EDWIN KENNETH SHEILS PA-C
NPI 1043488596
Physician Assistant in Saratoga, WY

Active since February 19, 2008PECOS EnrolledAccepts Medicare Assignment
1208 S RIVER ST, SARATOGA, WY 82331(307) 326-8381(307) 326-5698 Get Directions Write a Review

NPPES record last updated: August 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edwin Kenneth Sheils Pa-c NPPES

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

EDWIN KENNETH SHEILS PA-C (NPI 1043488596) is an individual physician assistant in Saratoga, Wyoming, licensed in Wyoming (434) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1043488596
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDWIN KENNETH SHEILSCredential: PA-C
Location Address1208 S RIVER STSaratoga, WY 82331-0650
Mailing AddressPo Box 648, 1208 River StreetSaratoga, WY 82331-0648 · (307) 326-8381 · Fax (307) 326-5698
Fax(307) 326-5698
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 19, 2008
Last NPPES UpdateAugust 7, 2009
NPI 1043488596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WY · 434
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1208 S RIVER ST, Saratoga, WY 82331

Other Identifiers 1

Medicare PINW21753WY

Accepted 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

Edwin Kenneth Sheils Pa-c 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 ID4082799416
PECOS Enrollment IDI20160803003083
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

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.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Stillwater Billings Clinic

Critical Access Hospitals · Columbus, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271330
Location710 N 11th StColumbus, MT 59019 · Stillwater County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82331 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$48.51 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 4

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

Pediatrics
1208 S RIVER ST
SARATOGA, WY 82331
Family Medicine
1208 S RIVER ST
SARATOGA, WY 82331
Family Medicine
1208 S RIVER ST
SARATOGA, WY 82331
Home Health
1208 S RIVER ST
SARATOGA, WY 82331

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 Edwin Sheils's NPI number?

The NPI number for Edwin Sheils is 1043488596. It was assigned to this individual provider in the NPPES registry on February 19, 2008.

Where is Edwin Sheils located?

Edwin Sheils practices at 1208 S River St, Saratoga, WY 82331. The listed phone number is (307) 326-8381.

What is Edwin Sheils's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Edwin Sheils enrolled in Medicare?

Yes. Edwin Sheils 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 Edwin Sheils accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Edwin Sheils 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 Edwin Sheils affiliated with any hospitals?

According to CMS data, Edwin Sheils is affiliated with Billings Clinic and Stillwater Billings Clinic.

When was this NPI record last updated?

The NPPES record for Edwin Sheils was last updated on August 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.