DR. JESSE DWAYNE HELTON D.O.
NPI 1720058381
Internal Medicine in Festus, MO
About Dr. Jesse Dwayne Helton D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSE DWAYNE HELTON D.O. (NPI 1720058381) is an individual internal medicine provider in Festus, Missouri, licensed in Missouri (DO113093) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1997).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 10
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jesse Dwayne Helton D.o. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jesse Helton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Festus, MO 63028
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Community Treatment Inc
- 26 clinicians in this Medicare group
Arnold, MO 63010
- Reassigned Medicare billing, Missouri enrollment
- 11 clinicians in this Medicare group
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 697 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm St Clare Health Center
Acute Care Hospitals · Fenton, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
FESTUS, MO 63028
FESTUS, MO 63028
FESTUS, MO 63028
FESTUS, MO 63028
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 Jesse Helton's NPI number?
The NPI number for Jesse Helton is 1720058381. It was assigned to this individual provider in the NPPES registry on January 25, 2006. The provider is also known as Dr. Dwayne Helton D.O..
Where is Jesse Helton located?
Jesse Helton practices at 1400 Us Highway 61 Suite 250, Festus, MO 63028. The listed phone number is (636) 543-2420.
What is Jesse Helton's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jesse Helton enrolled in Medicare?
Yes. Jesse Helton 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.
Which organizations bill Medicare for Jesse Helton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Helton reassigns Medicare benefits to 3 organizations: Compass Health, Inc (Festus, MO), Medwin Primary Care L.L.C. (Arnold, MO) and Ssm Medical Group, Inc. (Fenton, MO). 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 Jesse Helton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jesse Helton accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Jesse Helton 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 Jesse Helton affiliated with any hospitals?
According to CMS data, Jesse Helton is affiliated with Ssm St Clare Health Center.
When was this NPI record last updated?
The NPPES record for Jesse Helton was last updated on December 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Jesse Dwayne Helton, D.O. · NPI 1720058381
Internal Medicine physician in Festus, Missouri. Individual provider, active in the CMS NPPES registry since January 25, 2006.
## Identity
- **NPI:** 1720058381 (Entity type: Individual)
- **Enumerated:** January 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** DO113093 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 US HIGHWAY 61, SUITE 250, Festus, MO 63028-4100
- **Phone:** (636) 543-2420 · **Fax:** (636) 543-2421
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Compass Health, Inc (NPI 1598781189, Festus, MO); Medwin Primary Care L.L.C. (NPI 1376552067, Arnold, MO); Ssm Medical Group, Inc. (NPI 1700966207, Fenton, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 1997
## Record status
- **NPPES last updated:** December 17, 2015
- **Other identifiers:** Medicare UPIN 261062 (MO); Medicare UPIN 261063 (MO); Medicaid 595379314 (MO); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1720058381) · Data from the CMS NPPES public registry.