2026 NPPES data Psychiatry Physician NPI 1609305143 M.D.
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JAMES HELLEKSON, M.D.

Psychiatry Physician in FORT MEADE, South Dakota. 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
613
Medicare Part D claims · 75 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.5814/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

JAMES HELLEKSON, M.D. reported a CMS MIPS final score of 97.5814/100 — above the 83.1 national average — and filed 613 Medicare Part D claims in 2023.

97.5814/100
MIPS score · +14 vs avg
613
Part D claims, 2023
96%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JAMES HELLEKSON, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

98 Top 15% higher than 85% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

JAMES HELLEKSON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JAMES HELLEKSON, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/08/2017

NPI 1609305143

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

613 41% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

97.5814/100 14.481400000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Dakota

How Psychiatry Physician compares to other specialties among South Dakota providers

South Dakota providers

Psychiatry Physician share within South Dakota

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within South Dakota

Medicare quality performance — MIPS

JAMES HELLEKSON, M.D.'s 2023 MIPS final score plotted against the Psychiatry Physician national average

High performer (top quartile)
MIPS Final Score
97.5814/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatry Physician) — 97.5814/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Psychiatry Physician) — 97.5814/100 vs national avg 83.1

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).

JAMES HELLEKSON, M.D. is a Psychiatry Physician provider practicing in FORT MEADE, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1609305143. 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.

JAMES HELLEKSON, M.D. appears in the CMS NPPES registry as a Psychiatry Physician provider holding M.D. credentials at 113 COMANCHE RD, FORT MEADE, SD, 57741, with a listed phone of (605) 720-7069. NPI 1609305143 was issued on 06/08/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HELLEKSON 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 613 prescription claims written by this provider, covering 75 Medicare beneficiaries and totaling roughly $47K in drug spend, split 4% brand-name and 96% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.5814/100 for the 2023 performance year (Quality 86.5348), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

113 COMANCHE RD
FORT MEADE, SD 57741

Provider Details

NPI 1609305143
Specialty Psychiatry Physician
Credentials M.D.
Gender Male
NPI Issued 06/08/2017

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Generic-heavy

JAMES HELLEKSON, M.D. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 613 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

613
Total Claims
$47K
Total Drug Cost
75
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
703
Total Day Supply
20,828
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$32K
Generic Drug Cost
$15K

Patient Demographics

Average Patient Age
63.1 years
Avg HCC Risk Score
1.46
Gender Split
68% female / 32% male
Age Distribution
<65: 30, 65-74: 30, 75-84: 15, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Quetiapine Fumarate
50
Sertraline Hcl
44
Fluoxetine Hcl
41
Lamotrigine
39
Duloxetine Hcl
35
Trazodone Hcl
34
Buspirone Hcl
33
Bupropion Xl
Bupropion Hcl
31
Desvenlafaxine Succinate Er
Desvenlafaxine Succinate
22
Escitalopram Oxalate
21

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

Psychiatry Physician Overview

How JAMES HELLEKSON, M.D. fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

JAMES HELLEKSON, M.D.'s 613 claims are below the specialty average of 1,038.

Nearby Psychiatry Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as HELLEKSON.

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

Frequently Asked Questions

What is JAMES HELLEKSON, M.D.'s specialty?
JAMES HELLEKSON, M.D. specializes in Psychiatry Physician and practices in FORT MEADE, South Dakota. Credentials: M.D..
How much does JAMES HELLEKSON, M.D. prescribe under Medicare Part D?
In 2023, JAMES HELLEKSON, M.D. wrote 613 Medicare Part D claims totaling $47K in drug costs for 75 beneficiaries.
What is JAMES HELLEKSON, M.D.'s Medicare quality score?
JAMES HELLEKSON, M.D. has a CMS MIPS Final Score of 97.5814/100 (Quality: 86.5348). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES HELLEKSON, M.D. located?
JAMES HELLEKSON, M.D. is located at 113 COMANCHE RD, FORT MEADE, SD, 57741. Phone: (605) 720-7069.
What is JAMES HELLEKSON, M.D.'s NPI number?
JAMES HELLEKSON, M.D.'s National Provider Identifier (NPI) is 1609305143, issued on 06/08/2017.
Does JAMES HELLEKSON, M.D. prescribe more brand-name or generic drugs?
JAMES HELLEKSON, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $32K in brand drug costs.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does JAMES HELLEKSON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES HELLEKSON, M.D.'s most frequently prescribed drugs include Quetiapine Fumarate, Sertraline Hcl, Fluoxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES HELLEKSON, M.D. accept Medicare?
JAMES HELLEKSON, M.D. appears in CMS Medicare data with 613 Part D claims and 75 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES HELLEKSON, M.D.'s credentials?
JAMES HELLEKSON, M.D.'s NPI is 1609305143 with credentials M.D.. 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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