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DR. ERIN MJ SHEFFIELD D.D.S.
NPI 1013144328
Dentist - Oral and Maxillofacial Surgery in Quincy, IL

Active since June 12, 2009PECOS EnrolledAccepts Medicare Assignment
3915 MAINE ST STE 3, QUINCY, IL 62305(217) 222-9434(217) 222-0671 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Erin Mj Sheffield D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIN MJ SHEFFIELD D.D.S. (NPI 1013144328) is an individual oral and maxillofacial surgery provider in Quincy, Illinois, licensed in Illinois (019031557) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Iowa City, and is a graduate of University Of Iowa College Of Dentistry (2009).

NPPES Registry Identity

NPI1013144328
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ERIN MJ SHEFFIELDCredential: D.D.S.
Location Address3915 MAINE ST STE 3Quincy, IL 62305-5843
Mailing Address1025 Maine StQuincy, IL 62301-4096 · (217) 222-6550 · Fax (217) 277-2253
Phone(217) 222-9434
Fax(217) 222-0671
Sole ProprietorNo
Medical School CMSUniversity Of Iowa College Of DentistryGraduated 2009
Enumeration DateJune 12, 2009
Last NPPES UpdateMay 10, 2018
✔ NPI 1013144328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in IL · 019031557✔ Licensed in IL · 021002868
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 08658 (IA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 08658 (IA)
3915 MAINE ST STE 3, Quincy, IL 62305
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 Hawkins Dr, Hospital DentistryIowa City, IA 52242-1009 · Phone (319) 356-1981 · Fax (319) 353-6923

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Erin Mj Sheffield D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678882438
PECOS Enrollment IDI20180803002815
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Erin Sheffield reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Quincy Physicians & Surgeons Clinic, PLLC
2.5 mi
Clinic/Center
1025 MAINE ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 252 clinicians in this Medicare group
NPI 1548234198 (217) 222-6550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services14 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Durable Medical Equipment & Medical Supplies
3915 MAINE ST STE 3
QUINCY, IL 62305
Adams County (217) 222-9434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erin Sheffield's NPI number?

The NPI number for Erin Sheffield is 1013144328. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Where is Erin Sheffield located?

Erin Sheffield practices at 3915 Maine St Ste 3, Quincy, IL 62305. The listed phone number is (217) 222-9434.

What is Erin Sheffield's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Erin Sheffield enrolled in Medicare?

Yes. Erin Sheffield is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Erin Sheffield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Sheffield reassigns Medicare benefits to Quincy Physicians & Surgeons Clinic, PLLC (Quincy, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erin Sheffield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Sheffield accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Montana and 4 other insurers list Erin Sheffield as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Erin Sheffield was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.