Harold Helton, M.D.
NPI 1063404481 · Nephrology Physician · Somerset, KY
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Harold Helton, M.D. is a Nephrology Physician provider in Somerset, KY (NPI 1063404481).
Provider details
- NPI number
- 1063404481
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 33190 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
983 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 | 269 | $327 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 267 | $117 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 164 | $111 |
| Hemodialysis Procedure With Physician Evaluation90935 | 78 | $66 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 73 | $73 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Calcium Acetate | 139 | 40 |
| Losartan Potassium | 97 | 22 |
| Spironolactone | 90 | 24 |
| Furosemide | 78 | 19 |
| Dapagliflozin Propanediolbrand: Farxiga | 76 | 15 |
| Sevelamer Carbonate | 71 | 26 |
| Amlodipine Besylate | 59 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-22
- Last updated
- 2022-06-02
- Certified
- 2022-06-02
Frequently asked questions
- What is Harold Helton's NPI number?
- Harold Helton's National Provider Identifier (NPI) is 1063404481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Harold Helton's specialty?
- Harold Helton is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Harold Helton located?
- Harold Helton's practice location on file with NPPES is 104 Hardin Ln Ste a, Somerset, KY 42503-3800.
- What is Harold Helton's phone number?
- The practice phone number listed in the NPPES registry for Harold Helton is (606) 678-2063.
- Does Harold Helton accept Medicare?
- Harold Helton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Harold Helton's NPI active?
- Yes — Harold Helton's NPI (1063404481) is active in the NPPES registry as of the last update on 2022-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.