DR. MARK K. HELGESON OD
NPI 1932160132
Optometrist in Park River, ND

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
97.81/100
CMS Quality Rating
121 BRIGGS AVE N, PARK RIVER, ND 58270(701) 284-7330(701) 284-7332 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark K. Helgeson Od NPPES

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

DR. MARK K. HELGESON OD (NPI 1932160132) is an individual optometrist in Park River, North Dakota, licensed in North Dakota (475) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1988).

NPPES Registry Identity

NPI1932160132
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK K. HELGESONCredential: OD
Location Address121 BRIGGS AVE NPark River, ND 58270-0714
Mailing AddressPo Box OPark River, ND 58270-0714 · (701) 284-7330 · Fax (701) 284-7332
Fax(701) 284-7332
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1988
Enumeration DateMarch 29, 2006
Last NPPES UpdateAugust 30, 2011
NPI 1932160132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in ND · 475
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

121 BRIGGS AVE N, Park River, ND 58270

Other Identifiers 3

Medicare UPINU13727ND
Other1932160132Npi
Medicaid60451ND

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. Mark K. Helgeson Od 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 ID9830234459
PECOS Enrollment IDI20100308000515
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 9

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
322 services318 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
224 services220 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.
118 services83 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
93 services80 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.
49 services47 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
42 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58270 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

97.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.62
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
99%107 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
100%34 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
94%1,317 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
98%104 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%576 patients5/55-star benchmark: 100%
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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers18 claims18 services$60.08 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims22 services$57.04 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 2

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

Optometrist
121 BRIGGS AVE N
PARK RIVER, ND 58270
Optometrist
121 BRIGGS AVE N
PARK RIVER, ND 58270

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 Mark Helgeson's NPI number?

The NPI number for Mark Helgeson is 1932160132. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Mark Helgeson located?

Mark Helgeson practices at 121 Briggs Ave N, Park River, ND 58270. The listed phone number is (701) 284-7330.

What is Mark Helgeson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mark Helgeson enrolled in Medicare?

Yes. Mark Helgeson 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 Mark Helgeson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Providence Health Plan and Sanford Health Plan list Mark Helgeson 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 Mark Helgeson was last updated on August 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.