Helio F. Pedro, M.D.
Internal Medicine Physician · Newark, NJ
Helio F. Pedro, M.D. is an internal medicine physician with a practice address in Newark, New Jersey, and NPI 1215983382, issued on May 26, 2006. Check the license (New Jersey MA069676, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Helio F. Pedro
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- MA069676 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 185 S Orange Ave, Newark, NJ 07103
- Phone
- (973) 972-4480
- Enumerated
- May 26, 2006
- Record last updated
- Jul 13, 2026
- Medicare enrollment
- Enrolled (PECOS I20041230000220); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 4,632 in New Jersey → Look up another NPI →
Also registered at 185 S Orange Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Helio F. Pedro in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license MA069676Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
96% fewer Medicare Part D claims than the average internal medicine physician in 2024
119 Medicare Part D claims, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 60% of claims.
Most prescribed
- Betaine Anhydrous23 claims
- Zavesca13 claims
- Leucovorin Calcium12 claims
- Vimizim12 claims
- Vpriv11 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 practice group's MIPS final score for 2023 (Medicare payment program): 75.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $32,627.41
12 payments; by number, the most common kind was compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program; the largest payer was Genzyme Corporation. The 50,334 providers of this specialty with any payment received $1,303.06 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
- Hackensack Meridian Health Medical Group - Specialty Care PCHackensack, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Helio F. Pedro among 4,632 internal medicine physician records in New Jersey
Helio F. Pedro, M.D. is one of 4,632 internal medicine physician records with a practice address in New Jersey. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 50% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated1995 · median 2000 among the 3,132 with a school on file
- Record last updated2026 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
184 internal medicine physician records list a practice address in Newark
They are 184 of the 4,875 NPPES records with a practice address in Newark, and 4,632 internal medicine physician records in New Jersey.
All 4,632 in New Jersey → Every provider in Newark → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Suzanne Atkin, M.D.Newark, NJ 071031285669721
- Marianne Camargo, M.D.Newark, NJ 071031912166950
- Mary Cantey, M.D.Newark, NJ 071031851422687
- Dorothy Castro, MDNewark, NJ 071031982848297
- Irene Hao, MDNewark, NJ 071031598807521
- Iris Herrera, M.D.Newark, NJ 071031457446643
- Neil Kothari, M.D.Newark, NJ 071031639100233
- Ana Natale-Pereira, M.D.Newark, NJ 071031215949342
Common questions
What is Helio F. Pedro, M.D.'s NPI number?
Helio F. Pedro, M.D.'s National Provider Identifier (NPI) is 1215983382, issued on May 26, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Helio F. Pedro, M.D. located?
The NPPES record lists a practice address at 185 S Orange Ave, Newark, NJ, 07103. Phone: (973) 972-4480. Providers update this record themselves, so call before visiting.
How can I verify Helio F. Pedro, M.D.'s license?
NPPES lists New Jersey license number MA069676, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Helio F. Pedro, M.D. prescribe under Medicare Part D?
In 2024, Helio F. Pedro, M.D. had 119 Medicare Part D claims; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Helio F. Pedro, M.D.'s MIPS final score?
The 2023 MIPS final score is 75.8 of 100, reported for the practice group. 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.