2026 NPPES data Geriatric Medicine (Internal Medicine) Physician NPI 1962431940 M.D.
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MIKKO HELENIUS, M.D.

Geriatric Medicine (Internal Medicine) Physician in MONTEREY, California. 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
4K
Medicare Part D claims · 247 beneficiaries · Geriatric Medicine (Internal Medicine) Physician avg: 4K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.6387/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$321.58
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MIKKO HELENIUS, M.D. reported a CMS MIPS final score of 86.6387/100 — above the 83.1 national average — and filed 4,217 Medicare Part D claims in 2023.

86.6387/100
MIPS score · +4 vs avg
4K
Part D claims, 2023
85%
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.

MIKKO HELENIUS, 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

87 Top 48% higher than 52% 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)

MIKKO HELENIUS, 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 MIKKO HELENIUS, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/01/2006

NPI 1962431940

Primary specialty

Geriatric Medicine (Internal Medicine) Physician

Niche

4,161 US NPIs in this specialty

Medicare Part D claims

4,217 5% vs specialty avg

2023 prescription claims

Specialty avg: 4,450

MIPS final score

86.6387/100 3.5387000000000057% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Geriatric Medicine (Internal Medicine) Physician compares to other specialties among California providers

California providers

Geriatric Medicine (Internal Medicine) Physician share within California

1. Geriatric Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Internal Medicine) Physician share within California

Medicare quality performance — MIPS

MIKKO HELENIUS, M.D.'s 2023 MIPS final score plotted against the Geriatric Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
86.6387/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 86.6387/100 vs national avg 83.1

0%100%National avg83%86.6%
MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 86.6387/100 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).

MIKKO HELENIUS, M.D. appears in the CMS NPPES registry as a Geriatric Medicine (Internal Medicine) Physician provider holding M.D. credentials at 23625 HOLMAN HWY, MONTEREY, CA, 93940, with a listed phone of (831) 622-2708. NPI 1962431940 was issued on 07/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HELENIUS 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 4,217 prescription claims written by this provider, covering 247 Medicare beneficiaries and totaling roughly $284K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 3.0%. 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 86.6387/100 for the 2023 performance year (Quality 97.88, Cost 84.566), compared with the national average of 83.1.

Geriatric Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 4,161 enrolled providers across 52 states and an average of 4,450 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

23625 HOLMAN HWY
MONTEREY, CA 93940

Provider Details

NPI 1962431940
Specialty Geriatric Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 07/01/2006

CMS Quality Score (MIPS)

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

86.6387
Final Score
Avg: 83.1
97.88
Quality
84.566
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where MIKKO HELENIUS, 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.

MONTEREY HOSPITALIST MEDICAL GROUP
MONTEREY, CA

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 MIKKO HELENIUS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$322

Largest payer

Edwards Lifesciences Corporation

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.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to MIKKO HELENIUS, M.D.. To verify MIKKO HELENIUS, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MIKKO HELENIUS, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 4,217 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.

4,217
Total Claims
$284K
Total Drug Cost
247
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,242
Total Day Supply
84,309
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$210K
Generic Drug Cost
$73K
Opioid Claims
127 (3.0% rate)
Antibiotic Claims
208

Patient Demographics

Average Patient Age
79.4 years
Avg HCC Risk Score
2.05
Gender Split
57% female / 43% male
Age Distribution
<65: 13, 65-74: 63, 75-84: 89, 85+: 82

Top Prescribed Drugs (Medicare Part D)

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

What MIKKO HELENIUS, 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
Atorvastatin Calcium
314
Eliquis
Apixaban
202
Potassium Chloride
149
Levothyroxine Sodium
146
Clopidogrel
Clopidogrel Bisulfate
130
Carvedilol
119
Losartan Potassium
99
Amlodipine Besylate
94
Gabapentin
93
Furosemide
86

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

Geriatric Medicine (Internal Medicine) Physician Overview

How MIKKO HELENIUS, M.D. fits within the Geriatric Medicine (Internal Medicine) Physician landscape nationally.

4,161
Geriatric Medicine (Internal Medicine) Physician Providers in US
52
States with Geriatric Medicine (Internal Medicine) Physician
4,450
Avg Claims per Provider

MIKKO HELENIUS, M.D.'s 4,217 claims are below the specialty average of 4,450.

Nearby Geriatric Medicine (Internal Medicine) Physician Providers in California

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

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

Frequently Asked Questions

What is MIKKO HELENIUS, M.D.'s specialty?
MIKKO HELENIUS, M.D. specializes in Geriatric Medicine (Internal Medicine) Physician and practices in MONTEREY, California. Credentials: M.D..
How much does MIKKO HELENIUS, M.D. prescribe under Medicare Part D?
In 2023, MIKKO HELENIUS, M.D. wrote 4,217 Medicare Part D claims totaling $284K in drug costs for 247 beneficiaries.
What is MIKKO HELENIUS, M.D.'s Medicare quality score?
MIKKO HELENIUS, M.D. has a CMS MIPS Final Score of 86.6387/100 (Quality: 97.88, Cost: 84.566). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MIKKO HELENIUS, M.D. located?
MIKKO HELENIUS, M.D. is located at 23625 HOLMAN HWY, MONTEREY, CA, 93940. Phone: (831) 622-2708.
What is MIKKO HELENIUS, M.D.'s NPI number?
MIKKO HELENIUS, M.D.'s National Provider Identifier (NPI) is 1962431940, issued on 07/01/2006.
Does MIKKO HELENIUS, M.D. prescribe more brand-name or generic drugs?
MIKKO HELENIUS, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $210K in brand drug costs.
Does MIKKO HELENIUS, M.D. prescribe opioids?
Yes, MIKKO HELENIUS, M.D. had 127 opioid claims in 2023 with an opioid prescribing rate of 3.0%.
How many Geriatric Medicine (Internal Medicine) Physician providers are there in the US?
There are 4,161 Geriatric Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Internal Medicine) Physician provider writes 4,450 Medicare Part D claims per year.
What drugs does MIKKO HELENIUS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MIKKO HELENIUS, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Eliquis, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MIKKO HELENIUS, M.D. accept Medicare?
MIKKO HELENIUS, M.D. appears in CMS Medicare data with 4,217 Part D claims and 247 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MIKKO HELENIUS, M.D.'s credentials?
MIKKO HELENIUS, M.D.'s NPI is 1962431940 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