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BEN COLTON SHEETS MD
NPI 1164169801
Family Medicine in Lubbock, TX

Active since May 15, 2022PECOS EnrolledAccepts Medicare Assignment
3601 4TH ST DEPT OF, LUBBOCK, TX 79430(806) 743-2757 Get Directions Write a Review

NPPES record last updated: May 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1164169801
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBEN COLTON SHEETSCredential: MD
Location Address3601 4TH ST DEPT OFLubbock, TX 79430-0002
Mailing Address3601 4th St Dept OfLubbock, TX 79430-0002 · (806) 743-2757
Phone(806) 743-2757
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2022
Enumeration DateMay 15, 2022
NPPES CertifiedMay 15, 2022
✔ NPI 1164169801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · BP10080336
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.
3601 4TH ST DEPT OF, Lubbock, TX 79430
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

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.

PECOS PAC ID4284014903
PECOS Enrollment IDI20250218000054
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.

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, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450144
Location720 Hospital DriveAndrews, TX 79714 · Andrews County
Emergency services Birthing friendly

Lubbock Heart Hospital LP

Acute Care Hospitals · Lubbock, TX
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450876
Location4810 North Loop 289Lubbock, TX 79416 · Lubbock County
Emergency services

Swisher Memorial Hospital

Critical Access Hospitals · Tulia, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451349
Location539 Southeast 2ndTulia, TX 79088 · Swisher County
Emergency services

Hemphill County Hospital

Critical Access Hospitals · Canadian, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number671301
Location1020 S 4th StCanadian, TX 79014 · Hemphill County
Emergency services

Physician 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.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

MICHEL ALEXANDER JUAREZ CORDOVA MD
Internal Medicine
3601 4TH ST DEPT OF
LUBBOCK, TX 79430
Lubbock County (806) 743-7446
DR. MOHEB MILAD MD
Pediatrics
3601 4TH ST DEPT OF
LUBBOCK, TX 79430
Lubbock County (817) 808-0733
JEREMY CHIP MALOUF M.D.
Family Medicine (Sports Medicine)
3601 4TH ST DEPT OF
LUBBOCK, TX 79430
Lubbock County (806) 743-1000
DAMLA YAGMUR MD
Student in an Organized Health Care Education/Training Program
3601 4TH ST DEPT OF
LUBBOCK, TX 79430
Lubbock County (806) 805-1332

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.

What insurance does Ben Sheets accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare 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.