DR. DANIEL A SHELDON M.D.
NPI 1225034341
Orthopaedic Surgery in Pembroke Pines, FL

Q: What is Daniel Sheldon's NPI number?

The NPI number for Daniel Sheldon is 1225034341. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Q: What is Daniel Sheldon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Sheldon was last updated on March 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment

601 N FLAMINGO RD, STE 213, PEMBROKE PINES, FL 33028(954) 659-0115(954) 659-0665 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Daniel A Sheldon M.d. NPPES

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

DR. DANIEL A SHELDON M.D. (NPI 1225034341) is an individual orthopaedic surgery provider in Pembroke Pines, Florida, licensed in Florida (ME0069381) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1994).

NPPES Registry Identity

NPI1225034341

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. DANIEL A SHELDONCredential: M.D.

Location Address601 N FLAMINGO RD, STE 213Pembroke Pines, FL 33028-1015

Mailing Address601 N Flamingo Rd, Ste 213Pembroke Pines, FL 33028-1015 · (954) 659-0115 · Fax (954) 659-0665

Phone(954) 659-0115

Fax(954) 659-0665

Sole ProprietorYes

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1994

Enumeration DateJune 23, 2005

Last NPPES UpdateMarch 17, 2021

NPPES CertifiedMarch 17, 2021

✔ NPI 1225034341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in FL · ME0069381

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

601 N FLAMINGO RD, Pembroke Pines, FL 33028

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Other Identifiers 2

Medicaid255944700FL

Other5817490001FL · Dmerc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Daniel A Sheldon 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 ID4385542133

PECOS Enrollment IDI20031230000679

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 19

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

992 services20 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

282 services90 patients

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.

254 services182 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

228 services16 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.

227 services186 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

148 services87 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

131 services97 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

83 services63 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.

79 services79 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

69 services54 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

65 services56 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

41 services40 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

39 services39 patients

X-ray of shoulder blade 73010

An X-ray of the shoulder blade is a quick, painless test that produces images of the bones in your shoulder area. It helps identify fractures, infections, or other abnormalities. You'll need to stay still while a machine sends a small amount of radiation through your shoulder to capture the image.

29 services25 patients

Re-evaluation for physical therapy, typically 20 minutes 97164

A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.

26 services14 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

25 services24 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

18 services11 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

15 services14 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

13 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100038

Location3501 Johnson StHollywood, FL 33021 · Broward County

Emergency services Birthing friendly

Memorial Hospital Pembroke

Acute Care Hospitals · Pembroke Pines, FL

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100230

Location7800 Sheridan StPembroke Pines, FL 33024 · Broward County

Emergency services

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100281

Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County

Emergency services Birthing friendly

Memorial Hospital Miramar

Acute Care Hospitals · Miramar, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100285

Location1901 SW 172nd AveMiramar, FL 33029 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33028 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

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

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

15%40 patients1/55-star benchmark: 95%

Diabetes: Foot Exam

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year

55%249 patients3/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

93%6,189 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

65%672 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

80%1,169 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

9%54 patients1/55-star benchmark: 96%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

94%4,487 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

40%2,508 patients2/55-star benchmark: 99%

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…

97%2,841 patients5/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 82% · 1,112 patients

Patients tobacco: 81% · 1,112 patients

74%46 patients4/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

62%2,508 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

1%2,508 patients1/55-star benchmark: 59%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 1,095 patients

0%1,095 patients5/55-star benchmark: 100%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 9% · 47 patients

Patients physicalActivity: 77% · 47 patients

98%47 patients

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 2

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

Continuous passive motion exercise device for use on knee only E0935

DME-Other DME · category DE000N

1 supplier29 claims564 services$21.83 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier12 claims12 services$9.86 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 20

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

ROBERT L LEVINSON MD

Internal Medicine

601 N FLAMINGO RD, STE 104
PEMBROKE PINES, FL 33028

Broward County (954) 435-5828

DR. HOWARD ALAN RUBENSTEIN MD

Internal Medicine (Gastroenterology)

601 N FLAMINGO RD, SUITE 105
PEMBROKE PINES, FL 33028

Broward County (954) 442-2228

ALL WOMENS HEALTHCARE OF SOUTH BROWARD INC

Obstetrics & Gynecology

601 N FLAMINGO RD, SUITE 205
PEMBROKE PINES, FL 33028

Broward County (954) 431-1211

GAIL P BALLWEG MD PA

Specialist

601 N FLAMINGO RD, SUITE 406
PEMBROKE PINES, FL 33028

Broward County (954) 438-9112

LEONARD JACOB HOENIG M.D.

Internal Medicine

601 N FLAMINGO RD, SUITE #201
PEMBROKE PINES, FL 33028

Broward County (954) 438-0077

DR. STANLEY A SPATZ M.D.

Specialist

601 N FLAMINGO RD, SUITE 313
PEMBROKE PINES, FL 33028

Broward County (954) 433-0455

DR. SCOTT D. KAZDAN D.O.

Neuromusculoskeletal Medicine, Sports Medicine

601 N FLAMINGO RD, 209
PEMBROKE PINES, FL 33028

Broward County (954) 442-7616

BROWARD INSTITUTE OF ORTHOPAEDIC SPECIALTIES LLC

Orthopaedic Surgery

601 N FLAMINGO RD, SUITE 101
PEMBROKE PINES, FL 33028

Broward County (954) 962-3508

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 Daniel Sheldon's NPI number?

The NPI number for Daniel Sheldon is 1225034341. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Daniel Sheldon located?

Daniel Sheldon practices at 601 N Flamingo Rd Ste 213, Pembroke Pines, FL 33028. The listed phone number is (954) 659-0115.

What is Daniel Sheldon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Daniel Sheldon enrolled in Medicare?

Yes. Daniel Sheldon 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 Daniel Sheldon accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Daniel Sheldon 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 Daniel Sheldon affiliated with any hospitals?

According to CMS data, Daniel Sheldon is affiliated with Memorial Regional Hospital, Memorial Hospital Pembroke, Memorial Hospital West and Memorial Hospital Miramar.

When was this NPI record last updated?

The NPPES record for Daniel Sheldon was last updated on March 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.