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DR. DONALD R HELFERT DDS
NPI 1477855351
Dentist - General Practice in Avon, IN

Active since November 25, 2010PECOS Enrolled
10944 EAST US HIGHWAY 36, AVON, IN 46123(765) 702-9888 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Donald R Helfert Dds NPPES

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

DR. DONALD R HELFERT DDS (NPI 1477855351) is an individual general practice provider in Avon, Indiana, licensed in Indiana (12011530A) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477855351
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DONALD R HELFERTCredential: DDS
Location Address10944 EAST US HIGHWAY 36Avon, IN 46123-7890
Mailing Address10944 East Us Highway 36Avon, IN 46123-7890 · (765) 702-9888
Phone(765) 702-9888
Sole ProprietorYes
Enumeration DateNovember 25, 2010
Last NPPES UpdateApril 20, 2012
✔ NPI 1477855351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12011530A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10944 EAST US HIGHWAY 36, Avon, IN 46123
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Other Identifiers 1

Other12011530AIN · Indiana State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Donald R Helfert Dds 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 Donald Helfert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aria Dental Care PC
451 mi
Dentist
8500 W 110TH ST STE 260
Overland Park, KS 66210
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group
NPI 1942977632 (877) 674-1211

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 46123 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Donald Helfert's NPI number?

The NPI number for Donald Helfert is 1477855351. It was assigned to this individual provider in the NPPES registry on November 25, 2010.

Where is Donald Helfert located?

Donald Helfert practices at 10944 East Us Highway 36, Avon, IN 46123. The listed phone number is (765) 702-9888.

What is Donald Helfert's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Donald Helfert enrolled in Medicare?

Yes. Donald Helfert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Helfert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Helfert reassigns Medicare benefits to Aria Dental Care PC (Overland Park, KS). 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 Donald Helfert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Helfert accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and Blue Cross and Blue Shield of Montana and 14 other insurers list Donald Helfert 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 Donald Helfert was last updated on April 20, 2012. 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.