Dr. Harold Helton Jr., MD

  • Somerset, KY
  • Nephrologist
NPI1063404481PAC ID5799753687
Medicare services, 2024
983
Medicare patients, 2024
328
Part D claims, 2024
1,099
Hospital affiliations
3
Industry payments
$73
Practice address
100 Hardin Ln, Somerset, KY 42503
Practice phone
Call (606) 678-2063
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Cumberland Nephrology

Somerset, Kentucky

See all 9 affiliations

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Dr. Harold Helton Jr. is a nephrologist in Somerset, Kentucky

Dr. Helton practices at Cumberland Nephrology in Somerset, Kentucky.

Dr. Helton's NPI, 1063404481, was assigned on August 22, 2005. Dr. Helton graduated from University of Kentucky College of Medicine in 1996. Dr. Helton holds Kentucky license 33190.

NPI and contact details
Medicare PAC ID
5799753687
NPI enumeration date
August 22, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(606) 678-2063
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
56
Medical school graduation
1996

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Harold Helton Jr. practices at Cumberland Nephrology in Somerset, Kentucky

Dr. Helton's primary practice is Cumberland Nephrology, at 100 Hardin Ln, Somerset, KY 42503 in Pulaski County. The practice phone is (606) 678-2063.

  • Cumberland Nephrology
    100 Hardin Ln, Somerset, KY 42503 · Pulaski CountyPhone(606) 678-2063

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Harold Helton Jr. is affiliated with 8 sites of care and 1 medical group

Dr. Helton's primary practice is Cumberland Nephrology in Somerset, Kentucky. Dr. Helton is also affiliated with Lake Cumberland Regional Hospital. Dmand AI also links Dr. Helton to 2 more hospitals, 3 dialysis centers, 1 group practice or clinic and 1 medical group, each named with a free account.

See all 9 affiliations for Dr. Helton

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Harold Helton Jr.'s practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Helton practices, 7 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Cumberland NephrologyAvailable with a free account
+7 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Harold Helton Jr. is one of 153 nephrologists in Kentucky

Nephrology is Dr. Helton's primary specialty in the NPI Registry, under taxonomy code 207RN0300X. Dr. Helton is licensed in Kentucky.

Specialties and state licenses

  • Nephrology, KentuckyPrimaryLicense 33190 · taxonomy 207RN0300X

Nephrologists near Dr. Helton

Counts of nephrologists with a Dmand AI profile, by place and practice. Each opens the list.

153nephrologists in Kentucky
2nephrologists in Somerset

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Harold Helton Jr. billed Medicare for 983 services in 2024

CMS data shows 983 Medicare services from Dr. Helton across 8 procedure codes in 2024, for 328 Medicare patients. Medicare paid $130,384 for them.

Medicare services, 2024983
Medicare patients328
Paid by Medicare$130,384
Procedure codes8

Dr. Helton's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 8262024: 60727%
Tests and treatments
2023: 4902024: 37623%

Where Dr. Helton's Medicare services took place, 2024

  • In an office60261%
  • In a facility38139%

Dr. Helton compared with the Kentucky median for nephrologists, 2024

  • Dr. Helton
  • Kentucky median
Medicare services
983vs 1,09710% below
Medicare patients
328vs 3609% below
Part D claims
973vs 67045% above

Medians across 156 nephrologists in Kentucky with Dmand AI profiles that report each measure.

Dr. Helton's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Helton

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Harold Helton Jr. treated 328 Medicare patients in 2024, average age 71

CMS counts 328 Medicare patients who saw Dr. Helton in 2024. The largest group is 65 to 74, with 134 patients. 75% of them have chronic kidney disease, and 75% have high blood pressure. 35% are also on Medicaid. Their average risk score is 3.60, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Helton's median patient age at 70, with 45% women.

Medicare patients, 2024328
Average age71
Average risk score3.60
Also on Medicaid35%

Dr. Helton's Medicare patients by age, 2024

Dr. Helton's Medicare patients by sex, 2024

  • Women14544%
  • Men18356%

Chronic conditions among Dr. Helton's Medicare patients, 2024

  1. Chronic kidney disease75%
  2. High blood pressure75%
  3. High cholesterol75%
  4. Diabetes63%
  5. Ischemic heart disease51%
  6. Arthritis50%
  7. Heart failure38%
  8. Anxiety34%

Share of Medicare patients with each condition. A patient can have several.

Dr. Helton's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 70

Patient panel by sex, all payers

  • Women45%
  • Men54%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Harold Helton Jr. wrote 1,099 Medicare Part D claims in 2024

In 2024, Dr. Helton wrote 1,099 Medicare Part D claims for 197 patients. 79% of them were for generic drugs. CMS names the drug for 973 of them, across 22 drugs with 11 or more claims each, at $433,156 in total drug cost. In 2023, CMS named 1,070 claims across 23 drugs.

Part D claims, 20241,099
Drugs named by CMS22
Total drug cost$433,156
Part D patients197

Dr. Helton's Part D claims by kind of drug, 2024

  • Generic863 claims79%
  • Brand-name236 claims21%

Dr. Helton's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Helton's Part D claims, 2024

  • Antibiotics1%15 of 1,099 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,0702024: 9739%

Drugs named by CMS: 22 in 2024, 23 in 2023.

See all prescribing by Dr. Helton

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Dr. Harold Helton Jr. takes part in Medicare

Dr. Helton accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Harold Helton Jr. received $73 in industry payments from 2017 to 2023

CMS Open Payments shows 6 general payments to Dr. Helton from 5 drug and device companies from 2017 to 2023. Food and beverage make up the largest share, 81% of the total. Akebia Therapeutics Inc paid the most, $23.

General payments to Dr. Helton by program year, 2017 to 2023

General payments to Dr. Helton by kind, 2017 to 2023

$73in total
  • Food and beverage$5981%
  • Education$1419%

Companies that paid Dr. Helton the most, 2017 to 2023

Share is of all general payments to this clinician.

See all payments to Dr. Helton

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Harold Helton Jr. graduated from University of Kentucky College of Medicine

Dr. Helton graduated from University of Kentucky College of Medicine in 1996.

  1. Medical schoolUniversity of Kentucky College of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Harold Helton Jr.'s profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Harold Helton Jr.

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Harold Helton Jr.'s NPI number?

Dr. Harold Helton Jr.'s NPI number is 1063404481. It was assigned on August 22, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Harold Helton Jr.?

Dr. Harold Helton Jr. is a nephrologist in Somerset, Kentucky. The primary specialty in the NPI Registry is Nephrology Physician (taxonomy code 207RN0300X).

Where does Dr. Harold Helton Jr. practice?

Dr. Helton practices at 100 Hardin Ln, Somerset, KY 42503. Dr. Helton's primary practice is Cumberland Nephrology in Somerset, Kentucky. Dmand AI also links Dr. Helton to 2 hospitals, 3 dialysis centers, 1 group practice or clinic and 1 medical group.

What is Dr. Harold Helton Jr.'s office phone number?

The practice phone on file for Dr. Helton is (606) 678-2063.

What is Dr. Harold Helton Jr.'s medical license number?

Dr. Helton holds Kentucky license 33190.

Which hospitals is Dr. Harold Helton Jr. affiliated with?

Dr. Helton is affiliated with Lake Cumberland Regional Hospital. Dmand AI links Dr. Helton to 2 more hospitals.

Does Dr. Harold Helton Jr. accept Medicare?

Yes. CMS data shows Dr. Helton billed Medicare for 983 services in 2024, and Dr. Helton accepts Medicare assignment.

How many Medicare patients does Dr. Harold Helton Jr. see?

CMS counts 328 Medicare patients who saw Dr. Helton in 2024, with an average age of 71.

What services does Dr. Harold Helton Jr. bill to Medicare?

In 2024, Dr. Helton's most billed Medicare services were dialysis (90960), office visit, established patient (99214) and hospital inpatient care (99233).

Where did Dr. Harold Helton Jr. go to medical school?

Dr. Helton graduated from University of Kentucky College of Medicine in 1996.

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What drugs does Dr. Harold Helton Jr. prescribe most?

In 2024 Medicare Part D data, Dr. Helton's most prescribed drugs by claims were Calcium Acetate, Losartan Potassium and Spironolactone.

Has Dr. Harold Helton Jr. received payments from drug or device companies?

CMS Open Payments shows $73 in general payments to Dr. Helton from 5 companies from 2017 to 2023. The largest total came from Akebia Therapeutics Inc.

How long has Dr. Harold Helton Jr. been practicing?

Dr. Helton graduated from medical school in 1996, 30 years ago.

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