DR. DOUGLAS L HELM M.D.
NPI 1598827933
Plastic Surgery in Weymouth, MA

Q: What is Douglas Helm's NPI number?

The NPI number for Douglas Helm is 1598827933. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Douglas Helm's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Helm was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 14, 2006PECOS Enrolled

70 PLEASANT ST STE 2, WEYMOUTH, MA 02190(781) 812-0927(781) 812-0583 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Douglas L Helm M.d. NPPES

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

DR. DOUGLAS L HELM M.D. (NPI 1598827933) is an individual plastic surgery provider in Weymouth, Massachusetts, licensed in Massachusetts (235037) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2005).

NPPES Registry Identity

NPI1598827933

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. DOUGLAS L HELMCredential: M.D.

Location Address70 PLEASANT ST STE 2Weymouth, MA 02190-2427

Mailing Address70 Pleasant St Ste 2Weymouth, MA 02190-2427 · (781) 812-0927 · Fax (781) 812-0583

Phone(781) 812-0927

Fax(781) 812-0583

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2005

Enumeration DateDecember 14, 2006

Last NPPES UpdateJanuary 29, 2020

✔ NPI 1598827933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in MA · 235037

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgeryTaxonomy 208600000X · License 225069 (MA)

70 PLEASANT ST STE 2, Weymouth, MA 02190

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas L Helm M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668630104

PECOS Enrollment IDI20130705000262

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 Reassignments

Medicare enrollment records show Douglas Helm reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The South Shore Center For Plastic Reconstructive And Hand Surgery LLC

Same address

Plastic Surgery

70 PLEASANT ST STE 2
Weymouth, MA 02190

Reassigned Medicare billing, Massachusetts enrollment

NPI 1841826203 (781) 812-0927

Coastal Medical Associates

0.2 mi

Anesthesiology

55 FOGG RD
Weymouth, MA 02190

Reassigned Medicare billing, Massachusetts enrollment
671 clinicians in this Medicare group

NPI 1932175684 (781) 340-4293

Brigham & Womens Physicians Organization Inc

14 mi

Internal Medicine

75 FRANCIS ST
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
4,574 clinicians in this Medicare group

NPI 1033535497 (617) 732-5500

Dana-Farber Cancer Institute, Inc.

14 mi

General Acute Care Hospital

450 BROOKLINE AVE
Boston, MA 02215

Reassigned Medicare billing, Massachusetts enrollment
1,026 clinicians in this Medicare group

NPI 1851333686 (617) 632-3000

Martha's Vineyard Hospital, Inc.

53 mi

Critical Access

1 HOSPITAL RD
Oak Bluffs, MA 02557

Reassigned Medicare billing, Massachusetts enrollment
Also billed through NPI 1194866210 (Massachusetts)
184 clinicians in this Medicare group

NPI 1134206386 (508) 693-0410

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

220 services155 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

106 services106 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

90 services90 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.

39 services36 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

30 services25 patients

Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm 12042

This is a procedure to mend a moderate wound between 2.6-7.5 cm on your neck, hands, or feet. It involves cleaning the wound, removing any damaged tissue, and stitching it back together to promote healing and minimize scarring.

17 services17 patients

Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less 12041

This procedure involves the repair of a wound located on the neck, hands, or feet, measuring 2.5 cm or less. The process includes cleaning, closure, and dressing of the wound to promote healing and prevent infection. It is classified as 'intermediate' due to the complexity of the involved area.

14 services14 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

14 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services12 patients

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 11402

This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.

12 services11 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

12 services12 patients

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11441

This procedure involves the removal of a noncancerous skin growth on areas of the face such as the nose, lips, mouth, ears, or eyelids. The growth size is between 0.6-1.0 cm. The goal is to improve comfort, function, or appearance.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220100

Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County

Emergency services Birthing friendly

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number221300

LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02190 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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

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

THE SOUTH SHORE CENTER FOR PLASTIC RECONSTRUCTIVE AND HAND SURGERY LLC

Plastic Surgery

70 PLEASANT ST STE 2
WEYMOUTH, MA 02190

Norfolk County (781) 812-0927

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 Douglas Helm's NPI number?

The NPI number for Douglas Helm is 1598827933. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Douglas Helm located?

Douglas Helm practices at 70 Pleasant St Ste 2, Weymouth, MA 02190. The listed phone number is (781) 812-0927.

What is Douglas Helm's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Douglas Helm enrolled in Medicare?

Yes. Douglas Helm is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Helm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Helm reassigns Medicare benefits to 5 organizations: The South Shore Center For Plastic Reconstructive And Hand Surgery LLC (Weymouth, MA), Coastal Medical Associates (Weymouth, MA), Brigham & Womens Physicians Organization Inc (Boston, MA), Dana-Farber Cancer Institute, Inc. (Boston, MA) and Martha's Vineyard Hospital, Inc. (Oak Bluffs, MA). Each 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 Douglas Helm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Douglas Helm affiliated with any hospitals?

According to CMS data, Douglas Helm is affiliated with South Shore Hospital and Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for Douglas Helm was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.