2026 NPPES data Hospitalist Physician NPI 1598168627 DO
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CHARLES HELTON, DO

Hospitalist Physician in TAPPAHANNOCK, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
58
Medicare Part D claims · 21 beneficiaries · Hospitalist Physician avg: 888
What the federal data reveals: CHARLES HELTON, DO is a Hospitalist Physician ([object Object]) practicing in TAPPAHANNOCK, Virginia with a Medicare Part D prescribing footprint of 58 claims across 21 beneficiaries .

What stands out: CHARLES HELTON, DO filed 58 Medicare Part D claims in 2023 across TAPPAHANNOCK, Virginia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

CHARLES HELTON, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 6 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

CHARLES HELTON, DO at a glance

Quality data not reported

NPI registry status

Active

Issued 10/03/2014

NPI 1598168627

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

58 93% vs specialty avg

2023 prescription claims

Specialty avg: 888

Specialty distribution in Virginia

How Hospitalist Physician compares to other specialties among Virginia providers

Virginia providers

Hospitalist Physician share within Virginia

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Hospitalist Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Hospitalist Physician ABMS/AOA estimate

Est. board-certified rate (Hospitalist Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hospitalist Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CHARLES HELTON, DO is a Hospitalist Physician provider practicing in TAPPAHANNOCK, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1598168627. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CHARLES HELTON, DO appears in the CMS NPPES registry as a Hospitalist Physician provider holding DO credentials at 618 HOSPITAL RD, TAPPAHANNOCK, VA, 22560, with a listed phone of (804) 443-6282. NPI 1598168627 was issued on 10/03/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HELTON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 58 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $783 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

618 HOSPITAL RD
TAPPAHANNOCK, VA 22560

Provider Details

NPI 1598168627
Specialty Hospitalist Physician
Credentials DO
Gender Male
NPI Issued 10/03/2014

Hospital and facility affiliations

Facilities where CHARLES HELTON, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
GREENEVILLE, TN
MCV ASSOCIATED PHYSICIANS
TAPPAHANNOCK, VA
SOUTHEASTERN PHYSICIAN SERVICES PC
JOHNSON CITY, TN
STEELE CREEK PHYSICIAN SERVICES PC
BRISTOL, TN
TUSCULUM PHYSICIAN SERVICES PC
GREENEVILLE, TN
WELLMONT MEDICAL ASSOCIATES INC
KINGSPORT, TN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

58
Total Claims
$783
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
74
Total Day Supply
1,281
Generic Drug Cost
$783
Antibiotic Claims
16

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
2.25

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Prednisone
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Hospitalist Physician Overview

How CHARLES HELTON, DO fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

CHARLES HELTON, DO's 58 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as HELTON.

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHARLES HELTON, DO's specialty?
CHARLES HELTON, DO specializes in Hospitalist Physician and practices in TAPPAHANNOCK, Virginia. Credentials: DO.
How much does CHARLES HELTON, DO prescribe under Medicare Part D?
In 2023, CHARLES HELTON, DO wrote 58 Medicare Part D claims totaling $783 in drug costs for 21 beneficiaries.
Where is CHARLES HELTON, DO located?
CHARLES HELTON, DO is located at 618 HOSPITAL RD, TAPPAHANNOCK, VA, 22560. Phone: (804) 443-6282.
What is CHARLES HELTON, DO's NPI number?
CHARLES HELTON, DO's National Provider Identifier (NPI) is 1598168627, issued on 10/03/2014.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does CHARLES HELTON, DO prescribe most often?
Based on 2023 Medicare Part D data, CHARLES HELTON, DO's most frequently prescribed drugs include Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHARLES HELTON, DO accept Medicare?
CHARLES HELTON, DO appears in CMS Medicare data with 58 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHARLES HELTON, DO's credentials?
CHARLES HELTON, DO's NPI is 1598168627 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology