Simon Helfgott, MD
NPI 1699889246 · Rheumatology Physician · Boston, MA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Simon Helfgott, MD is a Rheumatology Physician provider in Boston, MA (NPI 1699889246).
Provider details
- NPI number
- 1699889246
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 47497 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,060 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 472 | $139 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 245 | $98 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 130 | $102 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 75 | $180 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 63 | $69 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 42 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 518 | 143 |
| Methotrexate Sodiumbrand: Methotrexate | 331 | 93 |
| Etanerceptbrand: Enbrel Sureclick | 160 | 16 |
| Hydroxychloroquine Sulfate | 132 | 44 |
| Adalimumabbrand: Humira(cf) Pen | 117 | 16 |
| Gabapentin | 90 | 29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$506 across 21 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
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2018-10-01
Frequently asked questions
- What is Simon Helfgott's NPI number?
- Simon Helfgott's National Provider Identifier (NPI) is 1699889246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Simon Helfgott's specialty?
- Simon Helfgott is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Simon Helfgott located?
- Simon Helfgott's practice location on file with NPPES is Arthritis Center, Boston, MA 02115.
- What is Simon Helfgott's phone number?
- The practice phone number listed in the NPPES registry for Simon Helfgott is (617) 732-5323.
- Does Simon Helfgott accept Medicare?
- Simon Helfgott is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Simon Helfgott's NPI active?
- Yes — Simon Helfgott's NPI (1699889246) is active in the NPPES registry as of the last update on 2018-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.