Helai Hesham, MD
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · New York, NY
Helai Hesham, MD is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician with a practice address in New York, New York, and NPI 1386907053, issued on Jun 19, 2012. Check the license (New York 299167, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Helai Hesham
- Credential
- MD
- Primary taxonomy
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X
- License numbers
- 299167 NY
MT201299 PA
Self-reported in NPPES; status is on the state search - Practice location
- 622 W 168TH St Ste 16-22, New York, NY 10032
- Phone
- (212) 305-7333
- Enumerated
- Jun 19, 2012
- Record last updated
- Jun 4, 2025
- Medicare enrollment
- Enrolled (PECOS I20190827003226); accepts Medicare assignment
- Medical or professional school
- Albany Medical College Of Union University, 2012
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records → All 73 in New York → Look up another NPI →
Verify Helai Hesham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 299167Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
50% fewer Medicare Part D claims than the average urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician in 2024
365 Medicare Part D claims for 127 beneficiaries, against an average of 732 among the 998 providers of this specialty who prescribed in Part D. Brand-name drugs were 42% of claims.
Most prescribed
- Estradiol107 claims
- Gemtesa102 claims
- Myrbetriq26 claims
- Nitrofurantoin Mono-Macro16 claims
- Solifenacin Succinate11 claims
- Trimethoprim11 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): 100 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).
Industry payments in 2024: $99.75
2 payments; by number, the most common kind was food and beverage; the largest payer was Coloplast Corp. The 864 providers of this specialty with any payment received $2,558.52 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Trustees OF Columbia University IN The City OF New YorkNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Helai Hesham among 73 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records in New York
Helai Hesham, MD is one of 73 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records with a practice address in New York. 96% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 68% of them.
- NPI issued2012 · 68% of these records are older, 29% newer
- In a Medicare fileYes · 96% of these records are
- In the CMS Doctors and Clinicians fileYes · 85% of these records are
- Graduated2012 · median 2005 among the 62 with a school on file
- Record last updated2025 · 32% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207VF0040X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers in New York
There are 73 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records in New York.
All 73 in New York → Every provider in New York → Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician nationwide →
The 8 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records with the nearest ZIP codes
- Jody Blanco, M.D.New York, NY 100321780603191
- Laura Dhariwal, MDNew York, NY 100321699119198
- Svjetlana Lozo, MDNew York, NY 100321326277435
- Ladin Yurteri-Kaplan, M.D.New York, NY 100321790014827
- Alan Garely, MDNew York, NY 100291891788931
- Feven Getaneh, MDNew York, NY 100291124555297
- Emily BlantonNew York, NY 100381346530151
- Cedric Olivera, MD, MSNew York, NY 100381568638997
Common questions
What is Helai Hesham, MD's NPI number?
Helai Hesham, MD's National Provider Identifier (NPI) is 1386907053, issued on Jun 19, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Helai Hesham, MD located?
The NPPES record lists a practice address at 622 W 168TH St Ste 16-22, New York, NY, 10032. Phone: (212) 305-7333. Providers update this record themselves, so call before visiting.
How can I verify Helai Hesham, MD's license?
NPPES lists New York license number 299167, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Helai Hesham, MD prescribe under Medicare Part D?
In 2024, Helai Hesham, MD had 365 Medicare Part D claims for 127 beneficiaries; the average among urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician prescribers was 732. Part D covers Medicare prescriptions only.
What is Helai Hesham, MD's MIPS final score?
The 2023 MIPS final score is 100 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.