KIMBERLY RAE SHEETS MD
NPI 1306879135
Family Medicine in Allentown, PA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
80.62/100
CMS Quality Rating
3178 W TILGHMAN ST, ALLENTOWN, PA 18104(610) 844-9150(610) 844-9151 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2018, Mar 6, 2018 (2 updates tracked since 2018).

About Kimberly Rae Sheets Md NPPES

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

KIMBERLY RAE SHEETS MD (NPI 1306879135) is an individual family medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD069829L) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1306879135
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLY RAE SHEETSCredential: MD
Location Address3178 W TILGHMAN STAllentown, PA 18104-4222
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700
Fax(610) 844-9151
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1997
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
NPI 1306879135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD069829L
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.
3178 W TILGHMAN ST, Allentown, PA 18104

Secondary Practice Location 1

Location 13178 W Tilghman StAllentown, PA 18104-4222 · Phone (610) 844-9150 · Fax (610) 844-9151

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

Kimberly Rae Sheets 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 ID8527251701
PECOS Enrollment IDI20101020000578
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 18

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.
253 services225 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.
118 services96 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.
114 services114 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.
74 services74 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
69 services66 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
63 services62 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

80.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.06
Promoting Interoperability80
Improvement Activities40
Cost63.03

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.

Family Medicine
3178 W TILGHMAN ST
ALLENTOWN, PA 18104
Non-Pharmacy Dispensing Site
3178 W TILGHMAN ST
ALLENTOWN, PA 18104
Internal Medicine
3178 W TILGHMAN ST
ALLENTOWN, PA 18104
Family Medicine
3178 W TILGHMAN ST
ALLENTOWN, PA 18104
Physician Assistant
3178 W TILGHMAN ST
ALLENTOWN, PA 18104
Physician Assistant
3178 W TILGHMAN ST
ALLENTOWN, PA 18104
Emergency Medicine
3178 W TILGHMAN ST
ALLENTOWN, PA 18104
Physician Assistant (Medical)
3178 W TILGHMAN ST
ALLENTOWN, PA 18104

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 Kimberly Sheets's NPI number?

The NPI number for Kimberly Sheets is 1306879135. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Kimberly Sheets located?

Kimberly Sheets practices at 3178 W Tilghman St, Allentown, PA 18104. The listed phone number is (610) 844-9150.

What is Kimberly Sheets's specialty?

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

Is Kimberly Sheets enrolled in Medicare?

Yes. Kimberly Sheets 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.

Is Kimberly Sheets affiliated with any hospitals?

According to CMS data, Kimberly Sheets is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Sheets was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.