THOMAS J HELTON IV D.O.
NPI 1750345211
Internal Medicine - Interventional Cardiology in Mountain Home, TN

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
809 LAMONT ST, MOUNTAIN HOME, TN 37684(423) 926-1171(423) 979-3554 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas J Helton Iv D.o. NPPES

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

THOMAS J HELTON IV D.O. (NPI 1750345211) is an individual interventional cardiology provider in Mountain Home, Tennessee, licensed in Tennessee (2880) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1750345211
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameTHOMAS J HELTON IVCredential: D.O.
Location Address809 LAMONT STMountain Home, TN 37684
Mailing Address809 Lamont StMountain Home, TN 37684 · (423) 926-1171 · Fax (423) 979-3554
Fax(423) 979-3554
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 13, 2006
Last NPPES UpdateApril 7, 2017
NPI 1750345211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in TN · 2880 Licensed in KY · 03383
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 34008388 (OH)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 2880 (TN), 2013-00012 (NC)
809 LAMONT ST, Mountain Home, TN 37684

Other Identifiers 9

MedicaidQ024552TN
Medicare PIN103I119418TN
Medicare PINK011070KY
Medicare UPINI32516OH
Medicaid7100175060KY
Medicaid1750345211VA
Medicaid2576770OH
Medicare PINHE7353111OH
Medicare PIN103IC39497TN

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

Thomas J Helton Iv 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.

PECOS PAC ID4789620030
PECOS Enrollment IDI20161013002270, I20210623001839
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
154 services120 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
113 services111 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
79 services74 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
34 services25 patients
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
29 services28 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.
20 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37684 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Nurse Practitioner (Primary Care)
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Nurse Practitioner (Family)
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Physical Therapist
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Psychologist (Counseling)
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Internal Medicine
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Social Worker
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Social Worker (Clinical)
809 LAMONT ST
MOUNTAIN HOME, TN 37684

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 Thomas Helton's NPI number?

The NPI number for Thomas Helton is 1750345211. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Thomas Helton located?

Thomas Helton practices at 809 Lamont St, Mountain Home, TN 37684. The listed phone number is (423) 926-1171.

What is Thomas Helton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Thomas Helton enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Helton accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Thomas 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 Thomas Helton affiliated with any hospitals?

According to CMS data, Thomas Helton is affiliated with Wellmont Holston Valley Medical Center, Johnson City Medical Center and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Helton was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.