DR. DOUGLAS L HELM (M.D.) – Plastic Surgery Physician, NPI 1598827933
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
210 PLASTIC AND RECONSTRUCTIVE SURGERY in MA
Provider Addresses for DR. DOUGLAS L HELM (M.D.)
70 PLEASANT ST STE 2
WEYMOUTH, MA 021902427
Phone: (781) 812-0927
Fax: (781) 812-0583
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $86.
Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Mentor Worldwide LLC ($71).
Total Amount
$86
General + Research + Ownership
Payments
4
Total payment records
General Amount
$86
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $71 |
| Galderma Laboratories, L.P. | $15 |
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: 2013-07-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130705000262 | I | Plastic And Reconstructive Surgery | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 236 | 137 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 88 | 88 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 88 | 88 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 21 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 02190)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | MA | 11042 | Removal of skin and tissue first 20 sq cm or less | 14 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | NM | |
| Internal Medicine | MA | |
| Emergency Medicine | RI | |
| Family Practice | ME | |
| Emergency Medicine | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Physician Assistant | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Psychiatry, Neuropsychiatry | MD | |
| Cardiovascular Disease (Cardiology) | MI |
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