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2026 NPPES data Allergy Physician NPI 1952315509 M.D.
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Thomas Helm, M.D.

Allergy Physician in Maple Grove, Minnesota.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,015 in Allergy 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
378
Medicare Part D claims · 110 beneficiaries · Allergy Physician avg: 805
Generic prescribing
57%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.5/100
▲ 0 pts above national avg 83.5 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Thomas Helm, M.D. reported a CMS MIPS final score of 83.5/100 - above the 83.5 national average - and filed 378 Medicare Part D claims in 2024.

83.5/100
MIPS score · +0 vs avg
378
Part D claims, 2024
57%
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 Thomas Helm, 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 1952315509), first enumerated 07/28/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 378 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 83.5/100 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.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • 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 1952315509 · Allergy Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1952315509
  • ENUM-LEGACY 2006
  • TAX-NARROW 1,015
  • MIPS-INLINE 83.5/100
  • RX-LIGHT 378
  • BOOK-THIN 9 in Minnesota
  • PHOTO-FINISH Nicola Vogel, MD · ±0.1

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Thomas Helm, 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.

84 ≥ 39th percentile 39% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Thomas Helm, M.D. sits

This provider among allergy physician peers

Across the 143 allergy physician providers who report both Medicare Part D prescribing and a MIPS quality score, Thomas Helm, M.D. writes more Part D claims than 25% of them and scores higher on MIPS quality than 52% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 100Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 65Thomas Helm, M.D., Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 52
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one allergy physician peer from a representative sample of 60; the gold marker is Thomas Helm, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Thomas Helm, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Thomas Helm, M.D.?

Near national average

NPI registry status

Active

Issued 07/28/2006

NPI 1952315509

Primary specialty

Allergy Physician

Niche

1,015 US NPIs in this specialty

Medicare Part D claims

378 53% vs specialty avg

2024 prescription claims

Specialty avg: 805

MIPS final score

83.5/100 0 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Minnesota

How Allergy Physician compares to other specialties among Minnesota providers

Minnesota providers
Behavior Technician12%Clinical Social Worker4.7%Physical Therapist4%Pharmacist3.7%Student in an Organized Heal…3.4%Mental Health Counselor3.1%Allergy Physician0%
Largest specialties in Minnesota (% of in-state providers)

Medicare quality performance, MIPS

Thomas Helm, M.D.'s 2023 MIPS final score plotted against the Allergy Physician national average

Near national average
MIPS Final Score
83.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%83.5%
MIPS final score (Allergy Physician) - 83.5/100 vs national avg 83.5
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

12000 ELM CREEK BLVD, SUITE 360
Maple Grove, MN 55369
(763) 420-1010

Provider Details

NPI 1952315509
Specialty Allergy Physician
Credentials M.D.
Gender Male
NPI Issued 07/28/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

83.5331
Final Score
Measured-score avg: 83.5
81.7967
Quality
63.3136
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Thomas Helm, M.D. 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.

Allina Health System
Annandale, MN

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

Thomas Helm, M.D. - brand share 43.0%
Allergy Physician average

43% brand-name claims vs 57% generic, on 378 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.

378
Total Claims
$61K
Total Drug Cost
110
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
589.467
Total Day Supply
16,542
Brand vs Generic
43% brand / 57% generic
Brand Drug Cost
$51K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
0.85
Gender Split
70% female / 30% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Thomas Helm, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Azelastine Hcl
 67
Ipratropium Bromide
 39
Arnuity Ellipta
Fluticasone Furoate
31
Albuterol Sulfate Hfa
Albuterol Sulfate
29
Breo Ellipta
Fluticasone/Vilanterol
25
Montelukast Sodium
 24
Budesonide-Formoterol Fumarate
Budesonide/Formoterol Fumarate
22
Epinephrine
 19
Fluticasone Propionate
 19
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
17

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

More Allergy Physician in MN → All providers in Minnesota → Compare specialties →

Allergy Physician Overview

How Thomas Helm, M.D. fits within the Allergy Physician landscape nationally.

1,015
Allergy Physician Providers in US
50
States with Allergy Physician
805
Avg Claims per Provider

Thomas Helm, M.D.'s 378 claims are below the specialty average of 805.

Nationwide Allergy Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Helm, both outside Minnesota so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (83.5 here).

Nicola Vogel 83.6 NH Lucinda Patton 83.9 AL David Edmondson 83.2 WI Donnie Dunagan 83.2 GA

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Carol Wiggins Atlanta, GA Steve Cole Memphis, TN Marcia Muggelberg Sandy, UT Lucinda Patton Mobile, AL

Nearby Allergy Physician Providers in Minnesota

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

One of 9 Allergy Physician providers enrolled in Minnesota, 5 are shown here.

Amy Berglin
PA-C
Coon Rapids, MN
Tae Chang
Saint Paul, MN
Dr. Pramod Kelkar
M.D.
Maple Grove, MN
Amanda McIntyre
Minneapolis, MN
Dr. Richard Morris
M.D.
Maple Grove, MN

Compare Allergy Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Thomas Helm, M.D.'s specialty? ▼
Thomas Helm, M.D. specializes in Allergy Physician and practices in Maple Grove, Minnesota. Credentials: M.D..
How much does Thomas Helm, M.D. prescribe under Medicare Part D? ▼
In 2024, Thomas Helm, M.D. wrote 378 Medicare Part D claims totaling $61K in drug costs for 110 beneficiaries.
What is Thomas Helm, M.D.'s Medicare quality score? ▼
Thomas Helm, M.D. has a CMS MIPS Final Score of 83.5/100 (Quality: 81.8, Cost: 63.3). 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 Thomas Helm, M.D. located? ▼
Thomas Helm, M.D. is located at 12000 ELM CREEK BLVD, SUITE 360, Maple Grove, MN, 55369. Phone: (763) 420-1010.
What is Thomas Helm, M.D.'s NPI number? ▼
Thomas Helm, M.D.'s National Provider Identifier (NPI) is 1952315509, issued on 07/28/2006.
Does Thomas Helm, M.D. prescribe more brand-name or generic drugs? ▼
Thomas Helm, M.D.'s prescribing is 43% brand-name and 57% generic drugs by claim count, with $51K in brand drug costs.
How many Allergy Physician providers are there in the US? ▼
There are 1,015 Allergy Physician providers across 50 states in the US. The average Allergy Physician provider writes 805 Medicare Part D claims per year.
What drugs does Thomas Helm, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Thomas Helm, M.D.'s most frequently prescribed drugs include Azelastine Hcl, Ipratropium Bromide, Arnuity Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Helm, M.D. accept Medicare? ▼
Thomas Helm, M.D. appears in CMS Medicare data with 378 Part D claims and 110 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Helm, M.D.'s credentials? ▼
Thomas Helm, M.D.'s NPI is 1952315509 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

Compiled from official public sources by the editorial process.

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.