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MELANIE S HELFMAN MD
NPI 1669435632
Internal Medicine in Miami, FL

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
8932 SW 97TH AVE, MIAMI, FL 33176(305) 270-3400 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melanie S Helfman Md NPPES

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

MELANIE S HELFMAN MD (NPI 1669435632) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME50364) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1985).

NPPES Registry Identity

NPI1669435632
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMELANIE S HELFMANCredential: MD
Location Address8932 SW 97TH AVEMiami, FL 33176-1936
Mailing Address1500 Nw 12th Ave, Jmt-east 1007Miami, FL 33136-1028 · (305) 243-4664 · Fax (305) 243-9927
Phone(305) 270-3400
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1985
Enumeration DateApril 10, 2006
Last NPPES UpdateFebruary 19, 2013
✔ NPI 1669435632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME50364
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.
8932 SW 97TH AVE, Miami, FL 33176
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Other Identifiers 2

Medicaid0485357-00FL
Medicare UPIND84940FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Melanie S Helfman Md 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 ID3476443615
PECOS Enrollment IDI20040319000290
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 8

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.
77 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 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.
21 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
17%24 patients
Breast Cancer Screening
54%146 patients3/55-star benchmark: 93%
Cervical Cancer Screening
27%101 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
65%205 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
83%126 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
23%31 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
3%31 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%423 patients4/55-star benchmark: 100%
e-Prescribing
98%364 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
97%109 patients4/55-star benchmark: 100%
HIV Screening
26%152 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
59%199 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
56%194 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%116 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 225 patients
99%225 patients
Provide Patients Electronic Access to Their Health Information
100%100 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 8% · 120 patients
Patients totalRate: 15% · 120 patients
11%120 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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
7 suppliers21 claims35 services$5.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims18 services$0.97 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$187.89 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.

LAWRENCE NEGRET M.D.
Internal Medicine (Hematology & Oncology)
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 243-5302
RENAY NATLIE SMITH APRN
Nurse Practitioner (Family)
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 243-5850
DR. SANDRA CHOKRON GARNEAU MD
Family Medicine
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 243-4530
DR. ALEXANDRA CALANDRIELLO M.D.
Internal Medicine
8932 SW 97TH AVE, SUITE G
MIAMI, FL 33176
Miami-Dade County (305) 270-3485
MRS. JOHANNA MASEDA ARNP
Nurse Practitioner (Family)
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 270-3400
AHMET TURAN ILICA MD
Radiology (Diagnostic Radiology)
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (917) 769-8140
JENNIFER GREEN
Family Medicine
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 270-3400
JANA MERRILL WHEATMAN PA-C
Physician Assistant (Medical)
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 270-3485

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 Melanie Helfman's NPI number?

The NPI number for Melanie Helfman is 1669435632. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Melanie Helfman located?

Melanie Helfman practices at 8932 SW 97th Ave, Miami, FL 33176. The listed phone number is (305) 270-3400.

What is Melanie Helfman's specialty?

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

Is Melanie Helfman enrolled in Medicare?

Yes. Melanie Helfman 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 Melanie Helfman accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Melanie Helfman 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 Melanie Helfman was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.