Registry data as of Aug 27, 2026

Harold Helton, M.D.

Nephrology Physician · Somerset, KY

Harold Helton, M.D. is a nephrology physician with a practice address in Somerset, Kentucky, and NPI 1063404481, issued on Aug 22, 2005. Check the license (Kentucky 33190, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, loaded Aug 27, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordas of Aug 27, 2026
1063404481
Name
Harold Helton
Credential
M.D.
Primary taxonomy
Nephrology Physician 207RN0300X
License number
33190 KY
Self-reported in NPPES; status is on the state search
Practice location
104 Hardin LN Ste A, Somerset, KY 42503
Phone
(606) 678-2063
Enumerated
Aug 22, 2005
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 104 Hardin LN Ste A

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Robert Johnson, NPGerontology Nurse Practitioner1417467010
  2. Matthew Shea, DOInternal Medicine Physician1700270949

Verify Harold Helton in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 33190
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

27% fewer Medicare Part D claims than the average nephrology physician in 2024

1,099 Medicare Part D claims for 197 beneficiaries, against an average of 1,511 among the 8,473 providers of this specialty who prescribed in Part D. Brand-name drugs were 21% of claims.

  1. Harold Helton1,099
  2. Specialty average1,511

Most prescribed

  1. Calcium Acetate139 claims
  2. Losartan Potassium97 claims
  3. Spironolactone90 claims
  4. Furosemide78 claims
  5. Farxiga76 claims
  6. Sevelamer Carbonate71 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The Medicare quality score for 2023: 65.8 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score49.7
  2. Costout of 100 · 30%
  3. Promoting interoperabilityout of 100 · 25%
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Nephrology Physician providers in Kentucky

There are 123 nephrology physician records in Kentucky.

Other nephrology physician records in Kentucky

  1. Shafic Abdul Wahab El Hindi, M.D.Louisville, KY1487979456
  2. Hisham Abu FarsakPaducah, KY1346736857
  3. Alexander Afanasyev, MDLouisville, KY1972505030
  4. Sadiq Ahmed, M.D.Lexington, KY1912920679
  5. Rizwan Akhtar, M.D.Richmond, KY1669695649
  6. Timi Akins, MDMadisonville, KY1023099561
  7. Raza Ali, MDLouisville, KY1619933074
  8. Shaukat Ali, M.D.Paducah, KY1700956844
  9. Adam Alperstein, M.D.Lexington, KY1164803300
  10. Zygimantas Alsauskas, M.D.Louisville, KY1104085455

Common questions

What is Harold Helton, M.D.'s NPI number?

Harold Helton, M.D.'s National Provider Identifier (NPI) is 1063404481, issued on Aug 22, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Harold Helton, M.D. located?

The NPPES record lists a practice address at 104 Hardin LN Ste A, Somerset, KY, 42503. Phone: (606) 678-2063. Providers update this record themselves, so call before visiting.

How can I verify Harold Helton, M.D.'s license?

NPPES lists Kentucky license number 33190, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Harold Helton, M.D. prescribe under Medicare Part D?

In 2024, Harold Helton, M.D. had 1,099 Medicare Part D claims for 197 beneficiaries; the average among nephrology physician prescribers was 1,511. Part D covers Medicare prescriptions only.

What is Harold Helton, M.D.'s Medicare quality score?

The 2023 MIPS final score is 65.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.