PAUL E SHEFFIELD MD
NPI 1093783672
Family Medicine in Montgomery, AL
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, is affiliated with Ochsner Watkins Hospital, and maintains a secondary practice location in Montgomery.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 8
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Paul Sheffield reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Montgomery, AL 36106
- Reassigned Medicare billing, Alabama enrollment
- 248 clinicians in this Medicare group
Union Springs, AL 36089
- Reassigned Medicare billing, Alabama enrollment
- 20 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ochsner Watkins Hospital
Critical Access Hospitals · Quitman, MSPhysician 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.
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.
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.
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.
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
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 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.
Where is Paul Sheffield located?
Paul Sheffield practices at 2024 Chestnut St, Montgomery, AL 36106. The listed phone number is (334) 440-3061.
What is Paul Sheffield's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Paul Sheffield enrolled in Medicare?
Yes. Paul 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 organizations bill Medicare for Paul Sheffield's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Sheffield reassigns Medicare benefits to 2 organizations: Jackson Hospital And Clinic, Inc (Montgomery, AL) and Professional Resources Management, Inc (Union Springs, AL). Each 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 Paul Sheffield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Sheffield accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Paul 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.
Is Paul Sheffield affiliated with any hospitals?
According to CMS data, Paul Sheffield is affiliated with Ochsner Watkins Hospital.
When was this NPI record last updated?
The NPPES record for Paul Sheffield was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.