Dr Todd E Helton, MD, PHD - Medicare Internal Medicine in Raleigh, NC

Dr Todd E Helton, MD, PHD is a medicare enrolled "Internal Medicine" physician in Raleigh, North Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Unc Physicians Network Group Practices Llc and his current practice location is 2417 Atrium Dr Ste 250, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 781-9650.

Dr Todd E Helton is licensed to practice in North Carolina (license number 200000228) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194701425.

Contact Information

Dr Todd E Helton, MD, PHD
2417 Atrium Dr Ste 250,
Raleigh, NC 27607-6673
(919) 781-9650
(919) 781-3572

Map and Direction




Physician's Profile

Full NameDr Todd E Helton
GenderMale
SpecialityInternal Medicine
Experience26 Years
Location2417 Atrium Dr Ste 250, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Todd E Helton attended and graduated from Brody School Of Medicine At East Carolina University in 1998
  NPI Data:
  • NPI Number: 1194701425
  • Provider Enumeration Date: 12/19/2005
  • Last Update Date: 05/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6709985849
  • Enrollment ID: I20101111001096

Medical Identifiers

Medical identifiers for Dr Todd E Helton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194701425NPI-NPPES
89128MAMedicaidNC
2321358OtherNCMEDICARE GROUP#

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 200000228 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bayada Nurses, IncRaleigh, NCHome health agency
Rex HospitalRaleigh, NCHospital
The Rosewood Health CenterRaleigh, NCNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Unc Physicians Network Group Practices Llc781014283338

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Todd E Helton allows following entities to bill medicare on his behalf.
Entity NameUnc Physicians Network Group Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275872905
PECOS PAC ID: 7810142833
Enrollment ID: O20130223000124

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Todd E Helton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Todd E Helton, MD, PHD
2000 Perimeter Park Dr Ste 200,
Morrisville, NC 27560-8442

Ph: () -
Dr Todd E Helton, MD, PHD
2417 Atrium Dr Ste 250,
Raleigh, NC 27607-6673

Ph: (919) 781-9650

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.