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

Q: 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.

Q: What is James Helgager's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Helgager was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

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: October 18, 2026.

On this page

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

Phone(760) 724-9000

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Tri-City Orthopaedic Surgery Medical Group Inc

Same address

Orthopaedic Surgery

3905 WARING RD
Oceanside, CA 92056

Reassigned Medicare billing, California enrollment
30 clinicians in this Medicare group

NPI 1861451445 (760) 724-9000

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

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

Quality

53.9

Promoting Interoperability

Improvement Activities

Cost

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.

KEVIN REUSCH PA-C

Physician Assistant