Individual provider Active NPI

Karl William Helmold, M.D.

  • Orthopaedic Hand Surgery Physician
  • Pottsville, PA
National Provider Identifier
1912947797
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
MD053037L Issued in PA
Practice address
700 Schuylkill Manor Rd Ste 3
Pottsville, PA 17901
Phone
(570) 621-4440
Fax
(570) 621-4445
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD053037L PA
Orthopaedic Hand Surgery Physician 207XS0106X MD053037L PA Primary

Addresses

Primary practice location

700 Schuylkill Manor Rd Ste 3
Pottsville, PA 17901

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

1705 Warren Ave
Suite 101-103
Williamsport, PA 17701-2647
Phone (570) 321-2020

Other practice location 2

316 Mauch Chunk St
Pottsville, PA 17901-3614
Phone (570) 621-9380

Other practice location 3

1705 Warren Ave
Suite 101-103
Williamsport, PA 17701-2647
Phone (570) 321-2020

Other identifiers 1

IdentifierTypeStateIssuer
001466902-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080128000055 PA Practitioner - Orthopedic Surgery 2860402823 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rutgers New Jersey Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1250 S Cedar Crest Blvd
110 LVPG Orthopedics and Sports Medicine
Allentown, PA 18103-6224
Phone (610) 402-8900

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

Merit-based Incentive Payment System (MIPS)

Final score
83.64 of 100Reported as group
Quality
76.75
Promoting interoperability
87
Improvement activities
40
Cost
74.84

Merit-based Incentive Payment System (MIPS)

Final score
79.5 of 100Reported as group
Quality
66.14
Promoting interoperability
85
Improvement activities
40
Cost
74.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD053037LPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Schuylkill Health System Medical Group, Inc. Orthopaedic Surgery CurrentSince Oct 7, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 1, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Hazleton Professional Services Current Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Oct 7, 2019 Accepting new patients
Advanced Specialty Physicians Group Orthopaedic Surgery Past Accepting new patients

Locations

1250 S Cedar Crest Blvd
Ste 110
Allentown, PA 18103
Phone (610) 435-1003

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

316 Mauch Chunk St
Pottsville, PA 17901
Phone (570) 621-5633

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

241 Claremont Ave
Tamaqua, PA 18252
Phone (570) 225-7211

Organizations & group practices 12

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 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1912947797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SCHUYLKILL MANOR RD STE 3",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-621-4440",
            "fax_number": "570-621-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Warren Ave",
            "address_2": "Suite 101-103",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177012647",
            "country_code": "US",
            "telephone_number": "570-321-2020",
            "fax_number": "570-320-7576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Mauch Chunk St",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179013614",
            "country_code": "US",
            "telephone_number": "570-621-9380",
            "fax_number": "570-621-9379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1705 Warren Ave",
            "address_2": "Suite 101-103",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177012647",
            "country_code": "US",
            "telephone_number": "570-321-2020",
            "fax_number": "570-320-7576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELMOLD",
        "first_name": "KARL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD053037L",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "PA",
            "license": "MD053037L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001466902-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.