LAURA LEE HELFMAN MD
NPI 1730136755
Emergency Medicine in Nags Head, NC

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
4800 S CROATAN HWY, NAGS HEAD, NC 27959(252) 449-5600(252) 449-5846 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 12, 2025, Feb 25, 2025, May 6, 2022 and 1 more (4 updates tracked since 2018).

About Laura Lee Helfman Md NPPES

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

LAURA LEE HELFMAN MD (NPI 1730136755) is an individual emergency medicine provider in Nags Head, North Carolina, licensed in North Carolina (32511) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital Crystal River, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1730136755
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameLAURA LEE HELFMANCredential: MD
Location Address4800 S CROATAN HWYNags Head, NC 27959-9704
Mailing Address4800 S Croatan HwyNags Head, NC 27959-9704 · (252) 449-5600 · Fax (252) 449-5846
Fax(252) 449-5846
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 27, 2006
Last NPPES UpdateMay 12, 20254 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1730136755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NC · 32511✔ Licensed in VA · 0101267934✔ Licensed in NY · 171827✔ Licensed in TN · 25204
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4800 S CROATAN HWY, Nags Head, NC 27959

Secondary Practice Locations 4

Location 1125 Hospital DrSpruce Pine, NC 28777 · Phone (828) 766-3755 · Fax (828) 766-3759
Location 2886 Highway 411 NEtowah, TN 37331-1912 · Phone (423) 263-3600 · Fax (423) 263-3601
Location 3800 S Mohawk Dr Ste CErwin, TN 37650-2124 · Phone (423) 735-4750
Location 41425 Portland AveRochester, NY 14621-3011 · Phone (585) 922-2000

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

Laura Lee 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 ID3577463140
PECOS Enrollment IDI20190129001265
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.

Medicare Billing Reassignments

18

Medicare enrollment records show Laura Helfman reassigns Medicare billing to 18 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
4800 S CROATAN HWY
Nags Head, NC 27959
  • Reassigned Medicare billing, North Carolina enrollment
  • 346 clinicians in this Medicare group
Multi-Specialty
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
Internal Medicine
501 SUNSET LN
Culpeper, VA 22701
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group
Emergency Medicine
9901 MEDICAL CENTER DR
Rockville, MD 20850
  • Reassigned Medicare billing, Virginia enrollment
  • 158 clinicians in this Medicare group
Emergency Medicine
1201 LANGHORNE-NEWTON ROAD
Langhorne, PA 19047
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Emergency Care Services Of Pennsylvania PC
  • 329 clinicians in this Medicare group
Pulmonary Disease
1901 S SHADY ST STE 2
Mountain City, TN 37683
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Blue Ridge Medical Management Corporation
  • 496 clinicians in this Medicare group
Emergency Medicine
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 284 clinicians in this Medicare group
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, North Carolina and Virginia enrollments
  • 557 clinicians in this Medicare group
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 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.

Tampa General Hospital Crystal River

Acute Care Hospitals · Crystal River, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100249
Location6201 N Suncoast BlvdCrystal River, FL 34428 · Citrus County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27959 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Adult Health)
4800 S CROATAN HWY
NAGS HEAD, NC 27959
General Acute Care Hospital (Critical Access)
4800 S CROATAN HWY
NAGS HEAD, NC 27959
Emergency Medicine
4800 S CROATAN HWY
NAGS HEAD, NC 27959
Emergency Medicine
4800 S CROATAN HWY
NAGS HEAD, NC 27959
Pediatrics
4800 S CROATAN HWY
NAGS HEAD, NC 27959
Dietitian, Registered
4800 S CROATAN HWY
NAGS HEAD, NC 27959
Pharmacy (Institutional Pharmacy)
4800 S CROATAN HWY
NAGS HEAD, NC 27959
Emergency Medicine
4800 S CROATAN HWY
NAGS HEAD, NC 27959

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 Laura Helfman's NPI number?

The NPI number for Laura Helfman is 1730136755. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Laura Helfman located?

Laura Helfman practices at 4800 S Croatan Hwy, Nags Head, NC 27959. The listed phone number is (252) 449-5600.

What is Laura Helfman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Laura Helfman enrolled in Medicare?

Yes. Laura 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.

Which organizations bill Medicare for Laura Helfman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Helfman reassigns Medicare benefits to 18 organizations: Outer Banks Professional Services, LLC (Nags Head, NC), Vidant Medical Group LLC (Greenville, NC), Emergency Medicine Associates P.A., P.C. (Culpeper, VA), Mep Health, LLC (Rockville, MD), Emergency Care Services Of Pennsylvania, P.C. (Langhorne, PA) and 13 more organizations, listed in the Medicare section above. 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 Laura Helfman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Helfman accept?

Health plans from Cigna Healthcare, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Laura 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.

Is Laura Helfman affiliated with any hospitals?

According to CMS data, Laura Helfman is affiliated with Tampa General Hospital Crystal River.

When was this NPI record last updated?

The NPPES record for Laura Helfman was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.