MICHAEL HAROLD HELTON (MD) – Hospitalist Physician, NPI 1376532085

MICHAEL HAROLD HELTON (MD) is a healthcare provider. based in Naples, Florida. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. MD0000024006 (TN). The NPI Number for MICHAEL HAROLD HELTON (MD) is 1376532085

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL HAROLD HELTON (MD)
NPI
1376532085
Phone
(239) 348-4221
Address
8340 COLLIER BLVD STE 200
Enumeration Date
14 October 2005
Last Update Date
6 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2396245000
Graduation Year
1988 (38 years ago)
PAC ID
6103898051
Group Practice PAC ID
3476832528
Professional Enrollment ID
I20161031000994
Address ID
FL341025754NA350XXNXXX400

Contacts

Secure Messaging
michael.helton.1@4692.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for MICHAEL HAROLD HELTON (MD)

  • Collier Boulevard, Naples Lakes, Collier County, Florida, 34113, United States

    NAPLES, FL 341143589

    Phone: (239) 348-4221

    Fax: (239) 348-4553

    Type: Location

  • PO BOX 11390

    BELFAST, ME 049154004

    Phone: (239) 348-4221

    Type: Mailing

  • 9981 S HEALTHPARK DR

    FORT MYERS, FL 339083618

    Phone: (239) 678-3192

    Fax: (239) 647-5431

    Type: Location

  • 8340 Collier Blvd Ste 200

    Naples, FL 341143589

    Phone: (239) 348-4221

    Fax: (239) 348-4553

    Type: Location

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 678-3192

    Fax: (239) 647-5431

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161031000994IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,293322$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes333248$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes292167$0
99239Hospital discharge day management, more than 30 minutes193187$0
99238Hospital discharge day management, 30 minutes or less142141$0
View full utilization report →

Insurance plans in this area (ZIP 34114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476832528View full group profile
NameSpecialtyState
Internal MedicineNY
Internal MedicineFL
Internal MedicineFL
Nurse PractitionerFL
Internal MedicineTX
Nurse PractitionerFL
-FL
-TX
Internal MedicineFL
H O S P I T A L I S TFL

Reviews

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Frequently asked questions

How is MICHAEL HAROLD HELTON (MD) identified in CMS data?
CMS-hosted NPPES data lists MICHAEL HAROLD HELTON (MD) with NPI 1376532085.
Is MICHAEL HAROLD HELTON (MD) listed as active for patients and plans?
The listing shows MICHAEL HAROLD HELTON (MD) as active in the NPI system.
What healthcare role does MICHAEL HAROLD HELTON (MD) hold?
Scheduling teams often label MICHAEL HAROLD HELTON (MD) under Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Does MICHAEL HAROLD HELTON (MD) list a practice location?
Patients near Naples, Florida may find MICHAEL HAROLD HELTON (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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