Dr. William Brian Helton, MD
- Medicare services, 2024
- 1,011
- Medicare patients, 2024
- 377
- Part D claims, 2024
- 1,220
- MIPS score, 2024
- 93
- Hospital affiliations
- 4
- Practice address
- 5000 KY Rte 321, Prestonsburg, KY 41653
- Practice phone
- Call (606) 886-2712
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Mark Veronneau Plastics & ENT
Prestonsburg, Kentucky
Find Dr. Helton's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. William Brian Helton is an otolaryngologist in Prestonsburg, Kentucky
Dr. Helton practices at Mark Veronneau Plastics & ENT in Prestonsburg, Kentucky.
Dr. Helton's NPI, 1174786115, was assigned on July 9, 2008. Dr. Helton graduated from University of Louisville School of Medicine in 2006. Dr. Helton holds Kentucky license 43550.
- NPI
- 1174786115NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5597898387
- NPI enumeration date
- July 9, 2008
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (606) 886-2712
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 46
- Medical school graduation
- 2006
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. William Brian Helton practices at Mark Veronneau Plastics & ENT in Prestonsburg, Kentucky
Dr. Helton's primary practice is Mark Veronneau Plastics & ENT, at 5000 KY Rte 321, Prestonsburg, KY 41653 in Floyd County. The practice phone is (606) 886-2712.
- Mark Veronneau Plastics & ENT5000 KY Rte 321, Prestonsburg, KY 41653 · Floyd CountyPhone(606) 886-2712
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. William Brian Helton is affiliated with 8 sites of care and 3 medical groups
Dr. Helton's primary practice is Mark Veronneau Plastics & ENT in Prestonsburg, Kentucky. Dr. Helton is also affiliated with Highlands ARH Regional Medical Center. The medical group on file is Pikeville Medical Center. Dmand AI also links Dr. Helton to 3 more hospitals, 3 group practices and clinics and 2 medical groups, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. William Brian Helton'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.
| Site | EHR vendor and product |
|---|---|
| Mark Veronneau Plastics & ENT | Available with a free account |
| +7 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. William Brian Helton is one of 135 otolaryngologists in Kentucky
Otolaryngology is Dr. Helton's primary specialty in the NPI Registry, under taxonomy code 207Y00000X. Dr. Helton is licensed in Kentucky.
Specialties and state licenses
- Otolaryngology, KentuckyPrimary
Otolaryngologists near Dr. Helton
Counts of otolaryngologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. William Brian Helton billed Medicare for 1,011 services in 2024
CMS data shows 1,011 Medicare services from Dr. Helton across 13 procedure codes in 2024, for 377 Medicare patients. Medicare paid $46,891 for them.
Dr. Helton's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 6112024: 51516%
- Surgery
- 2023: 3182024: 27813%
- Tests and treatments
- 2023: 7472024: 21871%
Where Dr. Helton's Medicare services took place, 2024
- In an office94093%
- In a facility717%
Dr. Helton compared with the Kentucky median for otolaryngologists, 2024
- Dr. Helton
- Kentucky median
- Medicare services
- 1,011vs 58573% above
- Medicare patients
- 377vs 28831% above
- Part D claims
- 1,026vs 2414.3 times
Medians across 127 otolaryngologists 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.
Need commercial claims for Dr. Helton?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Helton and other otolaryngologists in Kentucky.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. William Brian Helton treated 377 Medicare patients in 2024, average age 72
CMS counts 377 Medicare patients who saw Dr. Helton in 2024. The largest group is 65 to 74, with 188 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 22% are also on Medicaid. Their average risk score is 1.22, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Helton's median patient age at 50, with 55% women.
Dr. Helton's Medicare patients by age, 2024
Dr. Helton's Medicare patients by sex, 2024
- Women19552%
- Men18248%
Chronic conditions among Dr. Helton's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis57%
- Diabetes40%
- Anxiety38%
- Ischemic heart disease37%
- COPD36%
- Mood disorders24%
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 50
Patient panel by sex, all payers
- Women55%
- Men45%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. William Brian Helton wrote 1,220 Medicare Part D claims in 2024
In 2024, Dr. Helton wrote 1,220 Medicare Part D claims for 461 patients. 95% of them were for generic drugs. CMS names the drug for 1,026 of them, across 25 drugs with 11 or more claims each, at $71,035 in total drug cost. In 2023, CMS named 1,189 claims across 25 drugs.
Dr. Helton's Part D claims by kind of drug, 2024
- Generic1,154 claims95%
- Brand-name66 claims5%
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
- Opioids2%24 of 1,220 claims
- Antibiotics14%165 of 1,220 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: 1,1892024: 1,02614%
Drugs named by CMS: 25 in 2024, 25 in 2023.
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
Dr. William Brian Helton scored 93 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 93 out of 100 for Dr. Helton for performance year 2024, reported as part of a group. Dr. Helton accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 75 procedures of removal of skin lesions by Dr. Helton, more than 74% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Helton's MIPS scores, performance year 2024
- 93of 100Final score
- 81.5of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 82of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Helton ranks in Medicare procedure volume
- Removal of skin lesions
- 74th percentile75 procedures
- Melanoma (skin cancer) excision
- 67th percentile13 procedures
- Skin biopsy
- 59th percentile11 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. William Brian Helton received $2,732 in industry payments from 2016 to 2025
CMS Open Payments shows 88 general payments to Dr. Helton from 23 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 70% of the total. Entellus Medical, Inc. paid the most, $1,048.
General payments to Dr. Helton by program year, 2016 to 2025
General payments to Dr. Helton by kind, 2016 to 2025
- Food and beverage$1,90870%
- Travel and lodging$82530%
Companies that paid Dr. Helton the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. William Brian Helton graduated from University of Louisville School of Medicine
Dr. Helton graduated from University of Louisville School of Medicine in 2006.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. William Brian Helton's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. William Brian Helton
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. William Brian Helton's NPI number?
Dr. William Brian Helton's NPI number is 1174786115. It was assigned on July 9, 2008, and it is active in the NPI Registry.
What kind of doctor is Dr. William Brian Helton?
Dr. William Brian Helton is an otolaryngologist in Prestonsburg, Kentucky. The primary specialty in the NPI Registry is Otolaryngology Physician (taxonomy code 207Y00000X).
Where does Dr. William Brian Helton practice?
Dr. Helton practices at 5000 KY Rte 321, Prestonsburg, KY 41653. Dr. Helton's primary practice is Mark Veronneau Plastics & ENT in Prestonsburg, Kentucky. Dmand AI also links Dr. Helton to 3 hospitals, 3 group practices and clinics and 2 medical groups.
What is Dr. William Brian Helton's office phone number?
The practice phone on file for Dr. Helton is (606) 886-2712.
What is Dr. William Brian Helton's medical license number?
Dr. Helton holds Kentucky license 43550.
Which hospitals is Dr. William Brian Helton affiliated with?
Dr. Helton is affiliated with Highlands ARH Regional Medical Center. Dmand AI links Dr. Helton to 3 more hospitals.
What medical group is Dr. William Brian Helton part of?
Dr. Helton is linked to Pikeville Medical Center. Dmand AI links Dr. Helton to 2 more medical groups.
Does Dr. William Brian Helton accept Medicare?
Yes. CMS data shows Dr. Helton billed Medicare for 1,011 services in 2024, and Dr. Helton accepts Medicare assignment.
What is Dr. William Brian Helton's MIPS score?
Dr. Helton's MIPS final score for performance year 2024 is 93 out of 100, reported as part of a group.
How many Medicare patients does Dr. William Brian Helton see?
CMS counts 377 Medicare patients who saw Dr. Helton in 2024, with an average age of 72.
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What services does Dr. William Brian Helton bill to Medicare?
In 2024, Dr. Helton's most billed Medicare services were office visit, established patient (99213), allergy test or treatment (95117) and office visit, new patient (99203).
Where did Dr. William Brian Helton go to medical school?
Dr. Helton graduated from University of Louisville School of Medicine in 2006.
What drugs does Dr. William Brian Helton prescribe most?
In 2024 Medicare Part D data, Dr. Helton's most prescribed drugs by claims were Fluticasone Propionate, Azelastine HCl and Levocetirizine Dihydrochloride.
Has Dr. William Brian Helton received payments from drug or device companies?
CMS Open Payments shows $2,732 in general payments to Dr. Helton from 23 companies from 2016 to 2025. The largest total came from Entellus Medical, Inc.
How long has Dr. William Brian Helton been practicing?
Dr. Helton graduated from medical school in 2006, 20 years ago.
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