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SHEILA MAIER D.O.
NPI 1033599162
Internal Medicine - Endocrinology, Diabetes & Metabolism in Denver, CO

Active since June 03, 2015PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
1601 E 19TH AVE STE 5500, DENVER, CO 80218(303) 228-1240(303) 228-1250 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2021, Apr 19, 2018 (2 updates tracked since 2018).

About Sheila Maier D.o. NPPES

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

SHEILA MAIER D.O. (NPI 1033599162) is an individual endocrinology, diabetes & metabolism provider in Denver, Colorado, licensed in Colorado (75005) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1033599162
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSHEILA MAIERCredential: D.O.
Location Address1601 E 19TH AVE STE 5500Denver, CO 80218-1291
Mailing Address1601 E 19th Ave Ste 5500Denver, CO 80218-1291 · (303) 228-1240 · Fax (303) 228-1250
Phone(303) 228-1240
Fax(303) 228-1250
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 3, 2015
Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1033599162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in CO · 75005✔ Licensed in MA · 284301
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License R2493 (AZ)
1601 E 19TH AVE STE 5500, Denver, CO 80218
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sheila Maier D.o. 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 ID2163787623
PECOS Enrollment IDI20250515003214
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.

Areas of Expertise CMS Part B claims 7

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
812 services535 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
389 services284 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
353 services265 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
284 services175 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
188 services175 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80218 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.36
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
8 suppliers37 claims441 services$18.30 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers35 claims970 services$2.15 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims14 services$169.96 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
27 suppliers107 claims335 services$5.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers48 claims67 services$1.04 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
6 suppliers44 claims44 services$312.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

HEALTHONE CLINIC SERVICES - MEDICAL SPECIALTIES LLC
Internal Medicine
1601 E 19TH AVE STE 5500
DENVER, CO 80218
Denver County (303) 228-1240
ETHAN JOHN MYTINGER
Physician Assistant
1601 E 19TH AVE STE 5500
DENVER, CO 80218
Denver County (303) 777-7112
AMANDA OSBORNE DPT
Physical Therapist
1601 E 19TH AVE STE 5500
DENVER, CO 80218
Denver County (720) 402-3801

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 Sheila Maier's NPI number?

The NPI number for Sheila Maier is 1033599162. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Sheila Maier located?

Sheila Maier practices at 1601 E 19th Ave Ste 5500, Denver, CO 80218. The listed phone number is (303) 228-1240.

What is Sheila Maier's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sheila Maier enrolled in Medicare?

Yes. Sheila Maier 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.

What insurance does Sheila Maier accept?

Health plans from UnitedHealthcare list Sheila Maier 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.

Is Sheila Maier affiliated with any hospitals?

According to CMS data, Sheila Maier is affiliated with Cape Cod Hospital and Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Maier was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.