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

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: July 26, 2026.

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

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
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

Secondary Practice Location 1

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

Accepted 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

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.

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.

Urology
1333 SURGICAL SERVICES WAY
KALISPELL, MT 59901
Surgery (Surgical Oncology)
1333 SURGICAL SERVICES WAY
KALISPELL, MT 59901
Surgery (Surgical Oncology)
1333 SURGICAL SERVICES WAY
KALISPELL, MT 59901
Nurse Practitioner (Acute Care)
1333 SURGICAL SERVICES WAY
KALISPELL, MT 59901
Surgery
1333 SURGICAL SERVICES WAY
KALISPELL, MT 59901
Surgery
1333 SURGICAL SERVICES WAY
KALISPELL, MT 59901
Surgery
1333 SURGICAL SERVICES WAY
KALISPELL, MT 59901
Physician Assistant (Medical)
1333 SURGICAL SERVICES WAY
KALISPELL, MT 59901

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 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.

Where is David Sheldon located?

David Sheldon practices at 1333 Surgical Services Way, Kalispell, MT 59901. The listed phone number is (406) 751-5392.

What is David Sheldon's specialty?

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

Is David Sheldon enrolled in Medicare?

Yes. David 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.

What insurance does David Sheldon accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list David Sheldon 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 David Sheldon affiliated with any hospitals?

According to CMS data, David Sheldon is affiliated with Logan Health Medical Center and Logan Health - Whitefish.

When was this NPI record last updated?

The NPPES record for David Sheldon was last updated on February 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.