NPIMap

Individual provider Active NPI

William Brian Helton, MD

  • Otolaryngology Physician
  • Prestonsburg, KY
National Provider Identifier
1174786115
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
43550 Issued in KY
Practice address
5322 Ky Route 321
Prestonsburg, KY 41653-9114
Phone
(606) 886-2712
Fax
(606) 886-2713
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 43550 KY Primary

Addresses

Primary practice location

5322 Ky Route 321
Prestonsburg, KY 41653-9114

Mailing address

5322 Ky Route 321
Prestonsburg, KY 41653-9114
Phone (606) 886-2712

Other identifiers 1

IdentifierTypeStateIssuer
7100134900MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address whelton01@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100730000293 KY Practitioner - Otolaryngology 5597898387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Louisville School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians
Mark Veronneau Plastics and ENT, PLLCGroup PAC ID 6002913332, 2 clinicians
Arh Tug Valley Health Services, Inc.Group PAC ID 4183953805, 108 clinicians

Practice addresses (Care Compare)

184 S Mayo Trail
Pikeville, KY 41501-1518
Phone (606) 430-2213

5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (606) 886-2712

5322 Ky Route 321
Prestonsburg, KY 41653-9114
Phone (606) 886-2712

911 Bypass Rd
Pikeville, KY 41501-1689

Hospital & facility affiliations

  • Highlands Arh Regional Medical Center Hospital, Prestonsburg, KY, CCN 180005
  • Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044
  • Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029
  • Paintsville Arh Hospital Hospital, Paintsville, KY, CCN 180078

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions88
Skin biopsy19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc CurrentSince Aug 1, 2019 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Aug 1, 2019 Accepting new patients
Mark Veronneau Plastics & ENT, PLLC Otolaryngology CurrentSince Jul 1, 2010 Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients

Locations

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

5322 Ky Route 321
#2
Prestonsburg, KY 41653
Phone (606) 886-2712

5322 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-2712

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFEDAA/Endpoint/IFEDAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1174786115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 KY ROUTE 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539114",
            "telephone_number": "606-886-2712",
            "fax_number": "606-886-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 KY ROUTE 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539114",
            "telephone_number": "606-886-2712",
            "fax_number": "606-886-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELTON",
        "first_name": "WILLIAM",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "43550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100134900",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whelton01@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "5322 Ky Route 321",
            "city": "Prestonsburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "416539114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.