Active NPI 1497785356 Individual Practitioner Male Practitioner

Dr. Kenneth S Helmer , MD

Surgery • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Helmer, MD is a certified Surgery practicing in Tyler, TX. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Helmer delivers high-quality medical care to the local community at 612 S FLEISHEL AVE.

Dr. Helmer is affiliated with Conroe Montgomery Physicians Group, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

612 S Fleishel Ave

Tyler, TX 757012012

Telephone 9035315560

Associated Practice Facility / Clinic

🏢 Mother Frances Hospital Facility NPI 1184671190

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +2.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

32 Specialists

Practicing in Tyler, TX (2342 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Helmer (28 Years) 28 Yrs

Tyler Specialty Average (25.5 Years) 25.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	29	$143.66	$73.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$275.61	$124.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	36	$141.00	$76.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$268.00	$125.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	20	$78.00	$47.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$393.00	$167.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	21	$78.00	$36.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	24	$141.00	$68.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$393.00	$190.35
99239 Hospital discharge day management, more than 30 minutes	13	13	$205.00	$101.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	28	$141.00	$69.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	18	$202.00	$100.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$393.00	$194.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	19	$78.00	$37.41
99239 Hospital discharge day management, more than 30 minutes	17	17	$205.00	$103.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$268.00	$132.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	46	$141.26	$72.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	32	$201.13	$103.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	45	$392.00	$201.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	20	$78.76	$39.16
99239 Hospital discharge day management, more than 30 minutes	14	14	$205.00	$106.58
99238 Hospital discharge day management, 30 minutes or less	11	11	$147.09	$72.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	38	$202.00	$101.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	39	$141.00	$70.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	55	$393.00	$197.29
99291 Critical care, first 30-74 minutes	45	17	$441.00	$217.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$78.00	$38.45
99239 Hospital discharge day management, more than 30 minutes	16	16	$205.00	$104.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$268.00	$133.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	51	$141.00	$69.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	68	31	$202.00	$101.71
99291 Critical care, first 30-74 minutes	61	12	$441.00	$213.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	41	$393.00	$197.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	27	$78.00	$37.53
99239 Hospital discharge day management, more than 30 minutes	18	18	$205.00	$104.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$268.00	$133.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	123	46	$202.00	$99.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	26	$141.00	$68.63
99291 Critical care, first 30-74 minutes	58	16	$441.00	$212.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$393.00	$192.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$268.00	$129.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	19	$78.00	$37.31
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$198.00	$96.20
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$139.00	$68.42
99239 Hospital discharge day management, more than 30 minutes	11	11	$205.00	$101.91

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX L1882

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

148411502 (TX)

Commercial Insurance / Payer ID Tricare

TIN PLU 015 (TX)

Commercial Insurance / Payer ID Bcbs Of Texas

8R7271 (TX)

Commercial Insurance / Payer ID Bcbstx

8J9558 (TX)

Hospital & Practice Group Affiliations

Conroe Montgomery Physicians Group, Pllc

504 Medical Ctr Blvd, Conroe, TX 773042808

Phone: 9365397415

Conroe Montgomery Physicians Group, Pllc

508 Medical Ctr Blvd, Conroe, TX 773042845

Phone: 8367604600

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Robert Ellis , MD

Surgery - Trauma Surgery

NPI 1093864027

Doctor of Medicine (M.D.)

Dana Pillans , RN, ACNP

Nurse Practitioner - Acute Care

NPI 1417343526

Registered Nurse, ACNP

Dr. Luis Fernandez , MD

Surgery - Trauma Surgery

NPI 1730131681

Doctor of Medicine (M.D.)

Dr. Melissa Cloonan , MD

Surgery - Trauma Surgery

NPI 1871735852

Doctor of Medicine (M.D.)

Dr. John Norris , MD

Surgery - Trauma Surgery

NPI 1982678694

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 January 07, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2009

Registered at 612 S FLEISHEL AVE, TYLER, TX 757012012 (Tel: 9035315560)

📍

Updated Business Mailing Address January 07, 2009

Registered at PO BOX 5500, TYLER, TX 757125500 (Tel: 9033246400)

👤

Provider Name / Credentials Updated January 07, 2009

Recorded as KENNETH HELMER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2009

Surgery (License #L1882 in TX)

🟢

Initial NPI Registration & Enumeration July 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Kenneth Helmer. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1497785356

Entity Type:

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

Enumeration Date: July 04, 2006

Last Update: February 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5500

Tyler, TX 757125500

Phone: 9033246400

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.