DR. RICHARD EARLE HELMER IV MD
NPI 1881898666
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Waco, TX

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
74.33/100
CMS Quality Rating
50 HILLCREST MEDICAL BLVD, WACO, TX 76712(254) 202-0480 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 15, 2024, May 8, 2024, Jun 10, 2022 (3 updates tracked since 2022).

About Dr. Richard Earle Helmer Iv Md NPPES

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

DR. RICHARD EARLE HELMER IV MD (NPI 1881898666) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Waco, Texas, licensed in Texas (L9237) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Hillcrest, and is a graduate of University Of Texas Medical Branch At Galveston (2000).

NPPES Registry Identity

NPI1881898666
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. RICHARD EARLE HELMER IVCredential: MD
Location Address50 HILLCREST MEDICAL BLVDWaco, TX 76712-8952
Mailing AddressPo Box 848491Dallas, TX 75284-8491 · (254) 202-9330
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2000
Enumeration DateJune 13, 2007
Last NPPES UpdateMay 15, 20243 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
NPI 1881898666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in TX · L9237
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSpecialistTaxonomy 174400000X · License L9237 (TX)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License L9237 (TX)
50 HILLCREST MEDICAL BLVD, Waco, TX 76712

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

Dr. Richard Earle Helmer Iv 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 ID749244069
PECOS Enrollment IDI20041116001280
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 10

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 a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
33 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services21 patients
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.
23 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services12 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.
21 services19 patients
Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268
This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450101
Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.69
Promoting Interoperability100
Improvement Activities40
Cost41.75

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
16%133 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%344 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%181 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
70%224 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
27%215 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 39 patients
77%39 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
59%224 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
12%224 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
27%224 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$17.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$90.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Specialist/Technologist (Athletic Trainer)
50 HILLCREST MEDICAL BLVD, STE. 303
WACO, TX 76712
Surgery (Plastic and Reconstructive Surgery)
50 HILLCREST MEDICAL BLVD, SUITE # 304
WACO, TX 76712
Audiologist
50 HILLCREST MEDICAL BLVD, #206
WACO, TX 76712
Nurse Practitioner (Neonatal)
50 HILLCREST MEDICAL BLVD
WACO, TX 76712
Nurse Practitioner (Family)
50 HILLCREST MEDICAL BLVD, SUITE 102
WACO, TX 76712
Nurse Practitioner (Family)
50 HILLCREST MEDICAL BLVD
WACO, TX 76712
Otolaryngology
50 HILLCREST MEDICAL BLVD
WACO, TX 76712
Family Medicine (Sports Medicine)
50 HILLCREST MEDICAL BLVD, STE 208, 303 & 304
WACO, TX 76712

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 Richard Helmer's NPI number?

The NPI number for Richard Helmer is 1881898666. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Richard Helmer located?

Richard Helmer practices at 50 Hillcrest Medical Blvd, Waco, TX 76712. The listed phone number is (254) 202-0480.

What is Richard Helmer's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Richard Helmer enrolled in Medicare?

Yes. Richard Helmer 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 Richard Helmer accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Richard Helmer 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 Richard Helmer affiliated with any hospitals?

According to CMS data, Richard Helmer is affiliated with Baylor Scott & White Medical Center Hillcrest.

When was this NPI record last updated?

The NPPES record for Richard Helmer was last updated on May 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.