2026 NPPES data Cardiovascular Disease Physician NPI 1316086879 M.D.
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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 24,795 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 · 247 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
30/100
▼ 53 pts below national avg 83.1 · Below average
Industry payments
$180.13
7 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ray Helms, M.D. reported a CMS MIPS final score of 30/100 - below the 83.1 national average - and filed 1,159 Medicare Part D claims in 2023.

30/100
MIPS score · -53 vs avg
1K
Part D claims, 2023
75%
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.

Ray Helms, 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

30 3rd percentile higher than 3% 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%). This entry sits in this band. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where Ray Helms, M.D. sits

This provider among cardiovascular disease physician peers

Across the 8,753 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 25% of them and scores higher on MIPS quality than 4% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.169.292.3Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 32Ray Helms, M.D.-Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 4
Part D claim volume vs MIPS quality, by specialty percentile

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 average

NPI registry status

Active

Issued 02/05/2007

NPI 1316086879

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

1,159 62% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

30/100 53.1 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in Illinois

How Cardiovascular Disease Physician compares to other specialties among Illinois providers

Illinois providers

Largest specialties in Illinois (% of in-state providers)

Clinical Social Worker - 5.2%Clinical Social Worker5.2%Physical Therapist - 5%Physical Therapist5%Mental Health Counselor - 4.5%Mental Health Counselor4.5%Speech-Language Pathologist - 4.2%Speech-Language Pathologist4.2%Student in an Organized Health Care Education/Training Program - 4.2%Student in an Organized Health Care Education/Training Program4.2%Pharmacist - 4.1%Pharmacist4.1%Cardiovascular Disease Physician - 0.4%Cardiovascular Disease Physician0.4%
Largest specialties in Illinois (% of in-state providers)

Medicare quality performance, MIPS

Ray Helms, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Below national average
MIPS Final Score
30/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) - 30/100 vs national avg 83.1

0%100%National avg83%30%
MIPS final score (Cardiovascular Disease Physician) - 30/100 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).

Ray Helms, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 114 W ROCKLAND RD, Libertyville, IL, 60048, with a listed phone of (847) 816-0600. NPI 1316086879 was issued on 02/05/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Helms 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 1,159 prescription claims written by this provider, covering 247 Medicare beneficiaries and totaling roughly $429K in drug spend, split 25% brand-name and 75% generic by claim count. 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 30/100 for the 2023 performance year (Quality 0, Cost 100), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

114 W ROCKLAND RD
Libertyville, IL 60048

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
Avg: 83.1
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 25.0%
Cardiovascular Disease Physician average

25% brand-name claims vs 75% generic, on 1,159 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.

1,159
Total Claims
$429K
Total Drug Cost
247
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,855
Total Day Supply
84,891
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$364K
Generic Drug Cost
$65K

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
1.77
Gender Split
48% female / 52% male
Age Distribution
<65: 13, 65-74: 105, 75-84: 91, 85+: 38

Top Prescribed Drugs (Medicare Part D)

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

What Ray Helms, 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
Metoprolol Succinate
297
Eliquis
Apixaban
177
Amiodarone Hcl
156
Sotalol
Sotalol Hcl
109
Multaq
Dronedarone Hcl
79
Dofetilide
78
Carvedilol
67
Metoprolol Tartrate
50
Flecainide Acetate
41
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
31

* 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.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

Ray Helms, M.D.'s 1,159 claims are below the specialty average of 3,033.

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.

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Cardiovascular Disease Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

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 2023, Ray Helms, M.D. wrote 1,159 Medicare Part D claims totaling $429K in drug costs for 247 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 national average MIPS Final Score is 83.1. 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 25% brand-name and 75% generic drugs by claim count, with $364K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does Ray Helms, M.D. prescribe most often?
Based on 2023 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 1,159 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 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

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

Compiled from official public sources by the PlainDoctor editorial team.