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.
- 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
- Record last updated
- Jun 2, 2022
- Fax
- (606) 678-2218
- Medicaid ID
- 64331903 KY
- Medicare enrollment
- Enrolled (PECOS I20040920000031); accepts Medicare assignment
- Medical or professional school
- University Of Kentucky College Of Medicine, 1996
- Entity
- Type 1 · individual
8 nearest nephrology physician records → All 174 in Kentucky → Look up another NPI →
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.
- Robert Johnson, NPAdult Health Nurse Practitioner1417467010
- Matthew Shea, DONephrology Physician1700270949
Verify Harold Helton in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 33190Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
25% 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 1,465 among the 10,986 providers of this specialty who prescribed in Part D. Brand-name drugs were 21% of claims.
Most prescribed
- Calcium Acetate139 claims
- Losartan Potassium97 claims
- Spironolactone90 claims
- Furosemide78 claims
- Farxiga76 claims
- 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 MIPS final score for 2023 (Medicare payment program): 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.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Harold Helton among 174 nephrology physician records in Kentucky
Harold Helton, M.D. is one of 174 nephrology physician records with a practice address in Kentucky. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 81% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 84% of these records are
- Graduated1996 · median 2003 among the 146 with a school on file
- Record last updated2022 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RN0300X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Nephrology Physician providers in Kentucky
There are 174 nephrology physician records in Kentucky.
All 174 in Kentucky → Every provider in Somerset → Nephrology Physician nationwide →
The 8 nephrology physician records with the nearest ZIP codes
- Matthew Shea, DOSomerset, KY 425031700270949
- Timi Akins, MDMadisonville, KY 424311023099561
- Robert Libbey, M.D.Henderson, KY 424201700838539
- Khalid Bhatti, M.D.Elizabethtown, KY 427011497824114
- Mustafa Muhammad, M.DElizabethtown, KY 427011598116782
- Mahendra Patel, M.D.Elizabethtown, KY 427011043389885
- Hamza Arif, M.D.Owensboro, KY 423031699161240
- Dhiren Haria, M.D.Owensboro, KY 423031861434565
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 1,465. Part D covers Medicare prescriptions only.
What is Harold Helton, M.D.'s MIPS final 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), file of Aug 9, 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.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.