Active NPI 1598827933 Individual Practitioner Male Practitioner

Dr. Douglas L Helm , MD

Plastic Surgery • Weymouth, MA

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Helm, MD is a certified Plastic Surgery practicing in Weymouth, MA. With approximately 21 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 2005, Dr. Helm delivers high-quality medical care to the local community at 70 PLEASANT ST STE 2.

Dr. Helm is affiliated with Martha'S Vineyard Hospital Inc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

70 Pleasant St Ste 2

Weymouth, MA 021902427

Telephone 7818120927

Fax 7818120583

Associated Practice Facility / Clinic

🏢 The South Shore Center For Plastic Reconstructive And Hand Surgery Llc Facility NPI 1841826203

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

2005

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Weymouth, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -7.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Weymouth, MA (152 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Helm (21 Years) 21 Yrs

Weymouth Specialty Average (28.5 Years) 28.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	220	155	$167.00	$93.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$366.00	$169.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$243.00	$114.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$243.00	$130.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	25	$1410.00	$302.71
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	17	$1364.00	$330.22
64721 Release and/or relocation of hand nerve	14	12	$997.00	$446.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$103.00	$59.23
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	14	14	$1136.00	$282.62
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$778.00	$84.20
20550 Injection into tendon or ligament	12	12	$240.00	$60.12
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	11	11	$784.00	$93.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	236	137	$167.00	$94.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$243.00	$117.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$366.00	$170.58
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	18	$1410.00	$331.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$243.00	$133.29
20550 Injection into tendon or ligament	15	14	$240.00	$61.04
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$1364.00	$337.36
64721 Release and/or relocation of hand nerve	11	11	$997.00	$446.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	275	158	$167.00	$96.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$243.00	$118.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$366.00	$175.87
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	23	$1410.00	$323.13
20550 Injection into tendon or ligament	17	14	$240.00	$56.32
64721 Release and/or relocation of hand nerve	13	12	$997.00	$453.05
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	12	12	$1136.00	$297.03
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$1364.00	$345.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	124	$167.00	$97.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$366.00	$177.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$243.00	$120.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$103.00	$60.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$1410.00	$335.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$243.00	$138.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$299.00	$139.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	96	$167.00	$79.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$366.00	$174.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$243.00	$114.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	49	$103.00	$49.07
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	13	13	$120.00	$56.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$243.00	$116.34
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	11	$1138.00	$266.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	227	153	$149.91	$41.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$379.50	$103.24
99213 Established patient office or other outpatient visit, typically 15 minutes	87	67	$270.06	$74.39
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$249.82	$68.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$540.60	$147.00
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$398.82	$108.84
64721 Release and/or relocation of hand nerve	16	14	$3000.00	$470.20
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	16	14	$747.19	$195.43
20550 Injection into tendon or ligament	14	12	$234.00	$50.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	157	108	$262.11	$71.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$373.25	$102.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	136	94	$145.97	$41.01
99221 Initial hospital inpatient care per day, typically 30 minutes	58	56	$388.36	$107.67
11042 Removal of skin and tissue, 20.0 sq cm or less	16	16	$243.31	$68.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$528.00	$147.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$372.53	$102.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$779.80	$218.56
11100 Biopsy of single growth of skin and/or tissue	13	13	$316.15	$90.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	149	104	$266.99	$73.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$395.28	$110.14
99221 Initial hospital inpatient care per day, typically 30 minutes	41	41	$379.15	$106.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$151.00	$42.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$514.00	$144.12
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$1151.18	$320.36
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	15	15	$2748.80	$752.12
11042 Removal of skin and tissue, 20.0 sq cm or less	14	14	$237.00	$64.20
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$3003.42	$818.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$270.50	$76.14
11100 Biopsy of single growth of skin and/or tissue	11	11	$411.00	$115.70

Medical Specialties & State Licenses

CMS Verified: 2020-01-29

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MA 235037

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 225069

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.

Hospital & Practice Group Affiliations

Martha's Vineyard Hospital Inc

1 Hospital Rd, Oak Bluffs, MA 025571406

Phone: 508693041079525

Practice Associates & Co-Workers

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

1 Associated Practitioners

Sydney Lambert

Registered Nurse

NPI 1417725045

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 29, 2020

Registered at 70 PLEASANT ST STE 2, WEYMOUTH, MA 021902427 (Tel: 7818120927)

📍

Updated Business Mailing Address January 29, 2020

Registered at 70 PLEASANT ST STE 2, WEYMOUTH, MA 021902427 (Tel: 7818120927)

✅

NPI Profile Active December 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 31, 2013

Registered at 51 PERFORMANCE DR, ENTRY 2, SUITE 300, WEYMOUTH, MA 021893141 (Tel: 7816244242)

📍

Updated Business Mailing Address December 31, 2013

Registered at 51 PERFORMANCE DR, ENTRY 2, SUITE 300, WEYMOUTH, MA 021893141 (Tel: 7816244242)

👤

Provider Name / Credentials Updated December 31, 2013

Recorded as DOUGLAS HELM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2013

Plastic Surgery (License #235037 in MA)

🟢

Initial NPI Registration & Enumeration December 14, 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: 1598827933

Entity Type:

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

Enumeration Date: December 14, 2006

Last Update: January 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

70 Pleasant St Ste 2

Weymouth, MA 021902427

Phone: 7818120927

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.