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DR. MARY BETH OGLE HELTON M.D.
NPI 1477524999
Pediatrics in Raleigh, NC

Active since February 01, 2006PECOS Enrolled
2605 BLUE RIDGE ROAD, SUITE 100, RALEIGH, NC 27607(919) 881-9009(919) 881-8463 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mary Beth Ogle Helton M.d. NPPES

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

DR. MARY BETH OGLE HELTON M.D. (NPI 1477524999) is an individual pediatrics provider in Raleigh, North Carolina, licensed in North Carolina (9600309) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477524999
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARY BETH OGLE HELTONCredential: M.D.
Location Address2605 BLUE RIDGE ROAD, SUITE 100Raleigh, NC 27607-6678
Mailing Address2605 Blue Ridge Rd Ste 100Raleigh, NC 27607-6475 · (919) 881-9009 · Fax (919) 881-8463
Phone(919) 881-9009
Fax(919) 881-8463
Sole ProprietorNo
Enumeration DateFebruary 1, 2006
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1477524999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 9600309
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 9600309 (NC)
2605 BLUE RIDGE ROAD, Raleigh, NC 27607
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Other Identifiers 2

Medicaid891056MNC
Other1056MNC · Bluecrossblueshield Ins

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Beth Ogle Helton M.d. 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 Mary Beth Helton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke University Affiliated Physicians, Inc
0.2 mi
Obstetrics & Gynecology
2406 BLUE RIDGE RD, SUITE 250
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 636 clinicians in this Medicare group
NPI 1225372246 (919) 954-4160

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 27607 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.

Other Providers at the Same Location NPPES 2

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

DR. MARJA-LEENA EMMET M.D.
Pediatrics (Adolescent Medicine)
2605 BLUE RIDGE ROAD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 881-9009
DR. ALEXIS JESUS HERNANDEZ MD
Student in an Organized Health Care Education/Training Program
2605 BLUE RIDGE ROAD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 881-9009

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 Mary Beth Helton's NPI number?

The NPI number for Mary Beth Helton is 1477524999. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Mary Beth Helton located?

Mary Beth Helton practices at 2605 Blue Ridge Road Suite 100, Raleigh, NC 27607. The listed phone number is (919) 881-9009.

What is Mary Beth Helton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Beth Helton enrolled in Medicare?

Yes. Mary Beth Helton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Beth Helton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Beth Helton reassigns Medicare benefits to Duke University Affiliated Physicians, Inc (Raleigh, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Beth Helton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Beth Helton accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Mary Beth Helton 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.

When was this NPI record last updated?

The NPPES record for Mary Beth Helton was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.