SHEILA SAGAR M.D.
NPI 1104847896
Internal Medicine in Clearwater, FL

Active since July 21, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D1025605 · Waiver
28960 US HIGHWAY 19 N, SUITE 100, CLEARWATER, FL 33761(727) 787-7970(727) 787-8524 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2017, Mar 31, 2017 (2 updates tracked since 2017).

About Sheila Sagar M.d. NPPES

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

SHEILA SAGAR M.D. (NPI 1104847896) is an individual internal medicine provider in Clearwater, Florida, licensed in Florida (ME76182) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 11, 2028, and is affiliated with Mease Dunedin Hospital.

NPPES Registry Identity

NPI1104847896
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHEILA SAGARCredential: M.D.
Location Address28960 US HIGHWAY 19 N, SUITE 100Clearwater, FL 33761-2403
Mailing Address28960 Us Highway 19 N, Suite 100Clearwater, FL 33761-2403 · (727) 787-7970 · Fax (727) 787-8524
Fax(727) 787-8524
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 21, 2006
Last NPPES UpdateDecember 11, 20172 updates tracked since enumeration
NPI 1104847896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME76182
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
28960 US HIGHWAY 19 N, Clearwater, FL 33761

Other Names 1

Former Name (1)Sheela V Sagar Md

Other Identifiers 2

Medicaid255315500FL
OtherP00231527FL · Railroad Medicare Provide

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

Sheila Sagar 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 ID648243238
PECOS Enrollment IDI20040812001216
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1025605

Sheila Sagar MD · Clearwater, FL
Active · expires May 11, 2028
CLIA Number10D1025605
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorSheila Sagar
Laboratory Phone(727) 787-7970
Laboratory LocationSheila Sagar MD28960 Us Hwy 19 N, Ste 100, Clearwater, FL 33761
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 20

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
767 services71 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
762 services71 patients
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.
383 services229 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
231 services209 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
197 services197 patients
Physician or allowed practitioner re-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 a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
118 services58 patients

Hospital Affiliations CMS Care Compare 5

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

Mease Dunedin Hospital

Acute Care Hospitals · Dunedin, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100043
Location601 Main StDunedin, FL 34698 · Pinellas County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100265
Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33761 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%400 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%358 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
9 suppliers26 claims62 services$5.83 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims78 services$1.62 avg. paid by Medicare
Hospital bed, fixed height, with any type side rails, with mattress E0250
DME-Hospital Beds · category DB000N
1 supplier20 claims20 services$42.84 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers16 claims16 services$27.32 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
3 suppliers54 claims57 services$67.20 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers35 claims42 services$30.22 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 9

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

Obstetrics & Gynecology
28960 US HIGHWAY 19 N, SUITE 109
CLEARWATER, FL 33761
Obstetrics & Gynecology
28960 US HIGHWAY 19 N, SUITE 109
CLEARWATER, FL 33761
Emergency Medicine
28960 US HIGHWAY 19 N, SUITE 115
CLEARWATER, FL 33761
Registered Nurse
28960 US HIGHWAY 19 N, SUITE 112
CLEARWATER, FL 33761
Acupuncturist
28960 US HIGHWAY 19 N, SUITE 112
CLEARWATER, FL 33761
Obstetrics & Gynecology
28960 US HIGHWAY 19 N, SUITE 109
CLEARWATER, FL 33761
Nurse Practitioner (Adult Health)
28960 US HIGHWAY 19 N, SUITE 100
CLEARWATER, FL 33761
Internal Medicine
28960 US HIGHWAY 19 N, SUITE 115
CLEARWATER, FL 33761

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 Sagar's NPI number?

The NPI number for Sheila Sagar is 1104847896. It was assigned to this individual provider in the NPPES registry on July 21, 2006. The provider is also known as Sheela V Sagar MD.

Where is Sheila Sagar located?

Sheila Sagar practices at 28960 Us Highway 19 N Suite 100, Clearwater, FL 33761. The listed phone number is (727) 787-7970.

What is Sheila Sagar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sheila Sagar enrolled in Medicare?

Yes. Sheila Sagar 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.

Does Sheila Sagar hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1025605) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sheila Sagar accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Sheila Sagar 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 Sagar affiliated with any hospitals?

According to CMS data, Sheila Sagar is affiliated with Mease Dunedin Hospital, St Josephs Hospital, Morton Plant Hospital, Adventhealth Tampa and Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Sagar was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.