Quick answers
- Does Harold Helton Jr. accept Medicare assignment?
- Yes. Medicare's clinician data says Harold Helton Jr. accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Harold Helton Jr. see?
- In 2024, CMS data shows 328 Original Medicare patients and 1,037 services for Harold Helton Jr.. This counts Original Medicare only and measures volume, not quality.
- What is Harold Helton Jr.'s NPI number?
- 1063404481. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Harold Helton Jr., data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 328 |
|---|---|
| Services billed to Medicare | 1,037 |
| Different services or procedures | 13 |
| Participating Medicare provider | Yes |
| Average age of these patients | 71 |
Most frequent services
- Dialysis services, 4 or more physician visits per month (20 years or older) (90960)269 services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)267 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)164 services
- Hemodialysis procedure with physician evaluation (90935)78 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)73 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Chronic kidney disease75%
- Diabetes63%
- Ischemic heart disease51%
- Arthritis50%
Hospitals where Harold Helton Jr. works
Medicare's Facility Affiliation Data lists Harold Helton Jr. at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Lake Cumberland Regional HospitalSomerset, KY · Acute Care Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 180132
- Rockcastle County Hospital, Inc.Mount Vernon, KY · Acute Care Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 180115
- Russell County HospitalRussell Springs, KY · Critical Access Hospital · Emergency services: listed by Medicare · CCN 181330
- Wayne County HospitalMonticello, KY · Critical Access Hospital · Emergency services: listed by Medicare · CCN 181321
Practice locations
Addresses where Harold Helton Jr. is enrolled with Medicare (CMS data updated October 2, 2026).
- 104 Hardin Ln, Suite ASomerset, KY 42503 (606) 678‑2063
- 119 Tradepark DrSomerset, KY 42503 (606) 678‑9811
- 140 Stone Crest DrSomerset, KY 42501 (606) 561‑9047
Specialties
- Nephrologyprimary
- Internal Medicinealso
Other nephrologists in Kentucky
Clinicians with the same Medicare primary specialty in Kentucky — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Medical school | University Of Kentucky College Of Medicine |
| Graduation year | 1996 (30 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1063404481 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians