NPI registry status
Active
2026 NPPES data Cardiovascular Disease Physician NPI 1316086879 M.D.
Verify on CMS → Ray Helms, M.D.
Cardiovascular Disease Physician in Libertyville, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,298 in Cardiovascular Disease 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
1K
Medicare Part D claims · 271 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
30/100
▼ 54 pts below national avg 83.5 · Below average
Industry payments
$180.13
7 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Ray Helms, M.D. reported a CMS MIPS final score of 30/100 - below the 83.5 national average - and filed 1,229 Medicare Part D claims in 2024.
- 30/100
- MIPS score · -53 vs avg
- 1K
- Part D claims, 2024
- 73%
- 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.
Federal trust snapshot
What official records show about Ray Helms, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1316086879), first enumerated 02/05/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,229 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 30/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$180.13 in reported industry payments (7 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Ray Helms, M.D.'s individual license status. Verify directly with the state medical board.
Source: IDFPR annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1316086879 · Cardiovascular Disease Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1316086879
- ENUM-MID 2007
- TAX-MID 25K Cardiovascular Disease
- MIPS-LOW 30/100
- RX-MID 1,229
- BOOK-LIGHT 992 in Illinois
- PHOTO-FINISH Felizen Agno · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Helms · this pro…
Helms · this provider
30 MIPS pts
- Robert Case · hi…
Robert Case
30 MIPS pts
- Felizen Agno · n…
Felizen Agno
30 MIPS pts
- Muhammad Ashraf …
Muhammad Ashraf
30 MIPS pts
- Marc Baker · near
Marc Baker
30 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Ray Helms, M.D.'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.
30 ≥ 3rd percentile 3% 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 Ray Helms, M.D. sits
This provider among cardiovascular disease physician peers
Across the 7,999 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ray Helms, M.D. writes more Part D claims than 28% of them and scores higher on MIPS quality than 5% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Ray Helms, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ray Helms, 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 Ray Helms, M.D.?
Below national averagePrimary specialty
Cardiovascular Disease Physician
Medicare Part D claims
1,229 61% vs specialty avg
MIPS final score
30/100 53.5 pts vs avg
Specialty distribution in Illinois
How Cardiovascular Disease Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Ray Helms, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average
- MIPS Final Score
- 30/100
- 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 | 1316086879 |
|---|---|
| Specialty | Cardiovascular Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 02/05/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
30
Final Score
Measured-score avg: 83.5
0
Quality
100
Cost
Reporting: Individual
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 Ray Helms, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$180
Largest payer
Boston Scientific 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 - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Ray Helms, M.D.. To verify Ray Helms, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Ray Helms, M.D. - brand share 27.0%
Cardiovascular Disease Physician average
27% brand-name claims vs 73% generic, on 1,229 2024 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 2024.
1,229
Total Claims
$471K
Total Drug Cost
271
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,140.233
- Total Day Supply
- 93,304
- Brand vs Generic
- 27% brand / 73% generic
- Brand Drug Cost
- $424K
- Generic Drug Cost
- $47K
Patient Demographics
- Average Patient Age
- 76.1 years
- Avg HCC Risk Score
- 1.87
- Gender Split
- 44% female / 56% male
- Age Distribution
- <65: 20, 65-74: 95, 75-84: 108, 85+: 48
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Ray Helms, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Metoprolol Succinate
Metoprolol Succinate
315 claims
- Eliquis
Eliquis
217 claims
- Amiodarone Hcl
Amiodarone Hcl
165 claims
- Sotalol 104
Sotalol
104 claims
- Dofetilide 91
Dofetilide
91 claims
- Carvedilol 82
Carvedilol
82 claims
- Multaq 80
Multaq
80 claims
- Flecainide Acetate 40
Flecainide Acetate
40 claims
| Drug | Claims |
|---|---|
| Metoprolol Succinate | 315 |
| Eliquis Apixaban | 217 |
| Amiodarone Hcl | 165 |
| Sotalol Sotalol Hcl | 104 |
| Dofetilide | 91 |
| Carvedilol | 82 |
| Multaq Dronedarone Hcl | 80 |
| Flecainide Acetate | 40 |
| Xarelto Rivaroxaban | 33 |
| Diltiazem 24hr Er (Cd) Diltiazem Hcl | 29 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Cardiovascular Disease Physician Overview
How Ray Helms, M.D. fits within the Cardiovascular Disease Physician landscape nationally.
25,298
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,149
Avg Claims per Provider
Ray Helms, M.D.'s 1,229 claims are below the specialty average of 3,149.
Nationwide Cardiovascular Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Helms, both outside Illinois so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (30 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Cardiovascular Disease Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Helms.
One of 992 Cardiovascular Disease Physician providers enrolled in Illinois, 5 are shown here.
Dr. Nicolaos Abariotis
MD
Chicago, IL
Dr. Tahir Abbasi
M.D.
Hazel Crest, IL
Dr. Ashraf Abourahma
M.D.
Oak Lawn, IL
Dr. Bruce Abramowitz
M.D.,F.A.C.C.
Oak Lawn, IL
Dr. Amjad Abualsuod
MD
Peoria, IL
Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Ray Helms, M.D.'s specialty? ▼
Ray Helms, M.D. specializes in Cardiovascular Disease Physician and practices in Libertyville, Illinois. Credentials: M.D..
How much does Ray Helms, M.D. prescribe under Medicare Part D? ▼
In 2024, Ray Helms, M.D. wrote 1,229 Medicare Part D claims totaling $471K in drug costs for 271 beneficiaries.
What is Ray Helms, M.D.'s Medicare quality score? ▼
Ray Helms, M.D. has a CMS MIPS Final Score of 30/100 (Quality: 0, Cost: 100). 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 Ray Helms, M.D. located? ▼
Ray Helms, M.D. is located at 114 W ROCKLAND RD, Libertyville, IL, 60048. Phone: (847) 816-0600.
What is Ray Helms, M.D.'s NPI number? ▼
Ray Helms, M.D.'s National Provider Identifier (NPI) is 1316086879, issued on 02/05/2007.
Does Ray Helms, M.D. prescribe more brand-name or generic drugs? ▼
Ray Helms, M.D.'s prescribing is 27% brand-name and 73% generic drugs by claim count, with $424K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US? ▼
There are 25,298 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,149 Medicare Part D claims per year.
What drugs does Ray Helms, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Ray Helms, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Amiodarone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ray Helms, M.D. accept Medicare? ▼
Ray Helms, M.D. appears in CMS Medicare data with 1,229 Part D claims and 271 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ray Helms, M.D.'s credentials? ▼
Ray Helms, M.D.'s NPI is 1316086879 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.