DR. EDWARD SHEEN MD
NPI 1215295969
Internal Medicine - Gastroenterology in Saint Louis, MO

Active since May 01, 2012PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
12634 OLIVE BLVD, DIV IM GASTROENTEROLOGY, SAINT LOUIS, MO 63141(314) 747-2066(314) 878-3022 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Edward Sheen Md NPPES

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

DR. EDWARD SHEEN MD (NPI 1215295969) is an individual gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (2019022751) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2008).

NPPES Registry Identity

NPI1215295969
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. EDWARD SHEENCredential: MD
Location Address12634 OLIVE BLVD, DIV IM GASTROENTEROLOGYSaint Louis, MO 63141-6337
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 747-2066 · Fax (314) 878-3022
Fax(314) 878-3022
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2008
Enumeration DateMay 1, 2012
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
NPI 1215295969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MO · 2019022751
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2019022751 (MO)
12634 OLIVE BLVD, Saint Louis, MO 63141

Other Identifiers 1

Medicaid200077926MO

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

Dr. Edward Sheen 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 ID1850689381
PECOS Enrollment IDI20191223000382
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Emergency Medicine
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
Anesthesiology
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Registered Nurse (Registered Nurse First Assistant)
12634 OLIVE BLVD
CREVE COEUR, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
12634 OLIVE BLVD
SAINT LOUIS, MO 63141

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 Edward Sheen's NPI number?

The NPI number for Edward Sheen is 1215295969. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Edward Sheen located?

Edward Sheen practices at 12634 Olive Blvd Div Im Gastroenterology, Saint Louis, MO 63141. The listed phone number is (314) 747-2066.

What is Edward Sheen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Edward Sheen enrolled in Medicare?

Yes. Edward Sheen 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 Edward Sheen accept?

Health plans from Cox HealthPlans list Edward Sheen 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.

When was this NPI record last updated?

The NPPES record for Edward Sheen was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.