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SHELDON JON HARIGEL M.D.
NPI 1407090731
Family Medicine in Lawrenceburg, TN

Active since April 30, 2009PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
1605 S LOCUST AVE, LAWRENCEBURG, TN 38464(931) 903-2445(931) 903-2447 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sheldon Jon Harigel M.d. NPPES

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

SHELDON JON HARIGEL M.D. (NPI 1407090731) is an individual family medicine provider in Lawrenceburg, Tennessee, licensed in Alabama (MD31833) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Southern Tennessee Regional Health System Lawrence, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1407090731
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHELDON JON HARIGELCredential: M.D.
Location Address1605 S LOCUST AVELawrenceburg, TN 38464-4061
Mailing Address1605 S Locust AveLawrenceburg, TN 38464-4061 · (931) 903-2445 · Fax (931) 903-2447
Phone(931) 903-2445
Fax(931) 903-2447
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 30, 2009
Last NPPES UpdateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1407090731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · MD31833
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1605 S LOCUST AVE, Lawrenceburg, TN 38464
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Sheldon Jon Harigel 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 ID4183874456
PECOS Enrollment IDI20121022000716, I20241015003782
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 8

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
95 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
52 services27 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
31 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services19 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
20 services18 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Southern Tennessee Regional Health System Lawrence

Acute Care Hospitals · Lawrenceburg, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440175
Location1607 South Locust AvenueLawrenceburg, TN 38464 · Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38464 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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
4 suppliers17 claims38 services$3.82 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers11 claims11 services$17.69 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers12 claims68 services$3.19 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
2 suppliers23 claims23 services$20.36 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers24 claims24 services$8.05 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers28 claims32 services$48.79 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 14

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

DR. NORMAN LIN MCNULTY M.D.
Psychiatry & Neurology (Neurology)
1605 S LOCUST AVE, SUITE 103
LAWRENCEBURG, TN 38464
Lawrence County (931) 766-3637
AMG-CROCKETT, LLC
Psychiatry & Neurology (Neurology)
1605 S LOCUST AVE, SUITE 103
LAWRENCEBURG, TN 38464
Lawrence County (931) 762-6571
AMG-CROCKETT, LLC
Obstetrics & Gynecology (Obstetrics)
1605 S LOCUST AVE, SUITE 200
LAWRENCEBURG, TN 38464
Lawrence County (931) 766-4560
NEUROLOGY ASSOCIATES
Psychiatry & Neurology (Neurology)
1605 S LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (931) 762-4115
AMG CROCKETT LLC
Orthopaedic Surgery
1605 S LOCUST AVE, SUITE 101
LAWRENCEBURG, TN 38464
Lawrence County (931) 762-4400
LAWRENCEBURG NEUROLOGY ASSOCIATES PC
Specialist
1605 S LOCUST AVE, SUITE 201
LAWRENCEBURG, TN 38464
Lawrence County (931) 766-3035
DR. ELBERT G WARREN III MD
Obstetrics & Gynecology
1605 S LOCUST AVE, STE 200
LAWRENCEBURG, TN 38464
Lawrence County (931) 766-4560
AMG CROCKETT, LLC
Surgery
1605 S LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (931) 766-7994

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 Sheldon Harigel's NPI number?

The NPI number for Sheldon Harigel is 1407090731. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Sheldon Harigel located?

Sheldon Harigel practices at 1605 S Locust Ave, Lawrenceburg, TN 38464. The listed phone number is (931) 903-2445.

What is Sheldon Harigel's specialty?

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

Is Sheldon Harigel enrolled in Medicare?

Yes. Sheldon Harigel 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 Sheldon Harigel accept?

Health plans from Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of Tennessee and UnitedHealthcare list Sheldon Harigel 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 Sheldon Harigel affiliated with any hospitals?

According to CMS data, Sheldon Harigel is affiliated with Southern Tennessee Regional Health System Lawrence.

When was this NPI record last updated?

The NPPES record for Sheldon Harigel was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.