Active NPI 1649282922 Individual Practitioner Male Practitioner

Dr. William Scott Helton , MD

Surgery • Seattle, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. William Helton, MD is a certified Surgery practicing in Seattle, WA. With approximately 45 years of clinical experience since graduating from University Of California, Irvine, California College Of Medicine in 1981, Dr. Helton delivers high-quality medical care to the local community at 1100 9TH AVE.

Dr. Helton is affiliated with Virginia Mason Medical Center and accepts 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, 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

1100 9th Ave
Ms: C6-Gsur

Seattle, WA 981012756

Telephone 2063410060

Associated Practice Facility / Clinic

🏢 Virginia Mason Medical Center Facility NPI 1376607234

Medicare Profile & Education

Medical School

University Of California, Irvine, California College Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Seattle, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +24.4 yrs vs City Avg

City Avg: 20.6 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

222 Specialists

Practicing in Seattle, WA (818 Statewide)

Telehealth Adoption Rate

18.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Helton (45 Years) 45 Yrs

Seattle Specialty Average (20.6 Years) 20.6 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	33	$315.00	$151.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$417.00	$191.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	18	$138.00	$51.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$363.00	$136.94
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	25	22	$91.96	$32.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$182.00	$102.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$280.00	$140.67
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$87.00	$69.50
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$231.00	$86.14
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$50.00	$18.45
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2900.21	$226.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	22	$129.32	$53.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	30	$315.00	$154.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$417.00	$195.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$187.69	$105.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$280.00	$143.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	20	$365.09	$140.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$141.00	$89.03
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$87.00	$71.19
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$252.87	$89.16
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	14	14	$91.00	$33.70
47379 Liver procedure using an endoscope	13	13	$3864.01	$778.91
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$50.00	$19.03
49505 Repair of groin hernia (5 years or older)	12	12	$1340.17	$524.65
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$3106.00	$210.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	27	$296.06	$151.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$413.61	$198.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$175.21	$103.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$145.48	$90.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$297.47	$140.11
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$86.60	$65.78
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	15	12	$91.07	$34.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$151.41	$89.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$410.00	$199.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	24	$249.00	$158.68
76998 Ultrasonic guidance during surgery	25	25	$165.00	$65.98
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$71.09	$63.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$151.00	$107.74
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	20	11	$92.00	$34.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	11	$104.00	$41.06
49905 Repair of abdomen using abdominal lining graft	17	17	$942.00	$376.54
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$268.00	$107.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$296.00	$146.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$33.00	$33.12
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$50.00	$19.89
36415 Insertion of needle into vein for collection of blood sample	12	11	$16.00	$3.00
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2927.71	$302.43
47379 Liver procedure using an endoscope	12	12	$3294.50	$790.74
76937 Ultrasonic guidance for blood vessel access	11	11	$38.00	$14.78

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	47	38	$148.00	$86.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$147.00	$82.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	18	$358.00	$149.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$403.00	$183.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$293.00	$140.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$253.24	$122.02
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	13	$3009.00	$347.79
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$49.00	$20.27
36415 Insertion of needle into vein for collection of blood sample	12	12	$16.00	$2.98
99358 Prolonged patient service without direct patient contact first hour	11	11	$293.00	$121.72
76937 Ultrasonic guidance for blood vessel access	11	11	$38.00	$15.68

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	55	41	$151.49	$83.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$150.00	$81.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	27	$252.03	$118.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	12	$102.00	$42.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$422.70	$163.74
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$263.00	$104.06
76998 Ultrasonic guidance during surgery	18	17	$164.00	$64.04
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$65.00	$54.70
99358 Prolonged patient service without direct patient contact first hour	17	17	$291.00	$112.74
49905 Repair of abdomen using abdominal lining graft	14	14	$875.91	$333.56
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$49.00	$20.00
76937 Ultrasonic guidance for blood vessel access	12	12	$38.00	$15.47
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$3279.00	$338.89

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	50	44	$129.02	$82.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$131.31	$80.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	15	$105.00	$38.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	21	$221.00	$117.57
99358 Prolonged patient service without direct patient contact first hour	24	23	$298.00	$114.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$382.95	$178.74
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$72.88	$52.59
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	15	$3216.00	$302.26
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	15	$51.00	$18.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$364.00	$144.50
49505 Repair of groin hernia (5 years or older)	11	11	$1331.59	$537.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$143.00	$79.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	41	$198.00	$82.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	24	$273.00	$116.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$284.00	$135.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	16	$113.00	$40.84
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$85.00	$53.22
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$3650.00	$295.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$377.00	$168.25
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$52.11	$18.87
76937 Ultrasonic guidance for blood vessel access	16	16	$42.00	$15.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$31.00	$26.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$391.00	$142.53
47379 Liver procedure using an endoscope	12	12	$1937.88	$621.02
49320 Diagnostic examination of the abdomen using an endoscope	12	12	$699.00	$229.14
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$744.00	$276.40
99358 Prolonged patient service without direct patient contact first hour	11	11	$312.00	$116.85

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD00020229

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License CT 044943

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1649282922 (WA)

Commercial Insurance / Payer ID Alaska Medicaid

MD00286 (WA)

Commercial Insurance / Payer ID Dept Of Labor & Industries

0275153 (WA)

Commercial Insurance / Payer ID Railroad Medicare

P00917409 (WA)

Hospital & Practice Group Affiliations

Virginia Mason Medical Center

19116 33rd Ave W, Lynnwood, WA 980364706

Phone: 4257127900

Virginia Mason Medical Center

7315 212th St Sw, Edmonds, WA 980267610

Phone: 4257759474

Virginia Mason Medical Center

1100 9th Ave, Seattle, WA 981012756

Phone: 2062236600

Virginia Mason Medical Center

1344 Wintergreen Ln Ne, Bainbridge Island, WA 981105118

Phone: 2068425632

Virginia Mason Medical Center

33501 1st Way S, Federal Way, WA 980036208

Phone: 2538382400

Virginia Mason Medical Center

380 Winslow Way E, Bainbridge Island, WA 981102424

Phone: 2068425632

Virginia Mason Medical Center

925 Seneca St, Seattle, WA 981012742

Phone: 2062236600

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Abigail Wiebusch , MD

Surgery

NPI 1013051507

Doctor of Medicine (M.D.)

Dr. Jennifer Kaplan , MD

Colon & Rectal Surgery

NPI 1205135530

Doctor of Medicine (M.D.)

Melissa Lorenz , PA-C

Physician Assistant - Surgical

NPI 1265145213

Physician Assistant (Certified)

Dr. Madhankumar Kuppusamy , MD, FRCS (C-TH)

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1376069955

Doctor of Medicine (M.D.), FRCS(CTH)

Dr. Joel Sternbach , MD, MBA

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1376838334

Doctor of Medicine (M.D.), Master of Business Administration

Elizabeth Evans , MSN, NP

Nurse Practitioner

NPI 1386670107

Master of Science in Nursing, Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 03, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 03, 2013

Registered at 1100 9TH AVE, MS: C6-GSUR, SEATTLE, WA 981012756 (Tel: 2063410060)

📍

Updated Business Mailing Address September 03, 2013

Registered at 1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 981012756 (Tel: 2065155811)

👤

Provider Name / Credentials Updated September 03, 2013

Recorded as WILLIAM HELTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2013

Surgery (License #MD00020229 in WA)

🟢

Initial NPI Registration & Enumeration August 13, 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: 1649282922

Entity Type:

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

Enumeration Date: August 13, 2006

Last Update: September 03, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1100 9th Ave, Ms:m4-Pfs

Seattle, WA 981012756

Phone: 2065155811

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.