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DR. HELEN SCHARKO M.D.
NPI 1437588019
Family Medicine in Roanoke, AL

Active since November 05, 2013PECOS EnrolledAccepts Medicare Assignment
965 HIGHWAY 431, ROANOKE, AL 36274(334) 863-2141(334) 863-8733 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2022, Dec 1, 2017, Dec 20, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Helen Scharko M.d. NPPES

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

DR. HELEN SCHARKO M.D. (NPI 1437588019) is an individual family medicine provider in Roanoke, Alabama, licensed in Alabama (MD.32865) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and maintains a secondary practice location in Evergreen.

NPPES Registry Identity

NPI1437588019
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HELEN SCHARKOCredential: M.D.
Location Address965 HIGHWAY 431Roanoke, AL 36274-7329
Mailing Address374 County Road 445Woodland, AL 36280-6201 · (256) 610-1928 · Fax (256) 357-0550
Phone(334) 863-2141
Fax(334) 863-8733
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 5, 2013
Last NPPES UpdateNovember 17, 20224 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
✔ NPI 1437588019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · MD.32865
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 32865 (AL)
965 HIGHWAY 431, Roanoke, AL 36274
Open in Google Maps ↗

Other Names 1

Other Name (5)Helen Hammond Md

Secondary Practice Location 1

Location 1102 Edwina StEvergreen, AL 36401-3319 · Phone (251) 578-0220 · Fax (251) 578-0223

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company.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. Helen Scharko 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 ID9032493523
PECOS Enrollment IDI20170301001146
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.

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.
62 services40 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
48 services36 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
47 services46 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
37 services27 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
25 services24 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Higgins General Hospital

Critical Access Hospitals · Bremen, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111320
Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36274 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 4

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

LAURIE ANNE BROWNING RN
Registered Nurse (Administrator)
965 HIGHWAY 431
ROANOKE, AL 36274
Randolph County (334) 863-2141
TANNER PRIMARY CARE OF ROANOKE INC
Clinic/Center (Rural Health)
965 HIGHWAY 431
ROANOKE, AL 36274
Randolph County (334) 863-2141
MRS. MARILEE AGNES PLATZEK
Nurse Practitioner (Family)
965 HIGHWAY 431
ROANOKE, AL 36274
Randolph County (334) 863-2141
MS. APRIL HARROD CRNP
Nurse Practitioner
965 HIGHWAY 431
ROANOKE, AL 36274
Randolph County (334) 863-2141

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 Helen Scharko's NPI number?

The NPI number for Helen Scharko is 1437588019. It was assigned to this individual provider in the NPPES registry on November 5, 2013. The provider is also known as Helen Hammond MD.

Where is Helen Scharko located?

Helen Scharko practices at 965 Highway 431, Roanoke, AL 36274. The listed phone number is (334) 863-2141.

What is Helen Scharko's specialty?

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

Is Helen Scharko enrolled in Medicare?

Yes. Helen Scharko 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 Helen Scharko accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Helen Scharko 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 Helen Scharko affiliated with any hospitals?

According to CMS data, Helen Scharko is affiliated with Tanner Medical Center - Carrollton and Higgins General Hospital.

When was this NPI record last updated?

The NPPES record for Helen Scharko was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.