Thomas Helfst, DDS
NPI 1073568556 · Oral and Maxillofacial Surgery (Dentist) · Rochester, NY
Enrolled with Medicare as Practitioner - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Helfst, DDS is a Oral and Maxillofacial Surgery (Dentist) provider in Rochester, NY (NPI 1073568556).
Provider details
- NPI number
- 1073568556
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 045154 (NY)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
16 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 16 | $112 |
Typical Medicare-allowed amounts for these services range $112–$112 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 37 | 33 |
| Chlorhexidine Gluconate | 20 | 18 |
| Penicillin V Potassium | 18 | 16 |
| Amoxicillin | 13 | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$147 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (5)
- 3332 Rochambeau AveBronx, NY 10467-2836Phone: (718) 920-2043
- 2 Coulter Rd Ste 1720Clifton Springs, NY 14432-1122Phone: (315) 318-0284Fax: (315) 318-0998
- 2226 Penfield RdPenfield, NY 14526-1922Phone: (585) 377-5810Fax: (585) 377-1121
- 1425 Portland Ave Bldg 3Rochester, NY 14621-3095Phone: (585) 922-4103Fax: (585) 922-4495
- 606 Ann StStroudsburg, PA 18360-2015Phone: (570) 421-2320Fax: (877) 566-8834
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Frequently asked questions
- What is Thomas Helfst's NPI number?
- Thomas Helfst's National Provider Identifier (NPI) is 1073568556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Helfst's specialty?
- Thomas Helfst is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Thomas Helfst located?
- Thomas Helfst's practice location on file with NPPES is 1455 E Ridge Rd, Rochester, NY 14621-2006.
- What is Thomas Helfst's phone number?
- The practice phone number listed in the NPPES registry for Thomas Helfst is (585) 922-4103.
- Does Thomas Helfst accept Medicare?
- Thomas Helfst is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Helfst's NPI active?
- Yes — Thomas Helfst's NPI (1073568556) is active in the NPPES registry as of the last update on 2024-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.