Active NPI 1629057104 Individual Practitioner Male Practitioner

Dr. Jeffre D Helmink , MD

Surgery • Spencer, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffre Helmink, MD is a certified Surgery practicing in Spencer, IA. With approximately 31 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 1995, Dr. Helmink delivers high-quality medical care to the local community at 1823 HIGHWAY BLVD.

Dr. Helmink maintains professional affiliations with Lakes Regional Healthcare, Spencer Municipal Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, balloon dilation of esophagus using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1823 Highway Blvd
Suite 5

Spencer, IA 513012226

Telephone 7122626320

Fax 7122643007

Associated Practice Facility / Clinic

🏢 Northwest Iowa Surgeons Pc Facility NPI 1295713261

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Spencer, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +10.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

7 Specialists

Practicing in Spencer, IA (452 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Helmink (31 Years) 31 Yrs

Spencer Specialty Average (21.0 Years) 21.0 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
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	83	81	$1165.00	$224.80
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	57	55	$756.00	$88.27
43249 Balloon dilation of esophagus using an endoscope	33	32	$750.00	$121.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$185.97	$115.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	21	$80.00	$45.30
97597 Removal of tissue from wound, 20.0 sq cm or less	30	11	$178.00	$32.63
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	29	29	$75.00	$4.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$94.00	$32.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$209.58	$102.26
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$144.26	$60.56
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$545.00	$88.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	17	$115.00	$72.45
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$142.68	$83.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$264.58	$153.86
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$766.00	$159.24
47562 Removal of gallbladder using an endoscope	15	15	$1635.60	$487.01
76937 Ultrasonic guidance for blood vessel access	14	13	$70.00	$12.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$188.43	$89.60
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$766.00	$159.14
45380 Biopsy of large bowel using an endoscope	12	12	$890.00	$138.81
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$766.00	$165.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$375.00	$158.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	88	87	$1165.00	$226.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	52	51	$756.00	$88.98
97597 Removal of tissue from wound, 20.0 sq cm or less	50	23	$178.00	$33.27
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	44	44	$75.00	$4.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$215.00	$101.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	18	$94.00	$33.04
43249 Balloon dilation of esophagus using an endoscope	28	27	$750.00	$135.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$190.00	$118.71
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$145.00	$61.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$115.00	$73.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$80.00	$46.04
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$545.00	$85.04
45380 Biopsy of large bowel using an endoscope	19	19	$890.00	$140.93
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$145.00	$83.66
47562 Removal of gallbladder using an endoscope	15	15	$1309.73	$359.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$375.00	$162.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$275.00	$154.10
49650 Repair of groin hernia using an endoscope	12	12	$1120.81	$375.55
76937 Ultrasonic guidance for blood vessel access	11	11	$70.00	$13.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$286.00	$121.19
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$766.00	$167.00
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2300.00	$300.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	82	80	$756.00	$85.69
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	73	73	$1165.00	$232.96
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	51	49	$75.00	$4.96
43249 Balloon dilation of esophagus using an endoscope	41	40	$750.00	$127.61
99213 Established patient office or other outpatient visit, typically 15 minutes	35	24	$145.00	$62.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$190.00	$120.64
97597 Removal of tissue from wound, 20.0 sq cm or less	27	12	$178.00	$34.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$215.00	$104.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$275.00	$156.78
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$545.00	$91.84
76937 Ultrasonic guidance for blood vessel access	17	17	$70.00	$13.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$215.00	$78.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$115.00	$66.61
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$145.00	$85.37
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$766.00	$171.44
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$189.00	$17.29
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$2300.00	$302.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$190.00	$93.20
45380 Biopsy of large bowel using an endoscope	12	12	$890.00	$107.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	50	49	$75.00	$5.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	16	$94.00	$34.34
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	35	$756.00	$79.80
97597 Removal of tissue from wound, 20.0 sq cm or less	33	16	$178.00	$34.57
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	29	$1165.00	$235.99
43249 Balloon dilation of esophagus using an endoscope	23	22	$750.00	$130.44
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$145.00	$64.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$80.00	$36.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$190.00	$122.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$375.00	$189.48
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$145.00	$86.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$275.00	$158.69
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$766.00	$174.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$190.00	$95.02
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2300.00	$312.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	70	67	$756.00	$76.67
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	56	55	$75.00	$5.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	50	50	$1165.00	$245.67
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	41	41	$1110.00	$182.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$190.00	$104.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$215.00	$102.63
43249 Balloon dilation of esophagus using an endoscope	27	27	$750.00	$140.17
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	26	26	$1727.10	$581.90
76937 Ultrasonic guidance for blood vessel access	25	25	$70.00	$14.21
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	23	23	$189.00	$18.26
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$2300.00	$318.02
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$145.00	$71.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	13	$80.00	$38.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$375.00	$196.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$115.00	$70.48
45378 Diagnostic exam of large bowel using a flexible endoscope	12	11	$766.00	$162.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$229.00	$140.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$275.00	$157.32
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$545.00	$97.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	60	59	$74.87	$5.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	57	56	$756.00	$95.35
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	56	56	$1110.00	$181.82
99213 Established patient office or other outpatient visit, typically 15 minutes	44	43	$145.00	$69.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$215.00	$100.84
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$1165.00	$218.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$94.00	$41.94
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	23	$545.00	$88.39
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	22	$189.00	$17.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	21	$80.00	$37.39
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	22	$2300.00	$303.31
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$766.00	$177.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$191.47	$102.15
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$165.00	$95.51
43249 Balloon dilation of esophagus using an endoscope	17	16	$750.00	$136.50
45380 Biopsy of large bowel using an endoscope	16	16	$890.00	$126.74
76937 Ultrasonic guidance for blood vessel access	16	16	$70.00	$13.90
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$1919.00	$661.42
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$766.00	$157.39
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$133.00	$71.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$115.00	$69.18
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$766.00	$177.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$215.00	$71.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	75	73	$606.23	$71.33
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	64	64	$1110.00	$174.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	58	58	$20.19	$5.13
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	36	$1165.00	$211.40
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$132.30	$68.24
43249 Balloon dilation of esophagus using an endoscope	28	28	$652.50	$119.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$188.91	$100.90
45380 Biopsy of large bowel using an endoscope	21	21	$890.00	$121.18
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	20	$73.74	$17.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$201.82	$100.10
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$545.00	$99.28
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$170.44	$95.28
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$2300.00	$317.16
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$766.00	$176.60
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$766.00	$162.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$184.61	$74.56
76937 Ultrasonic guidance for blood vessel access	14	14	$45.63	$13.82
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$130.23	$67.45
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	13	13	$1243.46	$259.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$185.77	$71.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$85.00	$40.74
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$131.03	$48.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$277.75	$153.63
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1919.00	$628.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$375.00	$192.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	100	99	$600.00	$97.61
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	70	70	$1110.00	$163.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	59	$85.00	$39.81
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$115.00	$69.18
43249 Balloon dilation of esophagus using an endoscope	34	33	$645.00	$128.12
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	32	$1165.00	$205.83
99221 Initial hospital inpatient care per day, typically 30 minutes	31	30	$150.00	$95.08
99201 New patient office or other outpatient visit, typically 10 minutes	23	23	$85.00	$38.70
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$115.00	$67.93
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	22	22	$1174.00	$259.77
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$766.00	$168.08
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$115.00	$47.56
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$1620.56	$533.24
45380 Biopsy of large bowel using an endoscope	17	17	$890.00	$88.49
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$116.00	$48.18
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$766.00	$176.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$80.00	$37.05
49650 Repair of groin hernia using an endoscope	11	11	$1313.45	$464.07

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IA 33107

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0207514 (IA)

Hospital & Practice Group Affiliations

Spencer Municipal Hospital

1823 Hwy Blvd, Spencer, IA 513012226

Phone: 7122626320

Lakes Regional Healthcare

2301 Hwy 71, Spirit Lake, IA 513601253

Phone: 7123361230

Lakes Regional Healthcare

826 N 8th St, Estherville, IA 513341528

Phone: 4123368708

Lakes Regional Healthcare

2301 Hwy 71, Spirit Lake, IA 513601253

Phone: 7123363750

Spencer Municipal Hospital

3201 1st St, Emmetsburg, IA 505362516

Phone: 7128525500

Spencer Municipal Hospital

1200 1st Ave E, Spencer, IA 513014342

Phone: 7122648300

Spencer Municipal Hospital

606 Nw 7th St, Pocahontas, IA 505741028

Phone: 7123353501

Lakes Regional Healthcare

2301 Hwy 71, Spirit Lake, IA 513601184

Lakes Regional Healthcare

826 N 8th St, Estherville, IA 513341528

Phone: 7123622631

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Tom Throckmorton , MD

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Dr. Brian Luepke , MD

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Dr. Jaren Ricker , MD

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NPI 1437386125

Doctor of Medicine (M.D.)

Dr. Patrick Slattery , MD

Surgery

NPI 1740269224

Doctor of Medicine (M.D.)

Dr. Benjamin Branigan , MD

Surgery

NPI 1780206110

Doctor of Medicine (M.D.)

Dr. Jason Keonin , MD

Surgery

NPI 1790711885

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 1823 HIGHWAY BLVD, SUITE 5, SPENCER, IA 513012226 (Tel: 7122626320)

📍

Updated Business Mailing Address July 09, 2007

Registered at 1515 W 12TH ST, SPENCER, IA 513012927 (Tel: 7122621890)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as JEFFRE HELMINK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Surgery (License #33107 in IA)

🟢

Initial NPI Registration & Enumeration January 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1629057104

Entity Type:

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

Enumeration Date: January 12, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1515 W 12th St

Spencer, IA 513012927

Phone: 7122621890

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.