DR. SHEILA FLOM M.D.
NPI 1265596761
Family Medicine in Ventura, CA

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
3291 LOMA VISTA RD, VENTURA, CA 93003(805) 652-6556 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2023, Aug 2, 2022 (2 updates tracked since 2022).

About Dr. Sheila Flom M.d. NPPES

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

DR. SHEILA FLOM M.D. (NPI 1265596761) is an individual family medicine provider in Ventura, California, licensed in California (A82964) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Simi Valley, and is a graduate of University Of California, Irvine, California College Of Medicine (2001).

NPPES Registry Identity

NPI1265596761
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHEILA FLOMCredential: M.D.
Location Address3291 LOMA VISTA RDVentura, CA 93003-3099
Mailing Address3291 Loma Vista RdVentura, CA 93003-3099 · (805) 652-6556
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2001
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
NPI 1265596761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A82964
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.
3291 LOMA VISTA RD, Ventura, CA 93003

Secondary Practice Location 1

Location 11227 E Los Angeles AveSimi Valley, CA 93065-2871 · Phone (805) 582-4000

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. Sheila Flom 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 ID3274505672
PECOS Enrollment IDI20040806000807
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 3

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
31 services31 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
19 services18 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.09
Promoting Interoperability100
Improvement Activities40
Cost56.53

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers73 claims153 services$5.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers37 claims43 services$1.02 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
1 supplier12 claims12 services$12.36 avg. paid by Medicare
Rollabout chair, any and all types with casters 5" or greater E1031
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$8.96 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
1 supplier12 claims12 services$51.58 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.

Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Pathology (Anatomic Pathology)
3291 LOMA VISTA RD
VENTURA, CA 93003
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Psychiatry & Neurology (Psychiatry)
3291 LOMA VISTA RD
VENTURA, CA 93003
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Hospitalist
3291 LOMA VISTA RD
VENTURA, CA 93003
Occupational Therapist
3291 LOMA VISTA RD, VENTURA COUNTY MEDICAL CENTER
VENTURA, CA 93003
Anesthesiology
3291 LOMA VISTA RD
VENTURA, CA 93003

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 Sheila Flom's NPI number?

The NPI number for Sheila Flom is 1265596761. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Sheila Flom located?

Sheila Flom practices at 3291 Loma Vista Rd, Ventura, CA 93003. The listed phone number is (805) 652-6556.

What is Sheila Flom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sheila Flom enrolled in Medicare?

Yes. Sheila Flom 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.

When was this NPI record last updated?

The NPPES record for Sheila Flom was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.