Doctor profile · Federal record
Dr. Harold Helton, M.D.
Nephrology Physician (CMS: Nephrology) · Somerset, KY
- NPI 1063404481
- Accepts Medicare
- MIPS 62.3 / 100 · 2023
- 30 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
104 Hardin Ln Ste A
Somerset, KY 425033800
(606) 678-2063
fax (606) 678-2218
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- June 2, 2022
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 207RN0300X — NUCC code
- State license (1)
- Kentucky #33190
- Medicaid
- KY #64331903
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063404481. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,316
Distinct HCPCS
8
Medicare allowed
$218,832
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90960 |
Dialysis services, 4 or more physician visits per month (20 years or older) | 327 | 65 | $332 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 280 | 97 | $113 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 279 | 190 | $117 | |
90935 |
Hemodialysis procedure with physician evaluation | 150 | 44 | $68 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 121 | 55 | $75 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 104 | 92 | $164 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 42 | 42 | $152 | |
90961 |
Dialysis services, 2-3 physician visits per month (20 years or older) | 13 | 11 | $275 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 134. This provider delivers 9.8× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
952
Patients
213
Total drug cost
$449,868
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Losartan Potassium | Generic | 164 | 37 | $1,190 |
| Calcium Acetate | Generic | 147 | 47 | $22,099 |
| Furosemide | Generic | 104 | 31 | $1,148 |
| Sevelamer Carbonate | Generic | 97 | 32 | $39,050 |
| Auryxia (Ferric Citrate) | Brand | 79 | 16 | $202,143 |
| Spironolactone | Generic | 79 | 21 | $1,857 |
| Amlodipine Besylate | Generic | 62 | 14 | $444 |
| Torsemide | Generic | 45 | 15 | $2,806 |
| Farxiga (Dapagliflozin Propanediol) | Brand | 33 | 0 | $35,039 |
| Carvedilol | Generic | 31 | 0 | $389 |
Frequently asked questions
What is Dr. Harold Helton's medical specialty?
Dr. Harold Helton practices Nephrology Physician in Somerset, KY.
Where does Dr. Harold Helton practice?
Dr. Harold Helton practices at 104 Hardin Ln Ste A, Somerset, KY 425033800. Office phone: 6066782063.
What is Dr. Harold Helton's NPI?
Dr. Harold Helton's National Provider Identifier (NPI) is 1063404481, issued by NPPES.
Does Dr. Harold Helton accept Medicare assignment?
Yes. Dr. Harold Helton accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Harold Helton commonly perform?
Top Medicare-reported procedures in 2023: Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS 90960); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.