SETH H SHELDON MD
NPI 1245488899
Internal Medicine - Clinical Cardiac Electrophysiology in Kansas City, KS

Active since September 08, 2008PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
4000 CAMBRIDGE STREET STE G600, KANSAS CITY, KS 66160(913) 588-9600 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2018, Mar 17, 2018, Jun 20, 2017 (3 updates tracked since 2017).

About Seth H Sheldon Md NPPES

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

SETH H SHELDON MD (NPI 1245488899) is an individual clinical cardiac electrophysiology provider in Kansas City, Kansas, licensed in Kansas (04-39165) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245488899
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameSETH H SHELDONCredential: MD
Location Address4000 CAMBRIDGE STREET STE G600Kansas City, KS 66160-8501
Mailing Address4000 Cambridge St Ste G600Kansas City, KS 66160-8501 · (913) 588-9600
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2008
Enumeration DateSeptember 8, 2008
Last NPPES UpdateDecember 18, 20183 updates tracked since enumeration
NPI 1245488899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Licenses Licensed in KS · 04-39165 Licensed in MI · 4301105906 Licensed in MN · 4301105906 Licensed in MO · 2016022289
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal MedicineTaxonomy 207R00000X · License 52065 (MN)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 52065 (MN), 4301105906 (MI), 04-39165 (KS)
4000 CAMBRIDGE STREET STE G600, Kansas City, KS 66160

Secondary Practice Locations 2

Location 11530 N Church RdLiberty, MO 64068-7129 · Phone (816) 781-1696
Location 210787 Nall Ave Ste 300Overland Park, KS 66211-1372 · Phone (913) 588-9400

Other Identifiers 5

Medicaid201140540CKS
Medicaid201119070AKS
MedicaidENROLLEDMN
OtherP01111044MN · Medicare Railroad
Medicaid1245488899MO

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

Seth H Sheldon 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 ID9739226499
PECOS Enrollment IDI20160728001362, I20160913002227
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 44

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
326 services201 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
225 services45 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
224 services86 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
136 services126 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
135 services127 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
114 services107 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

Kansas City Orthopaedic Institute

Acute Care Hospitals · Leawood, KS
OwnershipPhysician
CMS Certification Number170188
Location3651 College BlvdLeawood, KS 66211 · Johnson County

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260177
Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Cardiovascular Disease)
4000 CAMBRIDGE STREET STE G600
KANSAS CITY, KS 66160
Internal Medicine (Cardiovascular Disease)
4000 CAMBRIDGE STREET STE G600
KANSAS CITY, KS 66160
Internal Medicine (Cardiovascular Disease)
4000 CAMBRIDGE STREET STE G600
KANSAS CITY, KS 66160
Internal Medicine (Interventional Cardiology)
4000 CAMBRIDGE STREET STE G600
KANSAS CITY, KS 66160
Internal Medicine (Cardiovascular Disease)
4000 CAMBRIDGE STREET STE G600
KANSAS CITY, KS 66160
Internal Medicine (Cardiovascular Disease)
4000 CAMBRIDGE STREET STE G600
KANSAS CITY, KS 66160
Internal Medicine (Cardiovascular Disease)
4000 CAMBRIDGE STREET STE G600
KANSAS CITY, KS 66160
Internal Medicine (Interventional Cardiology)
4000 CAMBRIDGE STREET STE G600
KANSAS CITY, KS 66160

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 Seth Sheldon's NPI number?

The NPI number for Seth Sheldon is 1245488899. It was assigned to this individual provider in the NPPES registry on September 8, 2008.

Where is Seth Sheldon located?

Seth Sheldon practices at 4000 Cambridge Street Ste G600, Kansas City, KS 66160. The listed phone number is (913) 588-9600.

What is Seth Sheldon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Seth Sheldon enrolled in Medicare?

Yes. Seth 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 Seth Sheldon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Seth 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 Seth Sheldon affiliated with any hospitals?

According to CMS data, Seth Sheldon is affiliated with University Of Kansas Hospital, Olathe Medical Center, Lmh, Kansas City Orthopaedic Institute and New Liberty Hospital District.

When was this NPI record last updated?

The NPPES record for Seth Sheldon was last updated on December 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.