Charles Helton, DO
NPI 1598168627 · Hospitalist Physician · Tappahannock, VA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Helton, DO is a Hospitalist Physician provider in Tappahannock, VA (NPI 1598168627).
Provider details
- NPI number
- 1598168627
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 51340 (TN)
Specialties & taxonomies
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
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
8 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
419 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 Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 202 | $120 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 202 | $157 |
| Critical Care, First 30-74 Minutes99291 | 15 | $198 |
Typical Medicare-allowed amounts for these services range $120–$198 (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.
Practice location
Mailing address
Additional practice locations (7)
- 1 Medical Park BlvdBristol, TN 37620-7430Phone: (423) 844-5560Fax: (423) 844-5569
- 1420 Tusculum BlvdGreeneville, TN 37745-4279Phone: (423) 787-5000
- 130 W Ravine RdKingsport, TN 37660Phone: (423) 224-3628Fax: (423) 230-8502
- 16000 Johnston Memorial Dr Fl 4Abingdon, VA 24211-7664Phone: (276) 258-1000
- 1990 Holton Ave EBig Stone Gap, VA 24219-3350Phone: (276) 679-6495Fax: (276) 679-6095
- 58 Carroll StreetRm 2037Lebanon, VA 24266Phone: (276) 883-8000
- 245 Medical Park Dr Fl 2Marion, VA 24354-1100Phone: (276) 378-1000
Registry dates
- Enumerated
- 2014-10-03
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Frequently asked questions
- What is Charles Helton's NPI number?
- Charles Helton's National Provider Identifier (NPI) is 1598168627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Helton's specialty?
- Charles Helton is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Charles Helton located?
- Charles Helton's practice location on file with NPPES is 618 Hospital Rd, Tappahannock, VA 22560-5000.
- What is Charles Helton's phone number?
- The practice phone number listed in the NPPES registry for Charles Helton is (804) 443-6282.
- Does Charles Helton accept Medicare?
- Charles Helton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Helton's NPI active?
- Yes — Charles Helton's NPI (1598168627) is active in the NPPES registry as of the last update on 2025-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.