2026 NPPES data Internal Medicine Physician NPI 1194172379 M.D.
Verify on CMS →

MICAH HELTON, M.D.

Internal Medicine Physician in DURANGO, Colorado. 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
1K
Medicare Part D claims · 299 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
88.2296/100
▲ 5 pts above national avg 83.1 · [object Object]

What the federal data shows

MICAH HELTON, M.D. reported a CMS MIPS final score of 88.2296/100 — above the 83.1 national average — and filed 1,175 Medicare Part D claims in 2023.

88.2296/100
MIPS score · +5 vs avg
1K
Part D claims, 2023
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.

MICAH HELTON, 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

88 Top 44% higher than 56% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

MICAH HELTON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 MICAH HELTON, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/18/2016

NPI 1194172379

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,175 57% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

88.2296/100 5.129600000000011% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Internal Medicine Physician compares to other specialties among Colorado providers

Colorado providers

Internal Medicine Physician share within Colorado

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Colorado

Medicare quality performance — MIPS

MICAH HELTON, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
88.2296/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 88.2296/100 vs national avg 83.1

0%100%National avg83%88.2%
MIPS final score (Internal Medicine Physician) — 88.2296/100 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).

MICAH HELTON, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 810 E 3RD ST UNIT 201, DURANGO, CO, 81301, with a listed phone of (970) 764-1790. NPI 1194172379 was issued on 05/18/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HELTON 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 1,175 prescription claims written by this provider, covering 299 Medicare beneficiaries and totaling roughly $116K in drug spend. 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 88.2296/100 for the 2023 performance year (Quality 88.9629), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

810 E 3RD ST UNIT 201
DURANGO, CO 81301

Provider Details

NPI 1194172379
Specialty Internal Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 05/18/2016

CMS Quality Score (MIPS)

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

88.2296
Final Score
Avg: 83.1
88.9629
Quality
81
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICAH HELTON, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CATHOLIC HEALTH INITIATIVES COLORADO
DURANGO, CO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

1,175
Total Claims
$116K
Total Drug Cost
299
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,096
Total Day Supply
92,107
Generic Drug Cost
$18K

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.01
Gender Split
79% female / 21% male
Age Distribution
<65: 19, 65-74: 144, 75-84: 106, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What MICAH HELTON, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
111
Atorvastatin Calcium
91
Losartan Potassium
47
Amlodipine Besylate
42
Lisinopril
41
Rosuvastatin Calcium
39
Metformin Hcl Er
Metformin Hcl
27
Simvastatin
24
Gabapentin
23
Fluoxetine Hcl
22

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

Internal Medicine Physician Overview

How MICAH HELTON, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

MICAH HELTON, M.D.'s 1,175 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Colorado

Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as HELTON.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICAH HELTON, M.D.'s specialty?
MICAH HELTON, M.D. specializes in Internal Medicine Physician and practices in DURANGO, Colorado. Credentials: M.D..
How much does MICAH HELTON, M.D. prescribe under Medicare Part D?
In 2023, MICAH HELTON, M.D. wrote 1,175 Medicare Part D claims totaling $116K in drug costs for 299 beneficiaries.
What is MICAH HELTON, M.D.'s Medicare quality score?
MICAH HELTON, M.D. has a CMS MIPS Final Score of 88.2296/100 (Quality: 88.9629). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICAH HELTON, M.D. located?
MICAH HELTON, M.D. is located at 810 E 3RD ST UNIT 201, DURANGO, CO, 81301. Phone: (970) 764-1790.
What is MICAH HELTON, M.D.'s NPI number?
MICAH HELTON, M.D.'s National Provider Identifier (NPI) is 1194172379, issued on 05/18/2016.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does MICAH HELTON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICAH HELTON, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICAH HELTON, M.D. accept Medicare?
MICAH HELTON, M.D. appears in CMS Medicare data with 1,175 Part D claims and 299 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICAH HELTON, M.D.'s credentials?
MICAH HELTON, M.D.'s NPI is 1194172379 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