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DR. SCOTT BENJAMIN HELBERG MD
NPI 1619173945
Internal Medicine - Pulmonary Disease in Yankton, SD

Active since June 24, 2007PECOS Enrolled
1104 W 8TH ST, YANKTON, SD 57078(605) 665-7841(605) 665-8337 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Scott Benjamin Helberg Md NPPES

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

DR. SCOTT BENJAMIN HELBERG MD (NPI 1619173945) is an individual pulmonary disease provider in Yankton, South Dakota, licensed in South Dakota (7805) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619173945
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SCOTT BENJAMIN HELBERGCredential: MD
Location Address1104 W 8TH STYankton, SD 57078-3306
Mailing Address1104 W 8th StYankton, SD 57078-3306 · (605) 665-7841 · Fax (605) 665-8337
Phone(605) 665-7841
Fax(605) 665-8337
Sole ProprietorNo
Enumeration DateJune 24, 2007
Last NPPES UpdateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1619173945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in SD · 7805
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 7805 (SD)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 7805 (SD)
1104 W 8TH ST, Yankton, SD 57078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott Benjamin Helberg 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Scott Helberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yankton Medical Clinic PC
Same address
Ambulatory Surgical
1104 W 8TH ST
Yankton, SD 57078
  • Reassigned Medicare billing, South Dakota enrollment
  • 59 clinicians in this Medicare group
NPI 1174502561 (605) 665-7841
Sacred Heart Health Services
Same address
General Practice
1104 W 8TH ST
Yankton, SD 57078
  • Reassigned Medicare billing, South Dakota enrollment
  • 227 clinicians in this Medicare group
NPI 1205703659 (605) 655-7841

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57078 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers36 claims36 services$38.40 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers31 claims31 services$98.64 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers41 claims110 services$36.47 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers13 claims57 services$17.91 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers12 claims12 services$64.37 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
14 suppliers31 claims31 services$20.70 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 20

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

SACRED HEART HEALTH SERVICES
Clinic/Center (Ambulatory Surgical)
1104 W 8TH ST
YANKTON, SD 57078
Cedar County (605) 322-2500
RANDOLPH W HEISINGER MD
Pediatrics
1104 W 8TH ST
YANKTON, SD 57078
Cedar County (605) 665-7841
ELIZABETH ANN WORTMANN NP-C
Nurse Practitioner (Family)
1104 W 8TH ST
YANKTON, SD 57078
Cedar County (605) 665-7841
CASSANDRA ARENS PA
Physician Assistant
1104 W 8TH ST
YANKTON, SD 57078
Cedar County (605) 665-7841
DAVID W WITHROW MD
Pediatrics
1104 W 8TH ST
YANKTON, SD 57078
Cedar County (605) 665-7841
MARK J MABEE MD
Family Medicine
1104 W 8TH ST
YANKTON, SD 57078
Cedar County (605) 665-7841
TAYLOR KATHLEEN LOFINK PA-C
Physician Assistant
1104 W 8TH ST
YANKTON, SD 57078
Cedar County (605) 665-7841
JEREMY S KUDERA MD
Orthopaedic Surgery
1104 W 8TH ST
YANKTON, SD 57078
Cedar County (605) 665-7841

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 Scott Helberg's NPI number?

The NPI number for Scott Helberg is 1619173945. It was assigned to this individual provider in the NPPES registry on June 24, 2007.

Where is Scott Helberg located?

Scott Helberg practices at 1104 W 8th St, Yankton, SD 57078. The listed phone number is (605) 665-7841.

What is Scott Helberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Scott Helberg enrolled in Medicare?

Yes. Scott Helberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Scott Helberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Helberg reassigns Medicare benefits to 2 organizations: Yankton Medical Clinic PC (Yankton, SD) and Sacred Heart Health Services (Yankton, SD). 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 Scott Helberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Helberg accept?

Health plans from Oscar Insurance Company and Wellmark of South Dakota, Inc. list Scott Helberg 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.

When was this NPI record last updated?

The NPPES record for Scott Helberg was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.