HELEN YOUNG KAY D.O.
NPI 1881906865
Surgery in Durango, CO

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment
66.8/100
CMS Quality Rating
1 MERCADO ST STE 220, DURANGO, CO 81301(970) 764-3450(970) 382-6607 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2025, Nov 16, 2015 (2 updates tracked since 2015).

About Helen Young Kay D.o. NPPES

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

HELEN YOUNG KAY D.O. (NPI 1881906865) is an individual surgery provider in Durango, Colorado, licensed in Colorado (DR.0074499) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1881906865
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameHELEN YOUNG KAYCredential: D.O.
Location Address1 MERCADO ST STE 220Durango, CO 81301
Mailing AddressPo Box 800022Kansas City, MO 64180-0022 · (800) 953-0104 · Fax (303) 765-6670
Fax(970) 382-6607
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 8, 2010
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1881906865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in CO · DR.0074499✔ Licensed in NY · 274326
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1 MERCADO ST STE 220, Durango, CO 81301

Secondary Practice Location 1

Location 1355 Bard Ave, Department of SurgeryStaten Island, NY 10310-1664 · Phone (718) 818-2420 · Fax (718) 818-1252

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

Helen Young Kay 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 ID6800101692
PECOS Enrollment IDI20250618002206, I20250827002441, I20251010003497
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

5

Medicare enrollment records show Helen Kay reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
1 MERCADO ST STE 220
Durango, CO 81301
  • Reassigned Medicare billing, Colorado enrollment
  • 1,193 clinicians in this Medicare group
Internal Medicine
47647 CALEO BAY DR, STE 101
La Quinta, CA 92253
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
Internal Medicine
400 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 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 2

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

66.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.27
Promoting Interoperability0.55
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Surgery (Vascular Surgery)
1 MERCADO ST STE 220
DURANGO, CO 81301
Surgery
1 MERCADO ST STE 220
DURANGO, CO 81301
Surgery
1 MERCADO ST STE 220
DURANGO, CO 81301
Surgery
1 MERCADO ST STE 220
DURANGO, CO 81301

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 Helen Kay's NPI number?

The NPI number for Helen Kay is 1881906865. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Helen Kay located?

Helen Kay practices at 1 Mercado St Ste 220, Durango, CO 81301. The listed phone number is (970) 764-3450.

What is Helen Kay's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Helen Kay enrolled in Medicare?

Yes. Helen Kay 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 Helen Kay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Helen Kay reassigns Medicare benefits to 5 organizations: Catholic Health Initiatives Colorado (Durango, CO), First Choice Physician Partners (La Quinta, CA), Dean Health Systems, Inc (Madison, WI), Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI). 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 Helen Kay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Helen Kay accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Anthem Blue Cross and Blue Shield and Network Health and 1 other insurer list Helen Kay 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 Helen Kay affiliated with any hospitals?

According to CMS data, Helen Kay is affiliated with Canton-Potsdam Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Helen Kay was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.