1. Home
  2. Directory
  3. Missouri
  4. Kansas City
  5. Internal Medicine
  6. NPI Profile

DR. JOHN H HELZBERG M.D.
NPI 1508970120
Internal Medicine - Gastroenterology in Kansas City, MO

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
4320 WORNALL RD, SUITE 240, KANSAS CITY, MO 64111(816) 932-7900 Get Directions Write a Review

NPPES record last updated: November 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John H Helzberg M.d. NPPES

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

DR. JOHN H HELZBERG M.D. (NPI 1508970120) is an individual gastroenterology provider in Kansas City, Missouri, licensed in Missouri (R9B14) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital Of Kansas City, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1980).

NPPES Registry Identity

NPI1508970120
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JOHN H HELZBERGCredential: M.D.
Location Address4320 WORNALL RD, SUITE 240Kansas City, MO 64111-5941
Mailing Address901e 104th Street Mailstop 400nKansas City, MO 64131-4517 · (816) 599-9499 · Fax (816) 932-9670
Phone(816) 932-7900
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1980
Enumeration DateAugust 19, 2006
Last NPPES UpdateNovember 8, 2017
✔ NPI 1508970120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MO · R9B14
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4320 WORNALL RD, Kansas City, MO 64111
Open in Google Maps ↗

Other Identifiers 7

Medicaid202407912MO
Medicare PIN2956826
Medicare PIN2956826B
Medicare PINW196826MO
Medicare PIN2956826A
Other13267015Blue Cross Blue Shield Kc
Medicare UPINC51448MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc..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. John H Helzberg 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 ID8527162171
PECOS Enrollment IDI20070409000482
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 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services33 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
23 services23 patients
Measurement of liver stiffness 91200
Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

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.

CARL D DIRKS MD
Internal Medicine
4320 WORNALL RD, SUITE 65
KANSAS CITY, MO 64111
Jackson County (816) 932-6100
SATISH PONNURU MD
Plastic Surgery
4320 WORNALL RD, SUITE 513
KANSAS CITY, MO 64111
Jackson County (816) 932-4549
DR. CONSTANTINE LAN FOTOPOULOS M.D.
Physical Medicine & Rehabilitation
4320 WORNALL RD, SUITE 610
KANSAS CITY, MO 64111
Jackson County (913) 319-7600
SAINT LUKE'S HOSPITAL PHYSICIAN BILLING SERVICES, LLC
Dermatology
4320 WORNALL RD, SUITE 513
KANSAS CITY, MO 64111
Jackson County (816) 932-4500
KARA BETH SCHNEWEIS PT
Physical Therapist
4320 WORNALL RD, SUITE 710
KANSAS CITY, MO 64111
Jackson County (816) 531-5570
DR. JUSTIN VAN MEETEREN DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4320 WORNALL RD, SUITE 50
KANSAS CITY, MO 64111
Jackson County (816) 931-3312
DR. RICHARD W LUSTIG D.O.
Internal Medicine
4320 WORNALL RD, SUITE 65
KANSAS CITY, MO 64111
Jackson County (816) 932-6100
EMILY JOHNSTON APRN
Nurse Practitioner (Family)
4320 WORNALL RD, SUITE 208
KANSAS CITY, MO 64111
Jackson County (816) 531-0552

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 John Helzberg's NPI number?

The NPI number for John Helzberg is 1508970120. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is John Helzberg located?

John Helzberg practices at 4320 Wornall Rd Suite 240, Kansas City, MO 64111. The listed phone number is (816) 932-7900.

What is John Helzberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Helzberg enrolled in Medicare?

Yes. John Helzberg 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 John Helzberg accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list John Helzberg 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 John Helzberg affiliated with any hospitals?

According to CMS data, John Helzberg is affiliated with St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for John Helzberg was last updated on November 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.