NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1194257378 DO, MBA
Verify on CMS → Michelle Helton, DO, MBA
Family Medicine Physician in Camdenton, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
7K
Medicare Part D claims · 591 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.1/100
▼ 1 pts below national avg 83.5 · Above neutral
Industry payments
$14.83
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Michelle Helton, DO, MBA reported a CMS MIPS final score of 82.1/100 - below the 83.5 national average - and filed 7,287 Medicare Part D claims in 2023.
- 82.1/100
- MIPS score · -1 vs avg
- 7K
- Part D claims, 2023
- 87%
- 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.
CMS NPPES provider registry desk
NPI 1194257378 · Family Medicine Physician
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-INLINE · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1194257378
- ENUM-RECENT 2017
- TAX-MEGA 148K Family Medicine
- MIPS-INLINE 82.1/100
- RX-MID 7,287
- BOOK-LIGHT 2,881 in Missouri
- PHOTO-FINISH Sandi Hartje · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Helton · this pr…
Helton · this provider
82.1 MIPS pts
- Asad Jamal · hig…
Asad Jamal
82.1 MIPS pts
- Sandi Hartje · n…
Sandi Hartje
82.1 MIPS pts
- Juan Hernandez ·…
Juan Hernandez
82.1 MIPS pts
- Sameer Jain · near
Sameer Jain
82.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Michelle Helton, DO, MBA's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
82 ≥ 36th percentile 36% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Michelle Helton, DO, MBA sits
This provider among family medicine physician peers
Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michelle Helton, DO, MBA writes more Part D claims than 79% of them and scores higher on MIPS quality than 34% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Michelle Helton, DO, MBA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Michelle Helton, DO, MBA practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Michelle Helton, DO, MBA?
Near national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
7,287 113% vs specialty avg
MIPS final score
82.1/100 1.4 pts vs avg
Specialty distribution in Missouri
How Family Medicine Physician compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Michelle Helton, DO, MBA's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 82.1/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1194257378 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | DO, MBA |
| Gender | Female |
| NPI Issued | 03/28/2017 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.1374
Final Score
Measured-score avg: 83.5
75.1456
Quality
61.4655
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Michelle Helton, DO, MBA 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.
Lake Regional Health System
★★★☆☆ 3/5
Camdenton, MO
Acute Care Hospitals
CMS CCN: 260186
Lester E Cox Medical Centers
Springfield, MO
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Michelle Helton, DO, MBA. Source: openpaymentsdata.cms.gov.
Total received
$15
Largest payer
GlaxoSmithKline, LLC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Michelle Helton, DO, MBA - brand share 13.0%
Family Medicine Physician average
13% brand-name claims vs 87% generic, on 7,287 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.
7,287
Total Claims
$665K
Total Drug Cost
591
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 15,780
- Total Day Supply
- 452,233
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $553K
- Generic Drug Cost
- $111K
- Opioid Claims
- 100 (1.4% rate)
- Antibiotic Claims
- 169
Patient Demographics
- Average Patient Age
- 71.7 years
- Avg HCC Risk Score
- 1.12
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 74, 65-74: 311, 75-84: 152, 85+: 54
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Michelle Helton, DO, MBA prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
477 claims
- Lisinopril
Lisinopril
337 claims
- Levothyroxine Sodium
Levothyroxine Sodium
329 claims
- Amlodipine Besylate
Amlodipine Besylate
197 claims
- Losartan Potassium 190
Losartan Potassium
190 claims
- Omeprazole 176
Omeprazole
176 claims
- Metoprolol Succinate 165
Metoprolol Succinate
165 claims
- Meloxicam 164
Meloxicam
164 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 477 |
| Lisinopril | 337 |
| Levothyroxine Sodium | 329 |
| Amlodipine Besylate | 197 |
| Losartan Potassium | 190 |
| Omeprazole | 176 |
| Metoprolol Succinate | 165 |
| Meloxicam | 164 |
| Gabapentin | 161 |
| Trazodone Hcl | 148 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Michelle Helton, DO, MBA fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Michelle Helton, DO, MBA's 7,287 claims are above the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Helton, both outside Missouri so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (82.1 here).
Same NPPES enumeration year (2017)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Helton.
One of 2,881 Family Medicine Physician providers enrolled in Missouri, 5 are shown here.
Dr. Mohammad Abbas
DO
Kirksville, MO
Dr. Karam Abdelmasih
MD, AP
Festus, MO
Dr. Afsheen Abdullah Patel
MD
Lees Summit, MO
Dr. Christopher Abercrombie
DO
Arnold, MO
Dr. Avery Abernathy
D.O.
Kansas City, MO
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Michelle Helton, DO, MBA's specialty? ▼
Michelle Helton, DO, MBA specializes in Family Medicine Physician and practices in Camdenton, Missouri. Credentials: DO, MBA.
How much does Michelle Helton, DO, MBA prescribe under Medicare Part D? ▼
In 2023, Michelle Helton, DO, MBA wrote 7,287 Medicare Part D claims totaling $665K in drug costs for 591 beneficiaries.
What is Michelle Helton, DO, MBA's Medicare quality score? ▼
Michelle Helton, DO, MBA has a CMS MIPS Final Score of 82.1/100 (Quality: 75.1, Cost: 61.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michelle Helton, DO, MBA located? ▼
Michelle Helton, DO, MBA is located at 1930 N BUSINESS ROUTE 5, Camdenton, MO, 65020. Phone: (573) 346-5654.
What is Michelle Helton, DO, MBA's NPI number? ▼
Michelle Helton, DO, MBA's National Provider Identifier (NPI) is 1194257378, issued on 03/28/2017.
Does Michelle Helton, DO, MBA prescribe more brand-name or generic drugs? ▼
Michelle Helton, DO, MBA's prescribing is 13% brand-name and 87% generic drugs by claim count, with $553K in brand drug costs.
Does Michelle Helton, DO, MBA prescribe opioids? ▼
Yes, Michelle Helton, DO, MBA had 100 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Michelle Helton, DO, MBA prescribe most often? ▼
Based on 2023 Medicare Part D data, Michelle Helton, DO, MBA's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michelle Helton, DO, MBA accept Medicare? ▼
Michelle Helton, DO, MBA appears in CMS Medicare data with 7,287 Part D claims and 591 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michelle Helton, DO, MBA's credentials? ▼
Michelle Helton, DO, MBA's NPI is 1194257378 with credentials DO, MBA. 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.