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HELEN E COUNTS MD
NPI 1942265210
Family Medicine in Madison, WI

Active since April 19, 2006PECOS Enrolled
77.43/100
CMS Quality Rating
6116 ARIES WAY, MADISON, WI 53718(608) 422-0639 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 29, 2022, Feb 10, 2021 (2 updates tracked since 2021).

About Helen E Counts Md NPPES

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

HELEN E COUNTS MD (NPI 1942265210) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (41334) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1998).

NPPES Registry Identity

NPI1942265210
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHELEN E COUNTSCredential: MD
Location Address6116 ARIES WAYMadison, WI 53718-5114
Mailing Address6116 Aries WayMadison, WI 53718-5114
Phone(608) 422-0639
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1998
Enumeration DateApril 19, 2006
Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1942265210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 41334
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.

6116 ARIES WAY, Madison, WI 53718
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Helen E Counts Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739215971
PECOS Enrollment IDI20100327000048
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53718 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers24 claims71 services$6.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.52 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
2 suppliers32 claims32 services$103.81 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers13 claims13 services$205.18 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$30.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Counts's NPI number?

The NPI number for Helen Counts is 1942265210. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Helen Counts located?

Helen Counts practices at 6116 Aries Way, Madison, WI 53718. The listed phone number is (608) 422-0639.

What is Helen Counts's specialty?

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

Is Helen Counts enrolled in Medicare?

Yes. Helen Counts is registered in the Medicare PECOS enrollment system.

What insurance does Helen Counts accept?

Health plans from Anthem Blue Cross and Blue Shield list Helen Counts 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 Helen Counts was last updated on November 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.