BEN COLTON SHEETS MD
NPI 1164169801
Family Medicine in Lubbock, TX
About Ben Colton Sheets Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEN COLTON SHEETS MD (NPI 1164169801) is an individual family medicine provider in Lubbock, Texas, licensed in Texas (BP10080336) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Permian Regional Medical Center Andrews County Ho, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
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
Ben Colton Sheets 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
7Medicare enrollment records show Ben Sheets reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,439 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Concord Medical Group PLLC
- 1,338 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Illinois enrollment
- 48 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Louisiana enrollment
- 122 clinicians in this Medicare group
Lubbock, TX 79424
- Reassigned Medicare billing, Texas enrollment
- 29 clinicians in this Medicare group
Monahans, TX 79756
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1720096019 (Texas)
- 56 clinicians in this Medicare group
Canadian, TX 79014
- Reassigned Medicare billing, Texas enrollment
- 30 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Permian Regional Medical Center Andrews County Ho
Acute Care Hospitals · Andrews, TXLubbock Heart Hospital LP
Acute Care Hospitals · Lubbock, TXSwisher Memorial Hospital
Critical Access Hospitals · Tulia, TXHemphill County Hospital
Critical Access Hospitals · Canadian, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 79430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LUBBOCK, TX 79430
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 Ben Sheets's NPI number?
The NPI number for Ben Sheets is 1164169801. It was assigned to this individual provider in the NPPES registry on May 15, 2022.
Where is Ben Sheets located?
Ben Sheets practices at 3601 4th St Dept Of, Lubbock, TX 79430. The listed phone number is (806) 743-2757.
What is Ben Sheets's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ben Sheets enrolled in Medicare?
Yes. Ben Sheets 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 Ben Sheets's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ben Sheets reassigns Medicare benefits to 7 organizations: Concord Medical Group Of Texas PLLC (Lubbock, TX), Concord Medical Group Of Texas PLLC (Lubbock, TX), Central Prairie Physicians PLLC (Lubbock, TX), South Central Physicians PLLC (Lubbock, TX), Exceptional Physicians Group Lubbock Hospital PLLC (Lubbock, TX) and 2 more organizations, listed in the Medicare section above. 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 Ben Sheets's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ben Sheets accept?
Health plans from Blue Cross and Blue Shield of Texas list Ben Sheets 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 Ben Sheets affiliated with any hospitals?
According to CMS data, Ben Sheets is affiliated with Permian Regional Medical Center Andrews County Ho, Lubbock Heart Hospital LP, Swisher Memorial Hospital and Hemphill County Hospital.
When was this NPI record last updated?
The NPPES record for Ben Sheets was last updated on May 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ben Colton Sheets, MD · NPI 1164169801
Family Medicine physician in Lubbock, Texas. Individual provider, active in the CMS NPPES registry since May 15, 2022.
## Identity
- **NPI:** 1164169801 (Entity type: Individual)
- **Enumerated:** May 15, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** BP10080336 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 4TH ST DEPT OF, Lubbock, TX 79430-0002
- **Phone:** (806) 743-2757
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Concord Medical Group Of Texas PLLC (NPI 1750790762, Lubbock, TX); Concord Medical Group Of Texas PLLC (NPI 1750790762, Lubbock, TX); Central Prairie Physicians PLLC (NPI 1821884750, Lubbock, TX); South Central Physicians PLLC (NPI 1427611854, Lubbock, TX); Exceptional Physicians Group Lubbock Hospital PLLC (NPI 1275317646, Lubbock, TX); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Texas Tech University Health Science Center School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** May 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164169801) · Data from the CMS NPPES public registry.