DR. SANDRA SCHULDHEISZ MD
NPI 1194798934
Specialist in Somerset, KY

Q: What is Sandra Schuldheisz's NPI number?

The NPI number for Sandra Schuldheisz is 1194798934. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Q: What is Sandra Schuldheisz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

46 TURPEN CT, SUITE B, SOMERSET, KY 42503(606) 679-0179(606) 679-0546 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Sandra Schuldheisz Md NPPES

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

DR. SANDRA SCHULDHEISZ MD (NPI 1194798934) is an individual specialist in Somerset, Kentucky, licensed in Kentucky (31007) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of University Of North Dakota School Of Medicine (1991).

NPPES Registry Identity

NPI1194798934

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. SANDRA SCHULDHEISZCredential: MD

Location Address46 TURPEN CT, SUITE BSomerset, KY 42503-3464

Mailing Address46 Turpen Ct, Suite BSomerset, KY 42503-3464 · (606) 679-0179 · Fax (606) 679-0546

Phone(606) 679-0179

Fax(606) 679-0546

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1991

Enumeration DateFebruary 10, 2006

Last NPPES UpdateOctober 19, 2016

✔ NPI 1194798934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in KY · 31007

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 31007 (KY)

46 TURPEN CT, Somerset, KY 42503

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Other Identifiers 3

Medicare UPING56806KY

Medicare PIN0993001KY

Medicaid64100159KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter 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

Dr. Sandra Schuldheisz 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 ID5092762179

PECOS Enrollment IDI20050331000823

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 9

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

638 services532 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.

334 services282 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

143 services141 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

138 services136 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

125 services123 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

115 services115 patients

Hospital Affiliations CMS Care Compare 4

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY

2/5 CMS rating

OwnershipProprietary

CMS Certification Number180132

Location305 Langdon StreetSomerset, KY 42503 · Pulaski County

Emergency services Birthing friendly

Wayne County Hospital

Critical Access Hospitals · Monticello, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181321

Location166 Hospital StreetMonticello, KY 42633 · Wayne County

Emergency services

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY

OwnershipGovernment - Local

CMS Certification Number181330

Location153 Dowell RoadRussell Springs, KY 42642 · Russell County

Emergency services

The Medical Center At Albany

Critical Access Hospitals · Albany, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181333

Location723 Burkesville RoadAlbany, KY 42602 · Clinton County

Emergency services

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.

100/100

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

Scored as part of a group practice

Quality

95.55

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 36

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

26 suppliers314 claims314 services$42.51 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

14 suppliers60 claims126 services$1.69 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

6 suppliers15 claims15 services$16.74 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

6 suppliers17 claims19 services$1.49 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

27 suppliers255 claims255 services$110.57 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

25 suppliers319 claims623 services$41.12 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

14 suppliers125 claims482 services$23.96 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

17 suppliers81 claims351 services$17.34 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

23 suppliers206 claims206 services$69.47 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

31 suppliers309 claims309 services$22.02 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

18 suppliers131 claims131 services$21.42 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

34 suppliers543 claims2,274 services$2.92 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

14 suppliers70 claims70 services$7.81 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

24 suppliers144 claims144 services$13.38 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

12 suppliers514 claims516 services$20.28 avg. paid by Medicare

Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing E0434

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$38.23 avg. paid by Medicare

Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing E0439

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$111.96 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

5 suppliers38 claims49 services$53.04 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

7 suppliers80 claims80 services$919.81 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

10 suppliers112 claims113 services$120.34 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

8 suppliers37 claims37 services$179.91 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

11 suppliers146 claims149 services$16.73 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

9 suppliers63 claims63 services$7.71 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

17 suppliers587 claims591 services$49.69 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

22 suppliers1,160 claims1,162 services$111.97 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

9 suppliers229 claims229 services$36.08 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

22 suppliers316 claims19,782 services$4.53 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

4 suppliers16 claims960 services$6.26 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

17 suppliers63 claims13,285 services$0.04 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

10 suppliers44 claims5,195 services$0.10 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

20 suppliers287 claims17,952 services$0.80 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

3 suppliers14 claims840 services$0.15 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

14 suppliers107 claims530,250 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

30 suppliers384 claims384 services$25.86 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

6 suppliers11 claims11 services$52.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 2

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

LUNG AND SLEEP DISORDER INSTITUTE PLLC

Specialist

46 TURPEN CT, SUITE B
SOMERSET, KY 42503

Pulaski County (606) 679-0179

JAMES MEDICAL EQUIPMENT, LTD

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

46 TURPEN CT, SUITE A
SOMERSET, KY 42503

Pulaski County (606) 676-8606

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 Sandra Schuldheisz's NPI number?

The NPI number for Sandra Schuldheisz is 1194798934. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Sandra Schuldheisz located?

Sandra Schuldheisz practices at 46 Turpen Ct Suite B, Somerset, KY 42503. The listed phone number is (606) 679-0179.

What is Sandra Schuldheisz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sandra Schuldheisz enrolled in Medicare?

Yes. Sandra Schuldheisz 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 Sandra Schuldheisz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Sandra Schuldheisz 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 Sandra Schuldheisz affiliated with any hospitals?

According to CMS data, Sandra Schuldheisz is affiliated with Lake Cumberland Regional Hospital, Wayne County Hospital, Russell County Hospital and The Medical Center At Albany.

When was this NPI record last updated?

The NPPES record for Sandra Schuldheisz was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.