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KENNETH S HELMER MD
NPI 1497785356
Surgery in Tyler, TX

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
612 S FLEISHEL AVE, TYLER, TX 75701(903) 531-5560 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth S Helmer Md NPPES

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

KENNETH S HELMER MD (NPI 1497785356) is an individual surgery provider in Tyler, Texas, licensed in Texas (L1882) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Conroe, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1497785356
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKENNETH S HELMERCredential: MD
Location Address612 S FLEISHEL AVETyler, TX 75701-2012
Mailing AddressPo Box 5500Tyler, TX 75712-5500 · (903) 324-6400
Phone(903) 531-5560
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 4, 2006
Last NPPES UpdateFebruary 9, 2022
✔ NPI 1497785356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · L1882
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
612 S FLEISHEL AVE, Tyler, TX 75701
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Other Identifiers 4

Other8J9558TX · Bcbstx
OtherTIN PLU 015TX · Tricare
Medicaid148411502TX
Other8R7271TX · Bcbs Of Texas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.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

Kenneth S Helmer 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 ID749284073
PECOS Enrollment IDI20060829000301
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 2

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.

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.
50 services29 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.
23 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Conroe

Acute Care Hospitals · Conroe, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450222
Location504 Medical Center BlvdConroe, TX 77304 · Montgomery County
Emergency services Birthing friendly

Huntsville Memorial Hospital

Acute Care Hospitals · Huntsville, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450347
Location110 Memorial Hospital DriveHuntsville, TX 77340 · Walker County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

MOTHER FRANCES HOSPITAL
Surgery (Trauma Surgery)
612 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 531-5560
ADAM JUSTICE APRN, ACNPC-AG
Nurse Practitioner (Acute Care)
612 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 510-1193

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 Kenneth Helmer's NPI number?

The NPI number for Kenneth Helmer is 1497785356. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Kenneth Helmer located?

Kenneth Helmer practices at 612 S Fleishel Ave, Tyler, TX 75701. The listed phone number is (903) 531-5560.

What is Kenneth Helmer's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kenneth Helmer enrolled in Medicare?

Yes. Kenneth Helmer 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 Kenneth Helmer accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare and 3 other insurers list Kenneth Helmer 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 Kenneth Helmer affiliated with any hospitals?

According to CMS data, Kenneth Helmer is affiliated with Hca Houston Healthcare Conroe and Huntsville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Helmer was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.