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DR. PAUL JOSEPH HELMUTH M.D.
NPI 1609956085
Internal Medicine in Springfield, MA

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
3640 MAIN ST, SUITE 207, SPRINGFIELD, MA 01107(413) 739-0669(413) 739-0621 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul Joseph Helmuth M.d. NPPES

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

DR. PAUL JOSEPH HELMUTH M.D. (NPI 1609956085) is an individual internal medicine provider in Springfield, Massachusetts, licensed in Massachusetts (81068) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Baystate Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (1992).

NPPES Registry Identity

NPI1609956085
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAUL JOSEPH HELMUTHCredential: M.D.
Location Address3640 MAIN ST, SUITE 207Springfield, MA 01107-1145
Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700 · Fax (413) 794-1629
Phone(413) 739-0669
Fax(413) 739-0621
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1992
Enumeration DateOctober 17, 2006
Last NPPES UpdateMay 15, 2026
NPPES CertifiedMay 15, 2026
✔ NPI 1609956085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 81068
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 81068 (MA)
3640 MAIN ST, Springfield, MA 01107
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Other Identifiers 12

Other081068MA · Connecticare
OtherJ16736MA · Blue Cross
Medicaid3155561MA
Other005129523MA · Aetna
Other38540MA · Childrens Medical Securit
Other6551222MA · Cigna
Other66087MA · Harvard Pilgrim
Other000000022120MA · Bmc Healthnet
Other081068MA · Tufts
Other18629MA · Health New England
Other110199716MA · Railroad Medicare
Other98308101MA · Network Healthnet

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. Paul Joseph Helmuth 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 ID3779545090
PECOS Enrollment IDI20050613000852
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.

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.
13 services12 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

VALLEY MEDICAL ASSOCIATES, PC
Internal Medicine
3640 MAIN ST, SUITE 207
SPRINGFIELD, MA 01107
Hampden County (413) 739-0669
MARIANNE E LANGLOIS PA-C
Physician Assistant
3640 MAIN ST, SUITE 302
SPRINGFIELD, MA 01107
Hampden County (413) 732-4242
DR. RONALD J GAILUN MD
Ophthalmology
3640 MAIN ST, STE 201
SPRINGFIELD, MA 01107
Hampden County (413) 732-2333
DR. JASON L. PORT M.D.
Radiology (Neuroradiology)
3640 MAIN ST, SUITE 101
SPRINGFIELD, MA 01107
Hampden County (413) 781-9000
K. FRANCIS LEE, M.D., P.C.
Surgery
3640 MAIN ST, SUITE 302
SPRINGFIELD, MA 01107
Hampden County (413) 732-4242
DR. GREGORY J FAUST M.D.
Specialist
3640 MAIN ST, SUITE 205
SPRINGFIELD, MA 01107
Hampden County (413) 739-7367
PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C.
Pediatrics (Pediatric Gastroenterology)
3640 MAIN ST, SUITE 204
SPRINGFIELD, MA 01107
Hampden County (413) 304-2650
DR. DAVID DIRAN AGAHIGIAN M.D.
Ophthalmology
3640 MAIN ST, SUITE 201
SPRINGFIELD, MA 01107
Hampden County (413) 732-2333

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 Paul Helmuth's NPI number?

The NPI number for Paul Helmuth is 1609956085. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Paul Helmuth located?

Paul Helmuth practices at 3640 Main St Suite 207, Springfield, MA 01107. The listed phone number is (413) 739-0669.

What is Paul Helmuth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Helmuth enrolled in Medicare?

Yes. Paul Helmuth 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.

Is Paul Helmuth affiliated with any hospitals?

According to CMS data, Paul Helmuth is affiliated with Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Helmuth was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.