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CHARLES ROBERT SHELDON M.D.
NPI 1316258932
Emergency Medicine in Augusta, GA

Active since June 29, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2704 SMITH CREEK RD, AUGUSTA, GA 30909(404) 784-5374 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles Robert Sheldon M.d. NPPES

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

CHARLES ROBERT SHELDON M.D. (NPI 1316258932) is an individual emergency medicine provider in Augusta, Georgia, licensed in Georgia (4141) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Southside Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2010).

NPPES Registry Identity

NPI1316258932
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCHARLES ROBERT SHELDONCredential: M.D.
Location Address2704 SMITH CREEK RDAugusta, GA 30909-2322
Mailing Address2704 Smith Creek RdAugusta, GA 30909-2322
Phone(404) 784-5374
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2010
Enumeration DateJune 29, 2010
✔ NPI 1316258932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 4141
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2704 SMITH CREEK RD, Augusta, GA 30909
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Robert 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 ID7911147285
PECOS Enrollment IDI20130710000018
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Charles Sheldon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Coverage, LLC
182 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Virginia enrollment
  • 679 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Alexandria Springfield Emergency Physicians PC
362 mi
Emergency Medicine
100 FAIRVIEW DR
Franklin, VA 23851
  • Reassigned Medicare billing, Virginia enrollment
  • 219 clinicians in this Medicare group
NPI 1740529700 (844) 474-4019
Emergency Medicine Associates P.A., P.C.
408 mi
Internal Medicine
501 SUNSET LN
Culpeper, VA 22701
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group
NPI 1881559102 (540) 829-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
232 services224 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
106 services101 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
82 services81 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.
12 services11 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Charles Sheldon's NPI number?

The NPI number for Charles Sheldon is 1316258932. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Where is Charles Sheldon located?

Charles Sheldon practices at 2704 Smith Creek Rd, Augusta, GA 30909. The listed phone number is (404) 784-5374.

What is Charles Sheldon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Charles Sheldon enrolled in Medicare?

Yes. Charles 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.

Which organizations bill Medicare for Charles Sheldon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Sheldon reassigns Medicare benefits to 3 organizations: Emergency Coverage, LLC (Newport, TN), Alexandria Springfield Emergency Physicians PC (Franklin, VA) and Emergency Medicine Associates P.A., P.C. (Culpeper, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Sheldon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Charles Sheldon affiliated with any hospitals?

According to CMS data, Charles Sheldon is affiliated with Bon Secours Southside Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Sheldon was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.