DR. MIKKO C. HELENIUS M.D.
NPI 1962431940
Hospitalist in Monterey, CA

Q: What is Mikko Helenius's NPI number?

The NPI number for Mikko Helenius is 1962431940. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Q: What is Mikko Helenius's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Mikko Helenius was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since July 01, 2006PECOS Enrolled

86.63/100

CMS Quality Rating

23625 HOLMAN HWY, MONTEREY, CA 93940(831) 622-2708(831) 622-2709 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Mikko C. Helenius M.d. NPPES

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

DR. MIKKO C. HELENIUS M.D. (NPI 1962431940) is an individual hospitalist provider in Monterey, California, licensed in California (A89048) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1962431940

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. MIKKO C. HELENIUSCredential: M.D.

Location Address23625 HOLMAN HWYMonterey, CA 93940-5902

Mailing Address23625 Holman HwyMonterey, CA 93940-5902 · (831) 622-2708

Phone(831) 622-2708

Fax(831) 622-2709

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJuly 1, 2006

Last NPPES UpdateOctober 22, 2019

✔ NPI 1962431940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CA · A89048

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License A89048 (CA)

23625 HOLMAN HWY, Monterey, CA 93940

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mikko C. Helenius M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890738843

PECOS Enrollment IDI20050609001045

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

Medicare enrollment records show Mikko Helenius reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Hospital Of The Monterey Peninsula

Same address

General Acute Care Hospital

23625 HOLMAN HWY
Monterey, CA 93940

Reassigned Medicare billing, California enrollment
245 clinicians in this Medicare group

NPI 1225285810 (831) 624-5311

Monterey Hospitalist Medical Group

Same address

Internal Medicine

23625 HOLMAN HWY
Monterey, CA 93940

Reassigned Medicare billing, California enrollment
50 clinicians in this Medicare group

NPI 1043321623 (831) 622-2708

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

805 services320 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

229 services121 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

228 services220 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

119 services118 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

117 services114 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

99 services86 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

73 services57 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

71 services59 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

62 services59 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

41 services40 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

35 services31 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

33 services33 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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

$139.84 typical visit price

range $61.69 – $184.30

Typical copayment $34.96 (range $15.42 – $46.07)

Most-billed visit code 99204

Established Patient

$108.04 typical visit price

range $20.34 – $151.02

Typical copayment $27.01 (range $5.08 – $37.75)

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.

86.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

97.88

Improvement Activities

Cost

84.56

Referred Medical Equipment & Supplies CMS DME claims 7

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers11 claims11 services$47.46 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier17 claims17 services$55.49 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 supplier13 claims13 services$17.42 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier12 claims12 services$35.10 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 supplier44 claims44 services$86.45 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier29 claims31 services$34.17 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 20

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

ARNO H. HANEL, MD A MEDICAL CORPORATION

Anesthesiology

23625 HOLMAN HWY
MONTEREY, CA 93940

Monterey County (831) 624-5311

DR. CASEY ANDREW GROVER MD

Emergency Medicine

23625 HOLMAN HWY, CHOMP EMERGENCY SERVICES
MONTEREY, CA 93940

Monterey County (831) 624-5311

VY NGUYEN PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

23625 HOLMAN HWY
MONTEREY, CA 93940

Monterey County (831) 624-5311

BARBARA ANN QUINN M.S., R.D., C.D.E.

Dietitian, Registered

23625 HOLMAN HWY
MONTEREY, CA 93940

Monterey County (831) 624-5311

NICHOLAS STRAUB PHARMD

Pharmacist

23625 HOLMAN HWY
MONTEREY, CA 93940

Monterey County (831) 624-5311

REB JULIA HAAS CLOSE M.D.

Emergency Medicine

23625 HOLMAN HWY
MONTEREY, CA 93940

Monterey County (831) 624-5311

MONTEREY HOSPITALIST MEDICAL GROUP

Internal Medicine

23625 HOLMAN HWY
MONTEREY, CA 93940

Monterey County (831) 622-2708

AFSHIN ZEIGHAMI DO

Anesthesiology

23625 HOLMAN HWY
MONTEREY, CA 93940

Monterey County (831) 624-5311

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 Mikko Helenius's NPI number?

The NPI number for Mikko Helenius is 1962431940. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Mikko Helenius located?

Mikko Helenius practices at 23625 Holman Hwy, Monterey, CA 93940. The listed phone number is (831) 622-2708.

What is Mikko Helenius's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mikko Helenius enrolled in Medicare?

Yes. Mikko Helenius is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mikko Helenius's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikko Helenius reassigns Medicare benefits to 2 organizations: Community Hospital Of The Monterey Peninsula (Monterey, CA) and Monterey Hospitalist Medical Group (Monterey, CA). 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 Mikko Helenius's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mikko Helenius was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.