CATHERINE G HELTSLEY MD
NPI 1386675395
Internal Medicine - Hematology & Oncology in Bowling Green, KY

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
1325 ANDREA ST, STE 107, BOWLING GREEN, KY 42104(270) 796-8881(270) 796-8558 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Catherine G Heltsley Md NPPES

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

CATHERINE G HELTSLEY MD (NPI 1386675395) is an individual hematology & oncology provider in Bowling Green, Kentucky, licensed in Kentucky (32474) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Other (1990).

NPPES Registry Identity

NPI1386675395
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameCATHERINE G HELTSLEYCredential: MD
Location Address1325 ANDREA ST, STE 107Bowling Green, KY 42104
Mailing AddressPo Box 90039Bowling Green, KY 42102-9039 · (270) 796-2189 · Fax (270) 796-9328
Fax(270) 796-8558
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 6, 2006
Last NPPES UpdateDecember 30, 2011
NPI 1386675395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in KY · 32474
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1325 ANDREA ST, Bowling Green, KY 42104

Other Identifiers 3

Medicare UPING43259
Medicare ID-Type Unspecified0546201
Other000000051608Anthem

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

Catherine G Heltsley Md 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 ID8325183080
PECOS Enrollment IDI20100305000059
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 10

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 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.
566 services188 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.
170 services58 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
108 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services36 patients
Irrigation of implanted venous access drug delivery device 96523
Irrigation of an implanted venous access drug delivery device is a procedure to clean or unblock the device. This device is implanted under your skin to allow easy, frequent, and long-term access to your veins for medication delivery. The process involves flushing the device with a sterile solution to ensure it works properly.
26 services11 patients

Hospital Affiliations CMS Care Compare 4

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

Logan Memorial Hospital

Acute Care Hospitals · Russellville, KY
OwnershipProprietary
CMS Certification Number180066
Location1625 Nashville StreetRussellville, KY 42276 · Logan County
Emergency services

The Medical Center At Franklin

Critical Access Hospitals · Franklin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181318
Location1100 Brookhaven RoadFranklin, KY 42135 · Simpson County
Emergency services

The Medical Center At Scottsville

Critical Access Hospitals · Scottsville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181324
Location456 Burnley RoadScottsville, KY 42164 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42104 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
85%184 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%288 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier15 claims1,693 services$0.35 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims15 services$12.67 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.

Audiologist
1325 ANDREA ST
BOWLING GREEN, KY 42104
Surgery
1325 ANDREA ST, STE. 209
BOWLING GREEN, KY 42104
Urology
1325 ANDREA ST, SUITE 103
BOWLING GREEN, KY 42104
Nurse Practitioner (Family)
1325 ANDREA ST
BOWLING GREEN, KY 42104
Nurse Practitioner
1325 ANDREA ST
BOWLING GREEN, KY 42104
Surgery
1325 ANDREA ST, SUITE 209
BOWLING GREEN, KY 42104
Internal Medicine (Cardiovascular Disease)
1325 ANDREA ST, STE 101
BOWLING GREEN, KY 42104
Surgery (Vascular Surgery)
1325 ANDREA ST, SUITE 203
BOWLING GREEN, KY 42104

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 Catherine Heltsley's NPI number?

The NPI number for Catherine Heltsley is 1386675395. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Catherine Heltsley located?

Catherine Heltsley practices at 1325 Andrea St Ste 107, Bowling Green, KY 42104. The listed phone number is (270) 796-8881.

What is Catherine Heltsley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Catherine Heltsley enrolled in Medicare?

Yes. Catherine Heltsley 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 Catherine Heltsley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Catherine Heltsley 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 Catherine Heltsley affiliated with any hospitals?

According to CMS data, Catherine Heltsley is affiliated with The Medical Center (bowling Green), Logan Memorial Hospital, The Medical Center At Franklin and The Medical Center At Scottsville.

When was this NPI record last updated?

The NPPES record for Catherine Heltsley was last updated on December 30, 2011. 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.