Micah Helton, M.D.
Internal Medicine Physician · Durango, CO
Micah Helton, M.D. is an internal medicine physician with a practice address in Durango, Colorado, and NPI 1194172379, issued on May 18, 2016. Check the license (Colorado DR.0065171, as entered in NPPES) on the Colorado Medical Board; the Medicare figures below come from public CMS files.
- Name
- Micah Helton
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- DR.0065171 CO
2016023432 MO
MD2025-0267 NM
Self-reported in NPPES; status is on the state search - Practice location
- 810 E 3RD St Unit 201, Durango, CO 81301
- Phone
- (970) 764-1790
- Enumerated
- May 18, 2016
- Record last updated
- Mar 25, 2025
- Medicare enrollment
- Enrolled (PECOS I20201022000600); accepts Medicare assignment
- Medical or professional school
- University Of Oklahoma College Of Medicine, 2016
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 2,046 in Colorado → Look up another NPI →
Also registered at 810 E 3RD St Unit 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kimberly Ayres, RD LDRegistered Dietitian1669473161
- Charlotte Barry, MDInternal Medicine Physician1518968734
- Shona Jones, NPPrimary Care Nurse Practitioner1417683632
- William Marr, PA-CMedical Physician Assistant1992801179
- Holly McCoy, PA-CMedical Physician Assistant1366811366
- Dennis Wales, MDFamily Medicine Physician1376650408
Verify Micah Helton in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersColorado Medical Board
Search for license DR.0065171Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
99% fewer Medicare Part D claims than the average internal medicine physician in 2024
21 Medicare Part D claims for 11 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.
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): 88.2 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).
Bills Medicare through one group practice
- Catholic Health Initiatives ColoradoDurango, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Micah Helton among 2,046 internal medicine physician records in Colorado
Micah Helton, M.D. is one of 2,046 internal medicine physician records with a practice address in Colorado. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 82% of them.
- NPI issued2016 · 82% of these records are older, 15% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 53% of these records are
- Graduated2016 · median 2006 among the 1,090 with a school on file
- Record last updated2025 · 61% 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 Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Internal Medicine Physician providers in Colorado
There are 2,046 internal medicine physician records in Colorado.
All 2,046 in Colorado → Every provider in Durango → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Charlotte Barry, MDDurango, CO 813011518968734
- Caley Copeland, M.D.Durango, CO 813011487920997
- Susan Ghani, MDDurango, CO 813011639264807
- Sarah Goodpastor, MDDurango, CO 813011619112307
- Josette Miller, DODurango, CO 813011801087705
- Erin Nealon, D.ODurango, CO 813011912161456
- Julie Pysklo, MDDurango, CO 813011124092572
- Karla Demby, MDCortez, CO 813211194895094
Common questions
What is Micah Helton, M.D.'s NPI number?
Micah Helton, M.D.'s National Provider Identifier (NPI) is 1194172379, issued on May 18, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Micah Helton, M.D. located?
The NPPES record lists a practice address at 810 E 3RD St Unit 201, Durango, CO, 81301. Phone: (970) 764-1790. Providers update this record themselves, so call before visiting.
How can I verify Micah Helton, M.D.'s license?
NPPES lists Colorado license number DR.0065171, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Micah Helton, M.D. prescribe under Medicare Part D?
In 2024, Micah Helton, M.D. had 21 Medicare Part D claims for 11 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Micah Helton, M.D.'s MIPS final score?
The 2023 MIPS final score is 88.2 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.