JAMES A HELGAGER MD
NPI 1316907413
Orthopaedic Surgery in Oceanside, CA

Active since March 24, 2006PECOS Enrolled
52.12/100
CMS Quality Rating
3905 WARING RD, OCEANSIDE, CA 92056(760) 724-9000(760) 724-3686 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James A Helgager Md NPPES

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

JAMES A HELGAGER MD (NPI 1316907413) is an individual orthopaedic surgery provider in Oceanside, California, licensed in California (C35434) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316907413
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES A HELGAGERCredential: MD
Location Address3905 WARING RDOceanside, CA 92056-4405
Mailing Address3905 Waring RdOceanside, CA 92056-4405 · (760) 724-9000 · Fax (760) 724-3686
Fax(760) 724-3686
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateOctober 2, 2012
NPI 1316907413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · C35434
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

3905 WARING RD, Oceanside, CA 92056

Other Identifiers 4

Medicare UPINA35984CA
Medicare ID-Type UnspecifiedWC35434ACA · Mcare Prov Number
Medicare ID-Type Unspecified200008563CA · Medicare Railroad
MedicaidZZZ72841ZCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

James A Helgager Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92056 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

52.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.9
Promoting Interoperability37
Improvement Activities40
Cost39

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers14 claims14 services$48.81 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.

Physician Assistant
3905 WARING RD
OCEANSIDE, CA 92056
Physician Assistant (Surgical)
3905 WARING RD
OCEANSIDE, CA 92056
Physician Assistant (Medical)
3905 WARING RD
OCEANSIDE, CA 92056
Physician Assistant
3905 WARING RD
OCEANSIDE, CA 92056
Physical Medicine & Rehabilitation
3905 WARING RD
OCEANSIDE, CA 92056
Physical Therapist (Orthopedic)
3905 WARING RD
OCEANSIDE, CA 92056
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3905 WARING RD
OCEANSIDE, CA 92056
Nurse Practitioner (Family)
3905 WARING RD
OCEANSIDE, CA 92056

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 James Helgager's NPI number?

The NPI number for James Helgager is 1316907413. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is James Helgager located?

James Helgager practices at 3905 Waring Rd, Oceanside, CA 92056. The listed phone number is (760) 724-9000.

What is James Helgager's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Helgager enrolled in Medicare?

Yes. James Helgager is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Helgager was last updated on October 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.