2026 NPPES data Pediatric Ophthalmology and Strabismus Specialist Physician NPI 1174085054 MD PHD
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RICHARD HELMS, MD PHD

Pediatric Ophthalmology and Strabismus Specialist Physician in KANSAS CITY, Missouri. 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
40
Medicare Part D claims · 20 beneficiaries · Pediatric Ophthalmology and Strabismus Specialist Physician avg: 266
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

RICHARD HELMS, MD PHD filed 40 Medicare Part D claims in 2023 as a Pediatric Ophthalmology and Strabismus Specialist Physician in KANSAS CITY, Missouri, prescribing 55% generic.

40
Part D claims, 2023
55%
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.

RICHARD HELMS, MD PHD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

40 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

RICHARD HELMS, MD PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 RICHARD HELMS, MD PHD?

Quality data not reported

NPI registry status

Active

Issued 04/01/2019

NPI 1174085054

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist Physician

Rare

242 US NPIs in this specialty

Medicare Part D claims

40 85% vs specialty avg

2023 prescription claims

Specialty avg: 266

Specialty distribution in Missouri

How Pediatric Ophthalmology and Strabismus Specialist Physician compares to other specialties among Missouri providers

Missouri providers

Pediatric Ophthalmology and Strabismus Specialist Physician share within Missouri

1. Pediatric Ophthalmology and Strabismus Specialist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Ophthalmology and Strabismus Specialist Physician share within Missouri

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Ophthalmology and Strabismus Specialist Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Ophthalmology and Strabismus Specialist Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Ophthalmology and Strabismus Specialist Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Ophthalmology and Strabismus Specialist Physician) — ABMS / AOA estimate

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).

RICHARD HELMS, MD PHD appears in the CMS NPPES registry as a Pediatric Ophthalmology and Strabismus Specialist Physician provider holding MD PHD credentials at 2401 GILLHAM RD, KANSAS CITY, MO, 64108, with a listed phone of (816) 234-3000. NPI 1174085054 was issued on 04/01/2019. 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 40 prescription claims written by this provider, covering 20 Medicare beneficiaries and totaling roughly $1K in drug spend, split 45% brand-name and 55% 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.

Pediatric Ophthalmology and Strabismus Specialist Physician is a narrow specialty nationwide, with 242 enrolled providers across 40 states and an average of 266 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

2401 GILLHAM RD
KANSAS CITY, MO 64108

Provider Details

NPI 1174085054
Specialty Pediatric Ophthalmology and Strabismus Specialist Physician
Credentials MD PHD
Gender Male
NPI Issued 04/01/2019

Hospital and facility affiliations

Facilities where RICHARD HELMS, MD PHD 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.

THE CHILDRENS MERCY HOSPITAL
KANSAS CITY, 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).

Brand vs generic prescribing mix · Above average

RICHARD HELMS, MD PHD — brand share 45.0%
Specialty average (est.)

45% brand-name claims vs 55% generic, on 40 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.

40
Total Claims
$1K
Total Drug Cost
20
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
50
Total Day Supply
1,297
Brand vs Generic
45% brand / 55% generic
Brand Drug Cost
$758
Generic Drug Cost
$360

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.46
Age Distribution
<65: 0, 65-74: 11, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisolone Acetate
16

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

Pediatric Ophthalmology and Strabismus Specialist Physician Overview

How RICHARD HELMS, MD PHD fits within the Pediatric Ophthalmology and Strabismus Specialist Physician landscape nationally.

242
Pediatric Ophthalmology and Strabismus Specialist Physician Providers in US
40
States with Pediatric Ophthalmology and Strabismus Specialist Physician
266
Avg Claims per Provider

RICHARD HELMS, MD PHD's 40 claims are below the specialty average of 266.

Nearby Pediatric Ophthalmology and Strabismus Specialist Physician Providers in Missouri

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

Compare Pediatric Ophthalmology and Strabismus Specialist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICHARD HELMS, MD PHD's specialty?
RICHARD HELMS, MD PHD specializes in Pediatric Ophthalmology and Strabismus Specialist Physician and practices in KANSAS CITY, Missouri. Credentials: MD PHD.
How much does RICHARD HELMS, MD PHD prescribe under Medicare Part D?
In 2023, RICHARD HELMS, MD PHD wrote 40 Medicare Part D claims totaling $1K in drug costs for 20 beneficiaries.
Where is RICHARD HELMS, MD PHD located?
RICHARD HELMS, MD PHD is located at 2401 GILLHAM RD, KANSAS CITY, MO, 64108. Phone: (816) 234-3000.
What is RICHARD HELMS, MD PHD's NPI number?
RICHARD HELMS, MD PHD's National Provider Identifier (NPI) is 1174085054, issued on 04/01/2019.
Does RICHARD HELMS, MD PHD prescribe more brand-name or generic drugs?
RICHARD HELMS, MD PHD's prescribing is 45% brand-name and 55% generic drugs by claim count, with $758 in brand drug costs.
How many Pediatric Ophthalmology and Strabismus Specialist Physician providers are there in the US?
There are 242 Pediatric Ophthalmology and Strabismus Specialist Physician providers across 40 states in the US. The average Pediatric Ophthalmology and Strabismus Specialist Physician provider writes 266 Medicare Part D claims per year.
What drugs does RICHARD HELMS, MD PHD prescribe most often?
Based on 2023 Medicare Part D data, RICHARD HELMS, MD PHD's most frequently prescribed drugs include Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD HELMS, MD PHD accept Medicare?
RICHARD HELMS, MD PHD appears in CMS Medicare data with 40 Part D claims and 20 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD HELMS, MD PHD's credentials?
RICHARD HELMS, MD PHD's NPI is 1174085054 with credentials MD PHD. 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.
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