Active NPI 1972761211 Individual Practitioner Male Practitioner

Dr. Gregory M Helbig , MD

Neurological Surgery • Modesto, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Helbig, MD is a certified Neurological Surgery practicing in Modesto, CA. With approximately 22 years of clinical experience since graduating from Indiana University School Of Medicine in 2004, Dr. Helbig delivers high-quality medical care to the local community at 4016 DALE RD.

Dr. Helbig accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4016 Dale Rd

Modesto, CA 953569268

Telephone 2095710288

Fax 2095710327

Associated Practice Facility / Clinic

🏢 American Dental Surgery Centers, Inc. Facility NPI 1174622146

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Modesto, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -6.8 yrs vs City Avg

City Avg: 28.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Modesto, CA (999 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Helbig (22 Years) 22 Yrs

Modesto Specialty Average (28.8 Years) 28.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	130	$225.00	$94.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	133	84	$181.55	$76.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	124	117	$445.60	$167.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$350.00	$129.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	34	$340.00	$136.17
63048 Partial removal of spine bone with release of spinal cord and/or nerves	36	17	$2493.60	$182.57
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$7688.60	$901.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	152	$225.00	$96.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	202	110	$181.55	$77.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	162	156	$445.60	$172.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$350.00	$133.16
63048 Partial removal of spine bone with release of spinal cord and/or nerves	33	20	$2493.60	$200.84
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	16	$2979.20	$238.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$340.00	$139.39
20931 Donor bone graft for spine surgery	14	13	$698.13	$97.69
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	12	$5362.56	$685.06
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$7688.60	$1039.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	161	$225.00	$98.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	188	188	$350.00	$135.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	148	78	$181.55	$70.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	121	119	$445.60	$196.62
63048 Partial removal of spine bone with release of spinal cord and/or nerves	49	26	$2493.60	$204.86
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$195.00	$66.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	37	$340.00	$148.13
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$7688.60	$1100.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	204	102	$181.55	$72.56
99213 Established patient office or other outpatient visit, typically 15 minutes	142	103	$195.00	$67.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	136	136	$350.00	$139.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	134	130	$445.60	$202.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	92	$225.00	$99.11
63048 Partial removal of spine bone with release of spinal cord and/or nerves	31	17	$2493.60	$209.51
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	28	15	$2979.20	$247.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$340.00	$150.42
22842 Placement of stabilizing device to back, 3-6 spine bone segments	20	18	$5362.56	$756.85
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$7688.60	$1032.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	179	103	$181.55	$74.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	122	$225.00	$79.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	135	$445.60	$206.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$350.00	$132.47
99213 Established patient office or other outpatient visit, typically 15 minutes	103	81	$195.00	$52.00
63048 Partial removal of spine bone with release of spinal cord and/or nerves	47	23	$2493.60	$212.69
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$7688.60	$1001.38
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	12	$2979.20	$260.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$340.00	$110.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	11	$181.55	$71.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$445.60	$198.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	11	$181.55	$70.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$445.60	$197.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$350.00	$128.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	164	90	$181.55	$68.80
99213 Established patient office or other outpatient visit, typically 15 minutes	115	88	$195.00	$48.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	93	$445.60	$192.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$275.00	$72.44
63048 Partial removal of spine bone with release of spinal cord and/or nerves	40	16	$2493.60	$198.07
22614 Fusion of additional segment of spine	33	11	$2681.28	$367.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$225.00	$74.85
20931 Donor bone graft for spine surgery	20	19	$698.13	$104.53
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$7688.60	$744.30
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	14	$5362.56	$716.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$340.00	$105.76
61783 Computer-assisted spinal procedure	12	12	$1296.85	$216.35

Medical Specialties & State Licenses

CMS Verified: 2020-05-26

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License CA A114866

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Specialist

NUCC Taxonomy Code: 174400000X

State License CA A114866

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh

12244343 (CA)

Commercial Insurance / Payer ID Medical License

A114866 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Sun Ik Lee , MD

Neurological Surgery

NPI 1376804757

Doctor of Medicine (M.D.)

Dr. David Bybee , MD

Neurological Surgery

NPI 1548238108

Doctor of Medicine (M.D.)

Dr. Markus Jackson , MD

Pain Medicine - Interventional Pain Medicine

NPI 1548656937

Doctor of Medicine (M.D.)

Dr. Kyle Heron , MD

Anesthesiology - Pain Medicine

NPI 1912918962

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2020

Specialist (License #A114866 in CA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2019

Neurological Surgery (License #A114866 in CA)

📍

Updated Practice Location July 22, 2019

Registered at 4016 DALE RD, MODESTO, CA 953569268 (Tel: 2095710288)

📍

Updated Business Mailing Address July 22, 2019

Registered at 4016 DALE RD, MODESTO, CA 953569268 (Tel: 2095710288)

📍

Updated Business Mailing Address June 12, 2019

Registered at 4016 DALE RD STE A, MODESTO, CA 953569268 (Tel: 2095710288)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2019

Specialist (License #A114866 in CA)

✅

NPI Profile Active February 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 08, 2017

Registered at 4016 DALE RD, STE A, MODESTO, CA 953569268 (Tel: 2095710288)

📍

Updated Business Mailing Address February 08, 2017

Registered at 4016 DALE RD, STE A, MODESTO, CA 953569268 (Tel: 2095710288)

👤

Provider Name / Credentials Updated February 08, 2017

Recorded as GREGORY HELBIG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2017

Neurological Surgery (License #A114866 in CA)

✅

NPI Profile Active May 19, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 19, 2011

Registered at 205 W GRANGER AVE, MODESTO, CA 953504402 (Tel: 2095710288)

📍

Updated Business Mailing Address May 19, 2011

Registered at 1541 FLORIDA AVE, SUITE 200, MODESTO, CA 953504423 (Tel: 2095773388)

👤

Provider Name / Credentials Updated May 19, 2011

Recorded as GREGORY HELBIG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2011

Neurological Surgery (License #A114866 in CA)

🟢

Initial NPI Registration & Enumeration May 22, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Gregory Helbig. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1972761211

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 22, 2008

Last Update: May 26, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4016 Dale Rd

Modesto, CA 953569268

Phone: 2095710288

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.