NICHOLAS HELMSTETTER M.D.
NPI 1699187955
Internal Medicine in Kalamazoo, MI

Active since May 21, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-6345 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicholas Helmstetter M.d. NPPES

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

NICHOLAS HELMSTETTER M.D. (NPI 1699187955) is an individual internal medicine provider in Kalamazoo, Michigan, licensed in Michigan (4301105388) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1699187955
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS HELMSTETTERCredential: M.D.
Location Address1000 OAKLAND DRKalamazoo, MI 49008
Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2014
Enumeration DateMay 21, 2014
Last NPPES UpdateJune 12, 2018
NPI 1699187955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301105388
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 4301105388 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301105388 (MI)
1000 OAKLAND DR, Kalamazoo, MI 49008

Secondary Practice Location 1

Location 11500 E. Medical Center Dr, 3116 Taubman Center, SPC 5368Ann Arbor, MI 48109-5368 · Phone (734) 844-5400 · Fax (734) 844-5298

Accepted 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

Nicholas Helmstetter 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 ID1052611993
PECOS Enrollment IDI20180619002143
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 6

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.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
66 services25 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services20 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
26 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services22 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49008 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.99
Promoting Interoperability100
Improvement Activities40
Cost86.02

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.

Clinic/Center (Multi-Specialty)
1000 OAKLAND DR
KALAMAZOO, MI 49008
Surgery
1000 OAKLAND DR
KALAMAZOO, MI 49008
Pediatrics
1000 OAKLAND DR
KALAMAZOO, MI 49008
Internal Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Pediatrics
1000 OAKLAND DR
KALAMAZOO, MI 49008
Pediatrics (Pediatric Endocrinology)
1000 OAKLAND DR
KALAMAZOO, MI 49008
Family Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Pediatrics (Adolescent Medicine)
1000 OAKLAND DR
KALAMAZOO, MI 49008

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 Nicholas Helmstetter's NPI number?

The NPI number for Nicholas Helmstetter is 1699187955. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Where is Nicholas Helmstetter located?

Nicholas Helmstetter practices at 1000 Oakland Dr, Kalamazoo, MI 49008. The listed phone number is (269) 337-6345.

What is Nicholas Helmstetter's specialty?

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

Is Nicholas Helmstetter enrolled in Medicare?

Yes. Nicholas Helmstetter 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 Nicholas Helmstetter accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Nicholas Helmstetter 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.

Is Nicholas Helmstetter affiliated with any hospitals?

According to CMS data, Nicholas Helmstetter is affiliated with Bronson Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Helmstetter was last updated on June 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.