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KEVIN LYNN HELMUTH O.D.
NPI 1699971739
Optometrist in Sacaton, AZ

Active since June 25, 2007PECOS EnrolledAccepts Medicare Assignment
483 W. SEED FARM RD., SACATON, AZ 85147(602) 528-1200(602) 528-1255 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Lynn Helmuth O.d. NPPES

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

KEVIN LYNN HELMUTH O.D. (NPI 1699971739) is an individual optometrist in Sacaton, Arizona, licensed in Arizona (971) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1994).

NPPES Registry Identity

NPI1699971739
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKEVIN LYNN HELMUTHCredential: O.D.
Location Address483 W. SEED FARM RD.Sacaton, AZ 85147-0038
Mailing Address483 W. Seed Farm Rd.Sacaton, AZ 85147-0038 · (602) 528-1200 · Fax (602) 528-1255
Phone(602) 528-1200
Fax(602) 528-1255
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1994
Enumeration DateJune 25, 2007
Last NPPES UpdateMarch 6, 2012
✔ NPI 1699971739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · 971
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
483 W. SEED FARM RD., Sacaton, AZ 85147
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Kevin Lynn Helmuth O.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 ID8729018403
PECOS Enrollment IDI20050813000092
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 7

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 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.
34 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services30 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
25 services25 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
20 services20 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
12 services12 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85147 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
96%23 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
67%239 patients1/55-star benchmark: 100%
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.
67%141 patients3/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
61%234 patients3/55-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.
59%281 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
62%65 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 96% · 23 patients
87%23 patients4/55-star benchmark: 98%
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…
27%276 patients2/55-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…
41%276 patients3/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 34 patients
0%34 patients5/55-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.

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.

CONNIE GIGOUS FNP
Nurse Practitioner (Family)
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
JOAN E LAZORE FNP-C
Nurse Practitioner (Family)
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
DR. MONICA A LUMPKIN M.D.
Family Medicine
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
DR. NGUYET MINH KHA DDS
Dentist (General Practice)
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
GILA RIVER HEALTH CARE CORPORTION
General Acute Care Hospital (Critical Access)
483 W. SEED FARM RD., CREDENTIALING
SACATON, AZ 85147
Pinal County (602) 528-1340
LYNN MARIE PACHECO LCSW
Social Worker (Clinical)
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
MAILI HUCK CAREY RD, CDE
Dietitian, Registered
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
MS. CHERIE KEMPER R.D.
Dietitian, Registered
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200

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 Kevin Helmuth's NPI number?

The NPI number for Kevin Helmuth is 1699971739. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Kevin Helmuth located?

Kevin Helmuth practices at 483 W. Seed Farm Rd., Sacaton, AZ 85147. The listed phone number is (602) 528-1200.

What is Kevin Helmuth's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kevin Helmuth enrolled in Medicare?

Yes. Kevin 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.

What insurance does Kevin Helmuth accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kevin Helmuth 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 Kevin Helmuth was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.