DR. JEFFREY JAMES HELGAGER M.D., PH.D.
NPI 1407263924
Pathology - Neuropathology in Madison, WI

Q: What is Jeffrey Helgager's NPI number?

The NPI number for Jeffrey Helgager is 1407263924. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Q: What is Jeffrey Helgager's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Neuropathology, with taxonomy code 207ZN0500X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Helgager was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 16, 2014PECOS EnrolledAccepts Medicare Assignment

77.43/100

CMS Quality Rating

600 HIGHLAND AVE, MADISON, WI 53792(608) 263-8443 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2021, Mar 3, 2020 (2 updates tracked since 2020).

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About Dr. Jeffrey James Helgager M.d., Ph.d. NPPES

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

DR. JEFFREY JAMES HELGAGER M.D., PH.D. (NPI 1407263924) is an individual neuropathology provider in Madison, Wisconsin, licensed in Wisconsin (72669-20) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Duke University School Of Medicine (2014).

NPPES Registry Identity

NPI1407263924

Entity TypeIndividualMale

Primary Taxonomy207ZN0500X

Provider Legal NameDR. JEFFREY JAMES HELGAGERCredential: M.D., PH.D.

Location Address600 HIGHLAND AVEMadison, WI 53792-6110

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 263-8443

Sole ProprietorYes

Medical School CMSDuke University School Of MedicineGraduated 2014

Enumeration DateJuly 16, 2014

Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2021

✔ NPI 1407263924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · NeuropathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZN0500X

License✔ Licensed in WI · 72669-20

Definition

A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 260190 (MA)

Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 72669-20 (WI)

600 HIGHLAND AVE, Madison, WI 53792

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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. Jeffrey James Helgager M.d., Ph.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 ID941427975

PECOS Enrollment IDI20200316001074

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 6

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.

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

104 services29 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

70 services52 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

42 services40 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

19 services13 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

18 services12 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number520098

Location600 Highland AvenueMadison, WI 53792 · Dane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

77.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.83

Promoting Interoperability

Improvement Activities

Cost

62.12

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.

JASON ALAN CHRISTENSEN PHARMD

Pharmacist

600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792

Dane County (608) 662-0817

LAURA JEAN KOPPLIN MD, PHD

Ophthalmology