DR. KALPANA MHATRE HELMBRECHT M.D.
NPI 1699757351
Obstetrics & Gynecology in Damascus, MD

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
90.19/100
CMS Quality Rating
26005 RIDGE RD, SUITE 200, DAMASCUS, MD 20872(301) 414-2300(301) 414-2306 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kalpana Mhatre Helmbrecht M.d. NPPES

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

DR. KALPANA MHATRE HELMBRECHT M.D. (NPI 1699757351) is an individual obstetrics & gynecology provider in Damascus, Maryland, licensed in Maryland (D0059166) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1991).

NPPES Registry Identity

NPI1699757351
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KALPANA MHATRE HELMBRECHTCredential: M.D.
Location Address26005 RIDGE RD, SUITE 200Damascus, MD 20872-1892
Mailing Address26005 Ridge Rd, Suite 200Damascus, MD 20872-1892 · (301) 414-2300 · Fax (301) 414-2306
Fax(301) 414-2306
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1991
Enumeration DateNovember 17, 2005
Last NPPES UpdateFebruary 22, 2010
NPI 1699757351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MD · D0059166
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
26005 RIDGE RD, Damascus, MD 20872

Other Identifiers 3

Medicare PIN010238M40DC
Medicare PIN420MF058MD
Medicare UPING13866MD

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. Kalpana Mhatre Helmbrecht 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 ID2062697626
PECOS Enrollment IDI20110425000481, I20121105000361
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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
283 services152 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
199 services189 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.
143 services131 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
116 services116 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.
19 services18 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20872 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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.

90.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost67.3

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,151 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
88%105 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
31%1,575 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%1,575 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
59%1,575 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
71%1,575 patients
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.

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.

Obstetrics & Gynecology
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Obstetrics & Gynecology
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Obstetrics & Gynecology
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Specialist
26005 RIDGE RD, 200
DAMASCUS, MD 20872
Obstetrics & Gynecology (Gynecology)
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Midwife
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Obstetrics & Gynecology
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872
Advanced Practice Midwife
26005 RIDGE RD, SUITE 200
DAMASCUS, MD 20872

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 Kalpana Helmbrecht's NPI number?

The NPI number for Kalpana Helmbrecht is 1699757351. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Kalpana Helmbrecht located?

Kalpana Helmbrecht practices at 26005 Ridge Rd Suite 200, Damascus, MD 20872. The listed phone number is (301) 414-2300.

What is Kalpana Helmbrecht's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kalpana Helmbrecht enrolled in Medicare?

Yes. Kalpana Helmbrecht 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.

When was this NPI record last updated?

The NPPES record for Kalpana Helmbrecht was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.