Micah Helton, M.D.
NPI 1194172379ActiveIndividual· Internal Medicine· Durango, CO
Internal Medicine (M.D.) in Durango, Colorado, trained at University of Oklahoma College of Medicine (class of 2016). Mostly services rather than prescriptions: Medicare paid $15,968 for 106 patients in 2024, with only 21 Part D claims.
Overview
| NPI | 1194172379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | May 18, 2016 |
| Last updated in NPPES | Mar 25, 2025 |
| Certified by provider | Mar 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | DR.0065171 | CO |
| Internal Medicine | 207R00000X | 2016023432 | MO |
| Pediatrics | 208000000X | MD2025-0267 | NM |
| Pediatrics | 208000000X | 2016023432 | MO |
| Hospitalist | 208M00000X | DR.0065171 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 106 |
|---|---|
| Services billed | 154 across 13 procedure codes |
| Paid by Medicare | $15,968 |
Part D prescriptions in 2024
| Prescriptions (claims) | 21 · 28 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $3,010 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | University of Oklahoma College of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Hospitalist |
| Secondary specialties | Internal Medicine, Pediatric Medicine |
Medical group
- Catholic Health Initiatives ColoradoLakewood, CO · 1,225 clinicians
Hospital affiliation
- Mercy Regional Medical CenterDurango, CO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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