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Active NPI 1881651008 Individual Practitioner Male Practitioner

Dr. Thomas N Helm , MD

Pathology - Dermatopathology • Hershey, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Helm, MD is a certified Pathology - Dermatopathology practicing in Hershey, PA. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Helm delivers high-quality medical care to the local community at 500 UNIVERSITY DR.

Dr. Helm is affiliated with The Milton S Hershey Medical Center Physicians Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include pathology examination of tissue using a microscope, intermediate complexity, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 University Dr

Hershey, PA 170332360

Telephone 7175316820
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Dermatopathology in Hershey, PA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
39 Yrs Matches City Avg
City Avg: 39.0 Yrs
State Avg: 28.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Hershey, PA (23 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Helm (39 Years) 39 Yrs
Hershey Specialty Average (39.0 Years) 39.0 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
88305 Pathology examination of tissue using a microscope, intermediate complexity
971 675 $136.00 $34.59
88305 Pathology examination of tissue using a microscope, intermediate complexity
237 164 $136.00 $34.39
17003 Destruction of precancer skin growth, 2-14 growths
110 36 $8.00 $1.92
99213 Established patient office or other outpatient visit, typically 15 minutes
79 76 $245.00 $63.17
17000 Destruction of skin growth
49 49 $199.00 $47.57
88304 Pathology examination of tissue using a microscope, moderately low complexity
44 35 $42.00 $10.53
88321 Surgical pathology consultation and report on referred slides prepared elsewhere
38 38 $306.00 $77.74
88342 Special stained specimen slides to examine tissue, initial procedure
37 36 $126.00 $32.28
88341 Special stained specimen slides to examine tissue
34 23 $102.00 $25.87
88312 Special stained specimen slides to identify organisms including interpretation and report
31 26 $96.00 $24.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
26 25 $360.00 $88.67
11102 Tangential biopsy of single skin lesion
22 21 $138.00 $23.43
17110 Destruction of up to 14 skin growths
16 16 $241.00 $64.44
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $245.00 $62.70

Medical Specialties & State Licenses

CMS Verified: 2023-08-17
Pathology - Dermatopathology Primary Specialty

NUCC Taxonomy Code: 207ZD0900X

State License PA MD482012

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License NY 186385

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - Dermatopathology

NUCC Taxonomy Code: 207ND0900X

State License NY 186385-1

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Dermatology - Clinical & Laboratory Dermatological Immunology

NUCC Taxonomy Code: 207NI0002X

State License NY 186385

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01604833 (NY)
Commercial Insurance / Payer ID North American Preferred
161000580 (NY)
Commercial Insurance / Payer ID Workers Compensation
186385-1B (NY)
Commercial Insurance / Payer ID Univera
00010075201 (NY)
Commercial Insurance / Payer ID Iha
0305598 (NY)
Commercial Insurance / Payer ID Rr Medicare
070008310 (NY)
Commercial Insurance / Payer ID Empire
161000580 (NY)
Commercial Insurance / Payer ID Aetna
161000580 (NY)
Commercial Insurance / Payer ID Ghi
0021748 (NY)
Commercial Insurance / Payer ID United Healthcare
161000580 (NY)

Hospital & Practice Group Affiliations

The Milton S Hershey Medical Center Physicians Group

500 Universidy Dr, Hershey, PA 170332360

Phone: 7175315638

Secondary Practice Locations

325 Essjay Rd

Williamsville, NY 14221

Phone: 7166302582

Practice Associates & Co-Workers

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

16 Associated Practitioners
NPI 1093455925

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1093779340

Doctor of Medicine (M.D.)

NPI 1104889831

Doctor of Medicine (M.D.)

Katie Stewart , CRNP

Nurse Practitioner - Adult Health

NPI 1215270400

Certified Registered Nurse Practitioner

Calista Long

Student in an Organized Health Care Education/Training Program

NPI 1225831738
Preeti Tekchandani , PA

Physician Assistant

NPI 1265532782

Physician Assistant

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location August 17, 2023

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170332360 (Tel: 7175316820)

📍
Updated Practice Location August 24, 2018

Registered at 325 ESSJAY RD, WILLIAMSVILLE, NY 14221 (Tel: 7166302582)

NPI Profile Active January 09, 2018

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 09, 2018

Registered at 425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 142215782 (Tel: 7166301219)

📍
Updated Practice Location January 09, 2018

Registered at 6255 SHERIDAN DR, SUITE 208, WILLIAMSVILLE, NY 142214836 (Tel: 7166302582)

👤
Provider Name / Credentials Updated January 09, 2018

Recorded as THOMAS HELM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2018

Dermatology (License #186385 in NY)

NPI Profile Active June 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2016

Registered at 6255 SHERIDAN DR, SUITE 208, WILLIAMSVILLE, NY 142214836 (Tel: 7166302582)

📍
Updated Business Mailing Address June 06, 2016

Registered at 6255 SHERIDAN DR, SUITE 108, WILLIAMSVILLE, NY 142214836 (Tel: 7166301219)

👤
Provider Name / Credentials Updated June 06, 2016

Recorded as THOMAS HELM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2016

Dermatology (License #186385 in NY)

🟢
Initial NPI Registration & Enumeration May 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881651008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2006
Last Update: August 17, 2023
Sole Proprietor: No

Mailing Address

425 Essjay Rd Ste 170

Williamsville, NY 142215782

Phone: 7166301219

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.