PAUL E SHEFFIELD MD
NPI 1093783672
Family Medicine in Montgomery, AL

Q: What is Paul Sheffield's NPI number?

The NPI number for Paul Sheffield is 1093783672. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is Paul Sheffield'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 Paul Sheffield was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 09, 2006PECOS EnrolledAccepts Medicare Assignment

88.44/100

CMS Quality Rating

2024 CHESTNUT ST, MONTGOMERY, AL 36106(334) 440-3061(334) 557-1057 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2023, Sep 5, 2018, Nov 11, 2015 (3 updates tracked since 2015).

On this page

About Paul E Sheffield Md NPPES

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

PAUL E SHEFFIELD MD (NPI 1093783672) is an individual family medicine provider in Montgomery, Alabama, licensed in Alabama (45182) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1980).

NPPES Registry Identity

NPI1093783672

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePAUL E SHEFFIELDCredential: MD

Location Address2024 CHESTNUT STMontgomery, AL 36106-1111

Mailing Address1725 Pine StMontgomery, AL 36106-1109 · (334) 293-8000 · Fax (334) 557-1057

Phone(334) 440-3061

Fax(334) 557-1057

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1980

Enumeration DateMarch 9, 2006

Last NPPES UpdateNovember 21, 20233 updates tracked since enumeration

NPPES CertifiedNovember 21, 2023

✔ NPI 1093783672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AL · 45182✔ Licensed in MS · 09184

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.

2024 CHESTNUT ST, Montgomery, AL 36106

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Other Identifiers 8

Medicaid00113398MS

Other753068151MS · 1st Choice

Other753068151MS · Ms Health Partners

Other168390702MS · Us Dept Of Labor

Other753068151MS · Ms Physicians Care Networ

Other753068151008MS · Tricare

OtherP0026770MS · Rr Medicare

Other4274983MS · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Paul E Sheffield Md 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 ID4385661768

PECOS Enrollment IDI20230227000985

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.

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.

47 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36106 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

88.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.29

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 7

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

10 suppliers31 claims91 services$6.24 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers18 claims31 services$1.11 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$57.81 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$33.33 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers13 claims780 services$0.81 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers11 claims11 services$215.60 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 13

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

DR. LINA TERZIAN

Student in an Organized Health Care Education/Training Program