DR. GREGORY M HELBIG M.D.
NPI 1972761211
Neurological Surgery in Modesto, CA

Q: What is Gregory Helbig's NPI number?

The NPI number for Gregory Helbig is 1972761211. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Q: What is Gregory Helbig's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Helbig was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 22, 2008PECOS EnrolledAccepts Medicare Assignment

74.11/100

CMS Quality Rating

4016 DALE RD, MODESTO, CA 95356(209) 571-0288(209) 571-0327 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 26, 2020, Aug 27, 2019, Jul 22, 2019 and 4 more (7 updates tracked since 2017).

On this page

About Dr. Gregory M Helbig M.d. NPPES

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

DR. GREGORY M HELBIG M.D. (NPI 1972761211) is an individual neurological surgery provider in Modesto, California, licensed in California (A114866) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2004).

NPPES Registry Identity

NPI1972761211

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. GREGORY M HELBIGCredential: M.D.

Location Address4016 DALE RDModesto, CA 95356-9268

Mailing Address4016 Dale RdModesto, CA 95356-9268 · (209) 571-0288 · Fax (209) 338-6156

Phone(209) 571-0288

Fax(209) 571-0327

Sole ProprietorYes

Medical School CMSIndiana University School Of MedicineGraduated 2004

Enumeration DateMay 22, 2008

Last NPPES UpdateMay 26, 20207 updates tracked since enumeration

NPPES CertifiedMay 26, 2020

✔ NPI 1972761211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in CA · A114866

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Also ListedSpecialistTaxonomy 174400000X · License A114866 (CA)

4016 DALE RD, Modesto, CA 95356

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Other Identifiers 2

Other12244343CA · Caqh

OtherA114866CA · Medical License

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

Dr. Gregory M Helbig M.d. 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 ID9739359761

PECOS Enrollment IDI20200612002618

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 Reassignment

Medicare enrollment records show Gregory Helbig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gregory M Helbig MD Inc

Same address

Neurological Surgery

4016 DALE RD
Modesto, CA 95356

Reassigned Medicare billing, California enrollment

NPI 1619317716 (209) 571-0288

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 7

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 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.

213 services130 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.

133 services84 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.

124 services117 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

107 services107 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

36 services17 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

36 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

74.11/100

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

Individually scored

Quality

43.73

Promoting Interoperability

Improvement Activities

Cost

100

Reported Quality Measures

Advance Care Plan

37%816 patients2/55-star benchmark: 100%

Colorectal Cancer Screening

0%779 patients1/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

56%2,329 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

17%1,110 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

15%1,736 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 70% · 667 patients

Patients screened: 76% · 667 patients

19%48 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

69%492 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 558 patients

Patients totalRate: 3% · 559 patients

3%559 patients4/55-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.

Other Providers at the Same Location NPPES 12

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

DAVID B BYBEE M D INC

Neurological Surgery