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MR. TODD HELGESON PA-C
NPI 1962452573
Physician Assistant in Kalamazoo, MI

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
97.36/100
CMS Quality Rating
1535 GULL RD, MSB 015, KALAMAZOO, MI 49048(269) 226-6933(269) 226-6949 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Todd Helgeson Pa-c NPPES

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

MR. TODD HELGESON PA-C (NPI 1962452573) is an individual physician assistant in Kalamazoo, Michigan, licensed in Michigan (5601002468) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Promedica Coldwater Regional Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1962452573
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TODD HELGESONCredential: PA-C
Location Address1535 GULL RD, MSB 015Kalamazoo, MI 49048-1650
Mailing Address1535 Gull Rd, Msb 015Kalamazoo, MI 49048-1650 · (269) 226-6933 · Fax (269) 226-6949
Phone(269) 226-6933
Fax(269) 226-6949
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 18, 2007
✔ NPI 1962452573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601002468
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1535 GULL RD, Kalamazoo, MI 49048
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mr. Todd Helgeson Pa-c 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 ID5092745117
PECOS Enrollment IDI20050818000521
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 4

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 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.
43 services41 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.
16 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230022
Location274 E Chicago StColdwater, MI 49036 · Branch County
Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Ascension Borgess Lee Hospital

Critical Access Hospitals · Dowagiac, MI
OwnershipVoluntary non-profit - Church
CMS Certification Number231315
Location420 W High StDowagiac, MI 49047 · Cass County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

97.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.57
Improvement Activities40

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.

DR. CHARLES MOORE M.D.
Emergency Medicine
1535 GULL RD, MSB 015
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-6933
DR. KEVIN L. BEYER D.O.
Internal Medicine (Gastroenterology)
1535 GULL RD, SUITE 105
KALAMAZOO, MI 49048
Kalamazoo County (269) 385-9900
FERRIS ALKAZIR MD
Family Medicine (Sleep Medicine)
1535 GULL RD
KALAMAZOO, MI 49048
Kalamazoo County (269) 345-1161
DR. ROBERT JAMES HILL III M.D.
Emergency Medicine
1535 GULL RD, MSB 015
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-6933
DR. JASON R LADWIG M.D.
Internal Medicine (Pulmonary Disease)
1535 GULL RD, STE 130
KALAMAZOO, MI 49048
Kalamazoo County (269) 345-1161
DR. GORDON T. LAWLESS M.D.
Radiology (Body Imaging)
1535 GULL RD, SUITE 200
KALAMAZOO, MI 49048
Kalamazoo County (269) 388-6350
DR. ERIC SCOTT BLACKWELL M.D.
Emergency Medicine
1535 GULL RD, MSB 015
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-6933
DR. MICHAEL LEE ADIX II M.D.
Radiology (Neuroradiology)
1535 GULL RD, SUITE #200
KALAMAZOO, MI 49048
Kalamazoo County (269) 553-0580

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 Todd Helgeson's NPI number?

The NPI number for Todd Helgeson is 1962452573. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Todd Helgeson located?

Todd Helgeson practices at 1535 Gull Rd Msb 015, Kalamazoo, MI 49048. The listed phone number is (269) 226-6933.

What is Todd Helgeson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Todd Helgeson enrolled in Medicare?

Yes. Todd 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 Todd Helgeson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Todd 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.

Is Todd Helgeson affiliated with any hospitals?

According to CMS data, Todd Helgeson is affiliated with Promedica Coldwater Regional Hospital, Borgess Medical Center and Ascension Borgess Lee Hospital.

When was this NPI record last updated?

The NPPES record for Todd Helgeson was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.