Active NPI 1316907413 Individual Practitioner Male Practitioner

Dr. James A Helgager , MD

Orthopaedic Surgery • Oceanside, CA

Professional Overview & Biography Verified Profile Summary

Dr. James Helgager, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Oceanside, CA. Practice services are available at 3905 WARING RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of knee, 3 views, hyaluronan or derivative, durolane, for intra-articular injection, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3905 Waring Rd

Oceanside, CA 920564405

Telephone 7607249000

Fax 7607243686

Associated Practice Facility / Clinic

🏢 Tri-City Orthopaedic Surgery Medical Group Inc Facility NPI 1861451445

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Oceanside, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.5 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

9 Specialists

Practicing in Oceanside, CA (2527 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$200.00	$97.40
73562 X-ray of knee, 3 views	14	13	$114.00	$46.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$275.00	$137.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,020	11	$26.67	$13.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	459	61	$2.00	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	199	129	$200.00	$98.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	96	$275.00	$136.99
73564 X-ray of knee, 4 or more views	105	81	$126.00	$53.15
20610 Aspiration and/or injection of fluid from large joint	102	70	$213.09	$74.57
73502 X-ray of hip, 2-3 views	80	56	$133.00	$53.85
73562 X-ray of knee, 3 views	45	35	$114.00	$47.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$250.00	$121.10
27447 Replacement of knee joint, both sides of knee	30	28	$4239.00	$1352.25
20985 Computer-assisted surgery for muscle and bone procedure	30	28	$458.00	$150.06
73721 Mri scan of leg joint without contrast	17	15	$761.00	$234.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$350.00	$178.79
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$112.00	$46.09
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$4240.00	$1354.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,920	21	$26.67	$17.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	558	64	$2.00	$1.28
99213 Established patient office or other outpatient visit, typically 15 minutes	287	159	$200.00	$99.04
73564 X-ray of knee, 4 or more views	151	105	$126.00	$52.05
73502 X-ray of hip, 2-3 views	104	67	$133.00	$52.72
20610 Aspiration and/or injection of fluid from large joint	96	75	$220.50	$75.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	70	$275.00	$139.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$250.00	$121.34
73562 X-ray of knee, 3 views	36	27	$114.00	$45.08
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	26	22	$366.81	$123.53
73721 Mri scan of leg joint without contrast	22	22	$761.00	$249.96
73030 X-ray of shoulder, minimum of 2 views	20	15	$92.00	$38.89
20985 Computer-assisted surgery for muscle and bone procedure	16	15	$458.00	$151.74
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$112.00	$45.13
27447 Replacement of knee joint, both sides of knee	14	13	$4239.00	$1365.36
27130 Replacement of thigh bone and hip joint with prosthesis	13	12	$4240.00	$1306.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	503	53	$2.00	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	154	106	$200.00	$80.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	94	$275.00	$116.77
73564 X-ray of knee, 4 or more views	88	59	$126.00	$48.85
20610 Aspiration and/or injection of fluid from large joint	61	48	$229.28	$74.04
73502 X-ray of hip, 2-3 views	54	37	$133.00	$50.48
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	38	24	$349.84	$111.91
73562 X-ray of knee, 3 views	29	22	$114.00	$42.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$350.00	$163.39
73721 Mri scan of leg joint without contrast	26	25	$761.00	$251.39
20985 Computer-assisted surgery for muscle and bone procedure	20	19	$458.00	$153.58
73030 X-ray of shoulder, minimum of 2 views	20	16	$92.00	$36.86
27447 Replacement of knee joint, both sides of knee	17	16	$4239.00	$1435.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$250.00	$116.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,200	17	$26.67	$16.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	498	70	$2.00	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	255	162	$200.00	$78.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	130	$275.00	$114.40
73564 X-ray of knee, 4 or more views	137	101	$126.00	$45.29
20610 Aspiration and/or injection of fluid from large joint	99	81	$202.36	$64.68
73502 X-ray of hip, 2-3 views	90	68	$133.00	$46.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$250.00	$113.64
20985 Computer-assisted surgery for muscle and bone procedure	41	39	$458.00	$150.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$350.00	$171.28
27447 Replacement of knee joint, both sides of knee	38	36	$4350.55	$1418.35
73562 X-ray of knee, 3 views	36	29	$114.00	$40.71
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	26	20	$322.35	$102.40
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	22	$85.00	$56.19
73721 Mri scan of leg joint without contrast	19	17	$761.00	$248.57
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$4240.00	$1400.66
73030 X-ray of shoulder, minimum of 2 views	14	14	$92.00	$32.73
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$112.00	$39.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	450	57	$2.00	$1.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	162	$275.00	$112.61
99213 Established patient office or other outpatient visit, typically 15 minutes	153	121	$200.00	$76.18
73564 X-ray of knee, 4 or more views	114	87	$126.00	$42.79
73502 X-ray of hip, 2-3 views	90	66	$133.00	$44.73
20610 Aspiration and/or injection of fluid from large joint	69	58	$202.70	$64.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$350.00	$167.69
73562 X-ray of knee, 3 views	37	28	$114.00	$37.78
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	31	26	$335.61	$102.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$250.00	$112.52
73030 X-ray of shoulder, minimum of 2 views	26	17	$92.00	$31.53
20985 Computer-assisted surgery for muscle and bone procedure	21	21	$458.00	$149.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	21	$85.00	$56.49
27447 Replacement of knee joint, both sides of knee	20	20	$4239.00	$1392.78
73721 Mri scan of leg joint without contrast	18	18	$761.00	$246.22
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$4240.00	$1394.16
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	14	11	$850.00	$519.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	474	63	$2.00	$1.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	175	$275.00	$111.15
99213 Established patient office or other outpatient visit, typically 15 minutes	223	151	$200.00	$75.69
73564 X-ray of knee, 4 or more views	118	87	$126.00	$42.28
20610 Aspiration and/or injection of fluid from large joint	90	75	$212.10	$64.91
73502 X-ray of hip, 2-3 views	86	69	$133.00	$44.22
73562 X-ray of knee, 3 views	79	61	$114.00	$38.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$250.00	$111.71
27447 Replacement of knee joint, both sides of knee	38	32	$4357.42	$1405.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$350.00	$168.92
73030 X-ray of shoulder, minimum of 2 views	36	27	$92.00	$30.78
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	36	$85.00	$56.04
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	31	23	$850.00	$541.53
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	28	25	$309.64	$97.80
73721 Mri scan of leg joint without contrast	21	19	$761.00	$243.49
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$4263.00	$1387.94
73521 X-ray of both hips, 2 views	16	15	$127.00	$42.19
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$112.00	$37.29

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA C35434

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

ZZZ72841Z (CA)

Practice Associates & Co-Workers

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

34 Associated Practitioners

Kevin Reusch , PA-C

Physician Assistant

NPI 1013631860

Physician Assistant (Certified)

Kaley Brown , PA

Physician Assistant - Surgical

NPI 1023248457

Physician Assistant

Lacey Post , PA

Physician Assistant - Medical

NPI 1033790415

Physician Assistant

Dr. Reid Bouchard , DPT

Physical Therapist

NPI 1104253855

Doctor of Physical Therapy

Christopher Pollington , PA

Physician Assistant

NPI 1124793922

Physician Assistant

Ryan Johnson , PA

Physician Assistant

NPI 1164179214

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 02, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 02, 2012

Registered at 3905 WARING RD, OCEANSIDE, CA 920564405 (Tel: 7607249000)

📍

Updated Business Mailing Address October 02, 2012

Registered at 3905 WARING RD, OCEANSIDE, CA 920564405 (Tel: 7607249000)

👤

Provider Name / Credentials Updated October 02, 2012

Recorded as JAMES HELGAGER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2012

Orthopaedic Surgery (License #C35434 in CA)

🟢

Initial NPI Registration & Enumeration March 24, 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: 1316907413

Entity Type:

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

Enumeration Date: March 24, 2006

Last Update: October 02, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3905 Waring Rd

Oceanside, CA 920564405

Phone: 7607249000

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.