1295775872) is an individual dermatology provider in Newport Beach, California, licensed in California (20A6853) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1991).

NPPES Registry Identity

NPI1295775872
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. PETER J HELTONCredential: DO
Location Address1901 WESTCLIFF DR STE 2Newport Beach, CA 92660-5505
Mailing Address1901 Westcliff Dr Ste 2Newport Beach, CA 92660-5505 · (949) 646-3376 · Fax (949) 646-3303
Phone(949) 646-3376
Fax(949) 646-3303
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1991
Enumeration DateJune 8, 2006
Last NPPES UpdateNovember 22, 20173 updates tracked since enumeration
✔ NPI 1295775872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · 20A6853
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1901 WESTCLIFF DR STE 2, Newport Beach, CA 92660
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Other Identifiers 2

Medicare UPINF49090CA
Other20A6853CA · Osteopathic Medical Board

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter J Helton Do 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 ID2860592607
PECOS Enrollment IDI20070710000411
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.

Medicare Billing Reassignment

Medicare enrollment records show Peter Helton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peter Helton Professional Corporation
0.1 mi
Dermatology
1901 WESTCLIFF DR, 2
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1023153277 (949) 646-3376

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
636 services68 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.
178 services96 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
120 services75 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
80 services46 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
69 services37 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
39 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 3

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

DR. MICHAEL B. HURWITZ M.D.
Surgery
1901 WESTCLIFF DR STE 2
NEWPORT BEACH, CA 92660
Orange County (949) 631-4890
SARAH BOBICH PA-C
Physician Assistant
1901 WESTCLIFF DR STE 2
NEWPORT BEACH, CA 92660
Orange County (949) 646-3376
MARGUERITE JOANNA CRITELLI MD
Dermatology
1901 WESTCLIFF DR STE 2
NEWPORT BEACH, CA 92660
Orange County (949) 646-3376

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 Peter Helton's NPI number?

The NPI number for Peter Helton is 1295775872. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Peter Helton located?

Peter Helton practices at 1901 Westcliff Dr Ste 2, Newport Beach, CA 92660. The listed phone number is (949) 646-3376.

What is Peter Helton's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Peter Helton enrolled in Medicare?

Yes. Peter Helton 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.

Which organization bills Medicare for Peter Helton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Helton reassigns Medicare benefits to Peter Helton Professional Corporation (Newport Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Helton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Helton was last updated on November 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.