DR. DAVID G. SHELDON M.D.
NPI 1497713598
Surgery - Surgical Oncology in Kalispell, MT

Q: What is David Sheldon's NPI number?

The NPI number for David Sheldon is 1497713598. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is David Sheldon's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for David Sheldon was last updated on February 3, 2025. 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.

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment

1333 SURGICAL SERVICES WAY, KALISPELL, MT 59901(406) 751-5392(406) 751-5406 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2025, Jan 11, 2022, Jun 26, 2020 and 1 more (4 updates tracked since 2017).

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About Dr. David G. Sheldon M.d. NPPES

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

DR. DAVID G. SHELDON M.D. (NPI 1497713598) is an individual surgical oncology provider in Kalispell, Montana, licensed in Montana (12029) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains a secondary practice location in Santa Cruz.

NPPES Registry Identity

NPI1497713598

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameDR. DAVID G. SHELDONCredential: M.D.

Location Address1333 SURGICAL SERVICES WAYKalispell, MT 59901-4844

Mailing Address325 Distel CirLos Altos, CA 94022-1408

Phone(406) 751-5392

Fax(406) 751-5406

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1992

Enumeration DateMay 1, 2006

Last NPPES UpdateFebruary 3, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2025

✔ NPI 1497713598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in MT · 12029

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License G175650 (CA), 12029 (MT)

1333 SURGICAL SERVICES WAY, Kalispell, MT 59901

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Secondary Practice Location 1

Location 12911 Chanticleer AveSanta Cruz, CA 95065-1815 · Phone (831) 477-2350

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, PacificSource Health Plans, Providence Health Plan.Insurance ›

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

Dr. David G. 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 ID6800870924

PECOS Enrollment IDI20090918000056

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

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

Kalispell Regional Medical Center Inc

Same address

Surgical Oncology

1333 SURGICAL SERVICES WAY
Kalispell, MT 59901

Reassigned Medicare billing, Montana enrollment
483 clinicians in this Medicare group

NPI 1053790063 (406) 751-5392

Bozeman Health Deaconess Hospital

235 mi

Emergency Medicine

915 HIGHLAND BLVD
Bozeman, MT 59715

Reassigned Medicare billing, Montana enrollment
402 clinicians in this Medicare group

NPI 1437529112 (406) 414-5000

Sutter Bay Medical Foundation

831 mi

Ambulatory Surgical

3140 KEARNEY ST
Fremont, CA 94538

Reassigned Medicare billing, California enrollment
Also billed through NPI 1164840088 (California), NPI 1982845186 (California), NPI 1568851327 (California)
313 clinicians in this Medicare group

NPI 1497996524 (510) 498-2819

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 7

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

33 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.

32 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

16 services16 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.

16 services13 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270051

Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County

Emergency services Birthing friendly

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271336

Location1600 Hospital WayWhitefish, MT 59937 · Flathead County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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

$172.26 typical visit price

range $56.81 – $172.26

Typical copayment $43.06 (range $14.20 – $43.06)

Most-billed visit code 99205

Established Patient

$70.82 typical visit price

range $18.24 – $140.32

Typical copayment $17.70 (range $4.56 – $35.08)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

KALISPELL REGIONAL MEDICAL CENTER INC

Urology