NPI registry status
Active
2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1619173945 MD
Verify on CMS → Scott Helberg, MD
Critical Care Medicine (Internal Medicine) Physician in Yankton, South Dakota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,916 in Critical Care Medicine (Internal 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
369
Medicare Part D claims · 82 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
40%
generic claims · 60% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$151.1K
139 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Scott Helberg, MD filed 369 Medicare Part D claims in 2024 as a Critical Care Medicine (Internal Medicine) Physician in Yankton, South Dakota, prescribing 40% generic.
- 369
- Part D claims, 2024
- 40%
- generic prescribing
- $151.1K
- industry payments (Sunshine Act)
- ≥56th
- pct by Part D claim volume (lower-bound band)
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 Scott Helberg, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1619173945), first enumerated 06/24/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 369 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- Reported
Industry payment transparency
$151.1K in reported industry payments (139 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1619173945 · Critical Care Medicine (Internal Medicine) Physician
NPI-10 · ENUM-MID · TAX-MID · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1619173945
- ENUM-MID 2007
- TAX-MID 7K Critical Care
- RX-LIGHT 369
- BOOK-THIN 10 in South Dakota
- PHOTO-ENUM Russell Miller, M.D. · 2007
Scott Helberg, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
369 ≥ 56th percentile 56% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
◑
Board-eligible specialty (heuristic, not verified)
Scott Helberg, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Scott Helberg, MD?
Quality data not reportedPrimary specialty
Critical Care Medicine (Internal Medicine) Physician
Medicare Part D claims
369 67% vs specialty avg
Specialty distribution in South Dakota
How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among South Dakota providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Critical Care Medicine (Internal Medicine) Physician. Verify directly:
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 | 1619173945 |
|---|---|
| Specialty | Critical Care Medicine (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/24/2007 |
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 Scott Helberg, MD. Source: openpaymentsdata.cms.gov.
Total received
$151.1K
Largest payer
AstraZeneca Pharmaceuticals LP
Most common payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
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.
Brand vs generic prescribing mix · Brand-heavy
Scott Helberg, MD - brand share 60.0%
Critical Care Medicine (Internal Medicine) Physician average
60% brand-name claims vs 40% generic, on 369 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.
369
Total Claims
$225K
Total Drug Cost
82
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 570.533
- Total Day Supply
- 16,453
- Brand vs Generic
- 60% brand / 40% generic
- Brand Drug Cost
- $219K
- Generic Drug Cost
- $6K
- Antibiotic Claims
- 17
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 1.66
- Gender Split
- 62% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Scott Helberg, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Trelegy Ellipta
Trelegy Ellipta
136 claims
- Breo Ellipta 30
Breo Ellipta
30 claims
- Albuterol Sulfate … 26
Albuterol Sulfate Hfa
26 claims
- Arnuity Ellipta 23
Arnuity Ellipta
23 claims
- Pantoprazole Sodium 16
Pantoprazole Sodium
16 claims
- Azithromycin 15
Azithromycin
15 claims
- Montelukast Sodium 15
Montelukast Sodium
15 claims
- Omeprazole 15
Omeprazole
15 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 136 |
| Breo Ellipta Fluticasone/Vilanterol | 30 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 26 |
| Arnuity Ellipta Fluticasone Furoate | 23 |
| Pantoprazole Sodium | 16 |
| Azithromycin | 15 |
| Montelukast Sodium | 15 |
| Omeprazole | 15 |
| Ropinirole Hcl | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Critical Care Medicine (Internal Medicine) Physician in SD →
All providers in South Dakota →
Compare specialties →
Critical Care Medicine (Internal Medicine) Physician Overview
How Scott Helberg, MD fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.
6,916
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,103
Avg Claims per Provider
Scott Helberg, MD's 369 claims are below the specialty average of 1,103.
Nationwide Critical Care Medicine (Internal Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Helberg, both outside South Dakota so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Critical Care Medicine (Internal Medicine) Physician Providers in South Dakota
Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as Helberg.
One of 10 Critical Care Medicine (Internal Medicine) Physician providers enrolled in South Dakota, 5 are shown here.
Frequently Asked Questions
What is Scott Helberg, MD's specialty? ▼
Scott Helberg, MD specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Yankton, South Dakota. Credentials: MD.
How much does Scott Helberg, MD prescribe under Medicare Part D? ▼
In 2024, Scott Helberg, MD wrote 369 Medicare Part D claims totaling $225K in drug costs for 82 beneficiaries.
Where is Scott Helberg, MD located? ▼
Scott Helberg, MD is located at 1104 W 8TH ST, Yankton, SD, 57078. Phone: (605) 665-7841.
What is Scott Helberg, MD's NPI number? ▼
Scott Helberg, MD's National Provider Identifier (NPI) is 1619173945, issued on 06/24/2007.
Does Scott Helberg, MD prescribe more brand-name or generic drugs? ▼
Scott Helberg, MD's prescribing is 60% brand-name and 40% generic drugs by claim count, with $219K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 6,916 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,103 Medicare Part D claims per year.
What drugs does Scott Helberg, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Scott Helberg, MD's most frequently prescribed drugs include Trelegy Ellipta, Breo Ellipta, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Scott Helberg, MD accept Medicare? ▼
Scott Helberg, MD appears in CMS Medicare data with 369 Part D claims and 82 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Scott Helberg, MD's credentials? ▼
Scott Helberg, MD's NPI is 1619173945 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 (2024). 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 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.