DR. HELEN R THORNTON MD
NPI 1558301697
Family Medicine in Gibsonia, PA

Q: What is Helen Thornton's NPI number?

The NPI number for Helen Thornton is 1558301697. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Helen Thornton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Helen Thornton was last updated on September 14, 2011. 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.

Active since June 07, 2006PECOS Enrolled

90.63/100

CMS Quality Rating

5548 WILLIAM FLYNN HWY, GIBSONIA, PA 15044(724) 444-6330(724) 444-0607 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Helen R Thornton Md NPPES

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

DR. HELEN R THORNTON MD (NPI 1558301697) is an individual family medicine provider in Gibsonia, Pennsylvania, licensed in Pennsylvania (MD036525E) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558301697

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. HELEN R THORNTONCredential: MD

Location Address5548 WILLIAM FLYNN HWYGibsonia, PA 15044-9315

Mailing Address5548 Wm Flynn HighwayGibsonia, PA 15044 · (724) 444-6330 · Fax (724) 444-0607

Phone(724) 444-6330

Fax(724) 444-0607

Sole ProprietorYes

Enumeration DateJune 7, 2006

Last NPPES UpdateSeptember 14, 2011

✔ NPI 1558301697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD036525E

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.

5548 WILLIAM FLYNN HWY, Gibsonia, PA 15044

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Other Identifiers 4

Medicare ID-Type Unspecified035352PA

Medicaid0011481760001PA

Medicare UPINB33998PA

Other035352PA · Highmark

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Helen R Thornton Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15044 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

90.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.33

Promoting Interoperability

100

Improvement Activities

Cost

81.45

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers21 claims34 services$6.01 avg. paid by Medicare

Oropharyngeal suction catheter, each A4628

DME-Other DME · category DE000N

1 supplier11 claims132 services$3.54 avg. paid by Medicare

Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims660 services$0.04 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

1 supplier13 claims31 services$3.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

DR. SARAH M GILMOUR MD

Family Medicine