NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1073564811 MD
Verify on CMS → Robin Helm, MD
Family Medicine Physician in Milwaukee, Wisconsin.
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
6K
Medicare Part D claims · 491 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.5/100
▼ 3 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Robin Helm, MD reported a CMS MIPS final score of 80.5/100 - below the 83.5 national average - and filed 5,680 Medicare Part D claims in 2023.
- 80.5/100
- MIPS score · -3 vs avg
- 6K
- Part D claims, 2023
- 83%
- 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 1073564811 · Family Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-INLINE · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1073564811
- ENUM-LEGACY 2006
- TAX-MEGA 148K Family Medicine
- MIPS-INLINE 80.5/100
- RX-MID 5,680
- BOOK-LIGHT 3,587 in Wisconsin
- PHOTO-FINISH Marcella Barker · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Helm · this prov…
Helm · this provider
80.5 MIPS pts
- Lisa Cadwell · h…
Lisa Cadwell
80.5 MIPS pts
- Marcella Barker …
Marcella Barker
80.5 MIPS pts
- Ryan Boer · near
Ryan Boer
80.5 MIPS pts
- Mark Buck · near
Mark Buck
80.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Robin Helm, MD'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.
81 ≥ 30th percentile 30% 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 Robin Helm, MD 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, Robin Helm, MD writes more Part D claims than 71% of them and scores higher on MIPS quality than 29% - 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 Robin Helm, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Robin Helm, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Robin Helm, MD?
Near national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
5,680 66% vs specialty avg
MIPS final score
80.5/100 3 pts vs avg
Specialty distribution in Wisconsin
How Family Medicine Physician compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Robin Helm, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 80.5/100
- 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 | 1073564811 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 05/15/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.4671
Final Score
Measured-score avg: 83.5
66.2426
Quality
68.6477
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Robin Helm, MD 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.
According to CMS billing records, Robin Helm, MD is affiliated with 3 Medicare-billing facilities.
Froedtert Andthe Medical College OF Wisconsin Community Physicians Inc
Milwaukee, WI
Outreach Community Health Centers Inc
Milwaukee, WI
The Medical College OF Wisconsin Inc
Milwaukee, WI
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 · Typical
Robin Helm, MD - brand share 15.0%
Family Medicine Physician average
15% brand-name claims vs 83% generic, on 5,680 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.
5,680
Total Claims
$548K
Total Drug Cost
491
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 10,391
- Total Day Supply
- 298,772
- Brand vs Generic
- 15% brand / 83% generic
- Brand Drug Cost
- $431K
- Generic Drug Cost
- $108K
- Opioid Claims
- 116 (2.0% rate)
- Antibiotic Claims
- 55
Patient Demographics
- Average Patient Age
- 64.5 years
- Avg HCC Risk Score
- 1.63
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 183, 65-74: 231, 75-84: 60, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Robin Helm, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
494 claims
- Amlodipine Besylate
Amlodipine Besylate
396 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
231 claims
- Lisinopril 197
Lisinopril
197 claims
- Metformin Hcl 175
Metformin Hcl
175 claims
- Fluticasone Propio… 144
Fluticasone Propionate
144 claims
- Hydrochlorothiazide 129
Hydrochlorothiazide
129 claims
- Losartan Potassium 122
Losartan Potassium
122 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 494 |
| Amlodipine Besylate | 396 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 231 |
| Lisinopril | 197 |
| Metformin Hcl | 175 |
| Fluticasone Propionate | 144 |
| Hydrochlorothiazide | 129 |
| Losartan Potassium | 122 |
| Pantoprazole Sodium | 114 |
| Omeprazole | 104 |
* 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 Robin Helm, MD 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
Robin Helm, MD's 5,680 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 Helm, both outside Wisconsin so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (80.5 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Helm.
One of 3,587 Family Medicine Physician providers enrolled in Wisconsin, 5 are shown here.
Dr. Ghudran Abdulal
MD
New Berlin, WI
Dr. Vanessa Abejuela-Matt
D.O.
Mount Pleasant, WI
Dr. Benjamin Abeyta
M.D.
Wauwatosa, WI
Dr. Emily Abeyta
MD
Waukesha, WI
Dr. Islam Abo Al Nadie
MD
Milwaukee, WI
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Robin Helm, MD's specialty? ▼
Robin Helm, MD specializes in Family Medicine Physician and practices in Milwaukee, Wisconsin. Credentials: MD.
How much does Robin Helm, MD prescribe under Medicare Part D? ▼
In 2023, Robin Helm, MD wrote 5,680 Medicare Part D claims totaling $548K in drug costs for 491 beneficiaries.
What is Robin Helm, MD's Medicare quality score? ▼
Robin Helm, MD has a CMS MIPS Final Score of 80.5/100 (Quality: 66.2, Cost: 68.6). 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 Robin Helm, MD located? ▼
Robin Helm, MD is located at 2400 W VILLARD AVE, Milwaukee, WI, 53209. Phone: (414) 527-8191.
What is Robin Helm, MD's NPI number? ▼
Robin Helm, MD's National Provider Identifier (NPI) is 1073564811, issued on 05/15/2006.
Does Robin Helm, MD prescribe more brand-name or generic drugs? ▼
Robin Helm, MD's prescribing is 15% brand-name and 83% generic drugs by claim count, with $431K in brand drug costs.
Does Robin Helm, MD prescribe opioids? ▼
Yes, Robin Helm, MD had 116 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
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 Robin Helm, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Robin Helm, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robin Helm, MD accept Medicare? ▼
Robin Helm, MD appears in CMS Medicare data with 5,680 Part D claims and 491 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robin Helm, MD's credentials? ▼
Robin Helm, MD's NPI is 1073564811 with credentials MD. 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.