DR. SHEILA RAE HOLCOMB M.D.
NPI 1043206089
Family Medicine in Le Mars, IA

Q: What is Sheila Holcomb's NPI number?

The NPI number for Sheila Holcomb is 1043206089. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Sheila Holcomb's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sheila Holcomb was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment

714 LINCOLN ST NE, LE MARS, IA 51031(712) 546-3630(712) 546-3634 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Sheila Rae Holcomb M.d. NPPES

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

DR. SHEILA RAE HOLCOMB M.D. (NPI 1043206089) is an individual family medicine provider in Le Mars, Iowa, licensed in Iowa (31355) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1995).

NPPES Registry Identity

NPI1043206089

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SHEILA RAE HOLCOMBCredential: M.D.

Location Address714 LINCOLN ST NELe Mars, IA 51031-3314

Mailing Address714 Lincoln St NeLe Mars, IA 51031-3314 · (712) 546-3630 · Fax (712) 546-3634

Phone(712) 546-3630

Fax(712) 546-3634

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1995

Enumeration DateSeptember 26, 2005

Last NPPES UpdateAugust 24, 2016

✔ NPI 1043206089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · 31355

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

714 LINCOLN ST NE, Le Mars, IA 51031

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Other Identifiers 4

Other080128541IA · Railroad Medicare

Medicare UPING10268IA

Medicaid6130872IA

Other45074IA · Wellmark Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Avera Health Plans 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. Sheila Rae Holcomb M.d. 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 ID840216966

PECOS Enrollment IDI20051018001086

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 Sheila Holcomb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Floyd Valley Hospital

Same address

Cardiovascular Disease

714 LINCOLN ST NE
Le Mars, IA 51031

Reassigned Medicare billing, Iowa enrollment
Medicare enrollment name: Floyd Valley Healthcare
Also billed through NPI 1326109315 (Iowa)
51 clinicians in this Medicare group

NPI 1558423640 (712) 546-3398

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

38 services22 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

19 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Floyd Valley Healthcare

Critical Access Hospitals · Le Mars, IA

OwnershipGovernment - Local

CMS Certification Number161368

Location714 Lincoln St NELe Mars, IA 51031 · Plymouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51031 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers43 claims95 services$5.83 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

2 suppliers11 claims11 services$0.82 avg. paid by Medicare

Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$2.26 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers12 claims12 services$22.11 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers11 claims58 services$3.13 avg. paid by Medicare

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims365 services$5.51 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 20

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

MRS. GERI L SCHROEDER ARNP

Nurse Practitioner