DR. HUGHES MONTGOMERY HELM M.D.
NPI 1336368737
Family Medicine in Bayboro, NC

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
606 MAIN ST, BAYBORO, NC 28515(252) 745-3191(252) 745-7385 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2019, Apr 26, 2018 (2 updates tracked since 2018).

About Dr. Hughes Montgomery Helm M.d. NPPES

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

DR. HUGHES MONTGOMERY HELM M.D. (NPI 1336368737) is an individual family medicine provider in Bayboro, North Carolina, licensed in North Carolina (200201098) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and is a graduate of Duke University School Of Medicine (2000).

NPPES Registry Identity

NPI1336368737
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HUGHES MONTGOMERY HELMCredential: M.D.
Location Address606 MAIN STBayboro, NC 28515-9632
Mailing AddressPo Box 12248New Bern, NC 28561-2248 · (252) 745-3191 · Fax (252) 745-7385
Fax(252) 745-7385
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2000
Enumeration DateApril 24, 2007
Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration
NPI 1336368737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 200201098
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
606 MAIN ST, Bayboro, NC 28515

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

Dr. Hughes Montgomery Helm 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 ID8729239868
PECOS Enrollment IDI20121119000180
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 43

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 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.
876 services387 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
769 services428 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
709 services420 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
700 services418 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
584 services367 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
287 services167 patients

Hospital Affiliations CMS Care Compare

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

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28515 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers49 claims111 services$6.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers17 claims21 services$1.15 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$24.53 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers14 claims1,710 services$1.39 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$9.42 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
4 suppliers11 claims180 services$3.96 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 10

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

Internal Medicine
606 MAIN ST
BAYBORO, NC 28515
Nurse Practitioner (Family)
606 MAIN ST
BAYBORO, NC 28515
Internal Medicine
606 MAIN ST
BAYBORO, NC 28515
Neuromusculoskeletal Medicine & OMM
606 MAIN ST
BAYBORO, NC 28515
Family Medicine
606 MAIN ST
BAYBORO, NC 28515
Nurse Practitioner (Family)
606 MAIN ST
BAYBORO, NC 28515
Nurse Practitioner (Family)
606 MAIN ST
BAYBORO, NC 28515
General Practice
606 MAIN ST
BAYBORO, NC 28515

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 Hughes Helm's NPI number?

The NPI number for Hughes Helm is 1336368737. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Hughes Helm located?

Hughes Helm practices at 606 Main St, Bayboro, NC 28515. The listed phone number is (252) 745-3191.

What is Hughes Helm's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hughes Helm enrolled in Medicare?

Yes. Hughes 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 Hughes Helm accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross and Blue Shield of NC and UnitedHealthcare list Hughes 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.

Is Hughes Helm affiliated with any hospitals?

According to CMS data, Hughes Helm is affiliated with Carolina East Medical Center.

When was this NPI record last updated?

The NPPES record for Hughes Helm was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.