Active NPI 1609956085 Individual Practitioner Male Practitioner

Dr. Paul Joseph Helmuth , MD

Internal Medicine • Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Helmuth, MD is a certified Internal Medicine practicing in Springfield, MA. With approximately 34 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 1992, Dr. Helmuth delivers high-quality medical care to the local community at 3640 MAIN ST.

Dr. Helmuth is affiliated with Valley Medical Associates, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days, management using the results of remote vital sign monitoring per calendar month, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3640 Main St
Suite 207

Springfield, MA 011071145

Telephone 4137390669

Fax 4137390621

Associated Practice Facility / Clinic

🏢 Chelsea Mri Pc Facility NPI 1376595470

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +13.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

289 Specialists

Practicing in Springfield, MA (7127 Statewide)

Telehealth Adoption Rate

16.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Helmuth (34 Years) 34 Yrs

Springfield Specialty Average (20.3 Years) 20.3 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	13	12	$204.15	$83.12
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$124.11	$79.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$116.30	$92.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	453	81	$100.00	$57.98
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	333	73	$150.00	$51.71
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	275	45	$80.00	$41.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$178.24	$99.47
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$116.30	$69.82
99443 Telephone medical discussion with physician, 21-30 minutes	17	16	$178.24	$100.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	633	67	$80.00	$42.63
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	577	72	$100.00	$66.21
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	506	71	$150.00	$52.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	91	$178.24	$109.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$150.00	$138.45
99443 Telephone medical discussion with physician, 21-30 minutes	21	17	$65.63	$62.07
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$116.30	$79.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	485	99	$80.00	$43.82
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	432	113	$100.00	$65.93
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	380	110	$150.00	$53.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	109	$178.24	$96.21
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	109	109	$40.00	$19.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$150.00	$121.72
99213 Established patient office or other outpatient visit, typically 15 minutes	44	38	$116.30	$63.88
99443 Telephone medical discussion with physician, 21-30 minutes	30	23	$60.00	$60.00
90662 Influenza vaccine split virus, preservative free	29	29	$100.00	$56.35
G0008 Administration of influenza virus vaccine	26	26	$50.00	$17.75
96127 Assessment of emotional or behavioral problems	17	11	$20.00	$4.68
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$40.00	$37.21
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$218.57	$179.30
83036 Hemoglobin A1C level	13	12	$36.00	$9.58
G0009 Administration of pneumococcal vaccine	11	11	$50.00	$17.58

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	221	161	$178.24	$108.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	119	119	$150.00	$121.10
99213 Established patient office or other outpatient visit, typically 15 minutes	62	57	$116.30	$74.90
G0008 Administration of influenza virus vaccine	47	47	$50.00	$17.42
83036 Hemoglobin A1C level	45	38	$36.00	$10.57
90662 Influenza vaccine split virus, preservative free	39	39	$100.00	$54.89
G0009 Administration of pneumococcal vaccine	32	32	$50.00	$17.42
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$62.36	$16.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$200.00	$178.33
90670 Pneumococcal vaccine for injection into muscle	15	15	$195.00	$191.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$104.00	$101.92
80305 Testing for presence of drug, read by direct observation	11	11	$40.00	$12.35

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	302	199	$179.90	$108.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$154.50	$121.78
99497 Advance care planning, first 30 minutes	75	73	$138.00	$86.57
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	72	72	$45.00	$26.19
G0008 Administration of influenza virus vaccine	60	60	$49.50	$21.55
99213 Established patient office or other outpatient visit, typically 15 minutes	45	40	$117.07	$74.05
90662 Influenza vaccine split virus, preservative free	42	42	$97.62	$50.85
83036 Hemoglobin A1C level	39	29	$36.00	$11.75
G0009 Administration of pneumococcal vaccine	38	38	$38.55	$21.55
90670 Pneumococcal vaccine for injection into muscle	25	25	$195.00	$182.90
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$62.36	$16.24
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	21	21	$60.00	$16.87
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$207.50	$178.90
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$185.00	$173.62
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$90.00	$81.90
90471 Administration of 1 vaccine	13	13	$50.00	$18.34
G0442 Annual alcohol misuse screening, 5 to 15 minutes	13	13	$25.00	$18.89
80305 Testing for presence of drug, read by direct observation	12	11	$40.00	$13.19
94010 Test to measure expiratory airflow and volume	11	11	$65.00	$34.90

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	462	236	$178.24	$109.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	134	134	$150.00	$119.76
99213 Established patient office or other outpatient visit, typically 15 minutes	104	82	$116.30	$73.94
G0008 Administration of influenza virus vaccine	97	94	$35.00	$26.66
90662 Influenza vaccine split virus, preservative free	67	64	$50.00	$47.59
83036 Hemoglobin A1C level	47	35	$36.00	$13.05
93000 Routine ekg using at least 12 leads including interpretation and report	40	35	$62.36	$17.23
G0009 Administration of pneumococcal vaccine	37	37	$35.00	$26.66
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$30.00	$18.65
80305 Testing for presence of drug, read by direct observation	23	16	$40.00	$11.78
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$185.00	$171.07
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$90.00	$88.20
90670 Pneumococcal vaccine for injection into muscle	17	17	$195.00	$172.34
81003 Automated urinalysis test	15	13	$25.00	$3.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$200.00	$176.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$238.50	$149.15
69210 Removal of impacted ear wax	12	11	$45.00	$44.40
94010 Test to measure expiratory airflow and volume	11	11	$65.00	$34.25

Medical Specialties & State Licenses

CMS Verified: 2026-05-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 81068

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MA 81068

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3155561 (MA)

Commercial Insurance / Payer ID Blue Cross

J16736 (MA)

Commercial Insurance / Payer ID Aetna

005129523 (MA)

Commercial Insurance / Payer ID Childrens Medical Securit

38540 (MA)

Commercial Insurance / Payer ID Cigna

6551222 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim

66087 (MA)

Commercial Insurance / Payer ID Bmc Healthnet

000000022120 (MA)

Commercial Insurance / Payer ID Tufts

081068 (MA)

Commercial Insurance / Payer ID Health New England

18629 (MA)

Commercial Insurance / Payer ID Railroad Medicare

110199716 (MA)

Hospital & Practice Group Affiliations

Valley Medical Associates, Pc

3640 Main St, Springfield, MA 011071192

Phone: 4137390669

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Adam Wychowski , MD

Internal Medicine

NPI 1003806902

Doctor of Medicine (M.D.)

Vivian Chamberlain , FNP-BC

Nurse Practitioner - Family

NPI 1265325286

Family Nurse Practitioner (Board Certified)

Kimberly Mahoney , PA

Physician Assistant

NPI 1306928148

Physician Assistant

Viktoria Madden , PA

Physician Assistant - Medical

NPI 1326074998

Physician Assistant

Dr. Albert Cennerazzo , MD

Internal Medicine

NPI 1528092285

Doctor of Medicine (M.D.)

Camryn Boutin

Physician Assistant - Medical

NPI 1588397566

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address May 15, 2026

Registered at 280 CHESTNUT ST FL 2, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2026

Pediatrics (License #81068 in MA)

✅

NPI Profile Active July 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 13, 2012

Registered at 3640 MAIN ST, SUITE 207, SPRINGFIELD, MA 011071145 (Tel: 4137390669)

📍

Updated Business Mailing Address July 13, 2012

Registered at 3640 MAIN ST, SUITE 207, SPRINGFIELD, MA 011071145 (Tel: 4137390669)

👤

Provider Name / Credentials Updated July 13, 2012

Recorded as PAUL HELMUTH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2012

Internal Medicine (License #81068 in MA)

🟢

Initial NPI Registration & Enumeration October 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609956085

Entity Type:

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

Enumeration Date: October 17, 2006

Last Update: May 15, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

280 Chestnut St Fl 2

Springfield, MA 011991001

Phone: 4137945700

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.