Micah Helton, M.D.
NPI 1194172379 · Internal Medicine Physician · Durango, CO
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Micah Helton, M.D. is a Internal Medicine Physician provider in Durango, CO (NPI 1194172379).
Provider details
- NPI number
- 1194172379
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2016023432 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
140 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 64 | $170 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 24 | $116 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 22 | $77 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 15 | $128 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 15 | $80 |
Typical Medicare-allowed amounts for these services range $77–$170 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
Practice location
Mailing address
Additional practice locations (2)
- 1010 Three Springs BlvdDurango, CO 81301-8296Phone: (970) 764-3352
- 407 S Schwartz Ave Ste 102Farmington, NM 87401-5925Phone: (505) 609-6700
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Frequently asked questions
- What is Micah Helton's NPI number?
- Micah Helton's National Provider Identifier (NPI) is 1194172379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Micah Helton's specialty?
- Micah Helton is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Micah Helton located?
- Micah Helton's practice location on file with NPPES is 810 E 3rd St Unit 201, Durango, CO 81301-5759.
- What is Micah Helton's phone number?
- The practice phone number listed in the NPPES registry for Micah Helton is (970) 764-1790.
- Does Micah Helton accept Medicare?
- Micah Helton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Micah Helton's NPI active?
- Yes — Micah Helton's NPI (1194172379) is active in the NPPES registry as of the last update on 2025-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.