Individual provider Active NPI

Stephen L. Helgemo Jr., M.D.

  • Orthopaedic Hand Surgery Physician
  • Port Charlotte, FL
National Provider Identifier
1235142969
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
ME0072747 Issued in FL
Practice address
18344 Murdock Cir
Port Charlotte, FL 33948-1008
Phone
(941) 625-6547
Fax
(941) 629-6415
NPI assigned
Aug 14, 2006
Last updated
Feb 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X ME0072747 FL Primary

Addresses

Primary practice location

18344 Murdock Cir
Port Charlotte, FL 33948-1008

Mailing address

18344 Murdock Cir
Port Charlotte, FL 33948-1008
Phone (941) 625-6547

Other identifiers 5

IdentifierTypeStateIssuer
5294520OtherETNA
279078500MedicaidFL
P00267480OtherRAIL ROAD MEDICARE
21069OtherBLUE CROSS BLUE SHEILD
280461OtherWELLCARE HMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041002000130 FL Practitioner - Hand Surgery 1951370220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Johns Hopkins University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

18344 Murdock Cir
Port Charlotte, FL 33948-1008
Phone (941) 625-6547

1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083

4316 Lee Blvd
Unit 12B
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

7374 San Casa Dr
Englewood, FL 34224-8842
Phone (941) 417-5064

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)178
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0072747FLMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen L. Helgemo, Jr., M.D., P.a. Hand Surgery CurrentSince Jul 1, 1999 Accepting new patients
Stephen L Helgemo Jr MD PA Hand Surgery CurrentSince Aug 2, 2005 Accepting new patients
Murdock Ambulatory Surgery Center LLC PastSince Sep 10, 2005 Accepting new patients

Locations

13710 Metropolis Ave
Ste 101
Fort Myers, FL 33912
Phone (239) 208-4170

3033 Winkler Ave
Unit 240
Fort Myers, FL 33916
Phone (239) 424-8910

1400 Education Way
Pt Charlotte, FL 33948
Phone (800) 771-7164

18344 Murdock Cir
Pt Charlotte, FL 33948
Phone (941) 325-6547

21298 Olean Blvd
Unit A
Pt Charlotte, FL 33952
Phone (941) 255-2459

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1220
  • Direct secure messaging: shelgemo@fhc.gwaydirect.com

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1235142969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18344 MURDOCK CIR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481008",
            "telephone_number": "941-625-6547",
            "fax_number": "941-629-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18344 MURDOCK CIR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481008",
            "telephone_number": "941-625-6547",
            "fax_number": "941-629-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELGEMO",
        "first_name": "STEPHEN",
        "middle_name": "L.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME0072747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ETNA",
            "identifier": "5294520",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279078500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00267480",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "21069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE HMO",
            "identifier": "280461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.