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MICHAEL EDWARD HELLEMN MD
NPI 1881887057
Family Medicine in Plano, TX

Active since August 21, 2007PECOS EnrolledAccepts Medicare Assignment
6124 W PARKER RD, SUITE 534, MOB 3, PLANO, TX 75093(972) 378-5250(972) 378-6919 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Edward Hellemn Md NPPES

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

MICHAEL EDWARD HELLEMN MD (NPI 1881887057) is an individual family medicine provider in Plano, Texas, licensed in Texas (N0087) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1881887057
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL EDWARD HELLEMNCredential: MD
Location Address6124 W PARKER RD, SUITE 534, MOB 3Plano, TX 75093-8122
Mailing Address3100 Independence Pkwy Ste 311, B 340Plano, TX 75075-1997 · (214) 517-7226
Phone(972) 378-5250
Fax(972) 378-6919
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 21, 2007
Last NPPES UpdateSeptember 24, 2014
✔ NPI 1881887057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · N0087
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6124 W PARKER RD, Plano, TX 75093
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Michael Edward Hellemn 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 ID3577748581
PECOS Enrollment IDI20110505000782
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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

MARCIA L TAYLOR, MD, PA
Obstetrics & Gynecology
6124 W PARKER RD, STE 134
PLANO, TX 75093
Collin County (972) 981-7777
WEST PLANO SURGERY CENTER 2, LLC
Clinic/Center (Ambulatory Surgical)
6124 W PARKER RD, PRESBYTERIAN HOSPITAL # 232
PLANO, TX 75093
Collin County (469) 467-0100
PEDIATRIC ENDOCRINOLOGY OF NORTH TEXAS, PLLC
Clinic/Center (Medical Specialty)
6124 W PARKER RD, MEDICAL OFFICE BUILDING 3, SUITE #330
PLANO, TX 75093
Collin County (940) 600-4861
DR. VIJAY SITHARAM RAMANATH M.D.
Internal Medicine (Interventional Cardiology)
6124 W PARKER RD, SUITE 536
PLANO, TX 75093
Collin County (972) 378-9560
JOEL D CAMPBELL, M.D., P.A.
Psychiatry & Neurology (Neurology)
6124 W PARKER RD, SUITE 432
PLANO, TX 75093
Collin County (972) 403-3100
DR. MICHAEL BENDELE BLACKMON M.D.
Internal Medicine (Pulmonary Disease)
6124 W PARKER RD, SUITE 530
PLANO, TX 75093
Collin County (214) 778-1075
ARASH TIRANDAZ MD PA
Internal Medicine
6124 W PARKER RD, MOB III SUITE 234
PLANO, TX 75093
Collin County (972) 981-7500
LE N/A TCHEN P.A.
Physician Assistant
6124 W PARKER RD, #536
PLANO, TX 75093
Collin County (972) 943-8440

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 Michael Hellemn's NPI number?

The NPI number for Michael Hellemn is 1881887057. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Where is Michael Hellemn located?

Michael Hellemn practices at 6124 W Parker Rd Suite 534, Mob 3, Plano, TX 75093. The listed phone number is (972) 378-5250.

What is Michael Hellemn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Hellemn enrolled in Medicare?

Yes. Michael Hellemn 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 Michael Hellemn accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Michael Hellemn 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 Michael Hellemn was last updated on September 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.