DR. DEREK ANTHONY HELTON M.D.
NPI 1801992839
Internal Medicine - Hematology & Oncology in Vista, CA

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
910 SYCAMORE AVE, SUITE 270, VISTA, CA 92081(760) 598-1700 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Derek Anthony Helton M.d. NPPES

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

DR. DEREK ANTHONY HELTON M.D. (NPI 1801992839) is an individual hematology & oncology provider in Vista, California, licensed in California (A76208) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1801992839
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. DEREK ANTHONY HELTONCredential: M.D.
Location Address910 SYCAMORE AVE, SUITE 270Vista, CA 92081-7832
Mailing AddressPo Box 232410San Diego, CA 92193-2410 · (800) 926-8273
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMay 26, 2021
NPPES CertifiedMay 26, 2021
NPI 1801992839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in CA · A76208
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

910 SYCAMORE AVE, Vista, CA 92081

Other Identifiers 2

Medicaid00A762080CA
Other0163860CA · Ghi

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. Derek Anthony Helton 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 ID4385735059
PECOS Enrollment IDI20070809000429
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 11

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,320 services16 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
589 services184 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
132 services34 patients
Infusion, normal saline solution, 250 cc J7050
An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
107 services33 patients
Irrigation of implanted venous access drug delivery device 96523
Irrigation of an implanted venous access drug delivery device is a procedure to clean or unblock the device. This device is implanted under your skin to allow easy, frequent, and long-term access to your veins for medication delivery. The process involves flushing the device with a sterile solution to ensure it works properly.
92 services32 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
53 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92081 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Hematology & Oncology)
910 SYCAMORE AVE, SUITE 102
VISTA, CA 92081
Nurse Practitioner (Primary Care)
910 SYCAMORE AVE, SUITE 270
VISTA, CA 92081
Internal Medicine
910 SYCAMORE AVE, SUITE 220
VISTA, CA 92081
Internal Medicine (Hematology & Oncology)
910 SYCAMORE AVE, SUITE 102
VISTA, CA 92081
Internal Medicine
910 SYCAMORE AVE, SUITE 270
VISTA, CA 92081
Registered Nurse (Oncology)
910 SYCAMORE AVE, SUITE 102
VISTA, CA 92081
Physician Assistant
910 SYCAMORE AVE, SUITE 102
VISTA, CA 92081

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 Derek Helton's NPI number?

The NPI number for Derek Helton is 1801992839. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Derek Helton located?

Derek Helton practices at 910 Sycamore Ave Suite 270, Vista, CA 92081. The listed phone number is (760) 598-1700.

What is Derek Helton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Derek Helton enrolled in Medicare?

Yes. Derek 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.

When was this NPI record last updated?

The NPPES record for Derek Helton was last updated on May 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.