SHERYL C BELANGER MD
NPI 1497772495
Family Medicine in Key West, FL

Q: What is Sheryl Belanger's NPI number?

The NPI number for Sheryl Belanger is 1497772495. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Q: What is Sheryl Belanger's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sheryl Belanger was last updated on November 14, 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.

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment

1111 12TH ST STE 301, KEY WEST, FL 33040(305) 294-1706(305) 294-1764 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2024, Nov 5, 2024, Oct 9, 2020 and 1 more (4 updates tracked since 2015).

On this page

About Sheryl C Belanger Md NPPES

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

SHERYL C BELANGER MD (NPI 1497772495) is an individual family medicine provider in Key West, Florida, licensed in Florida (ME169721) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Lower Keys Medical Center, and maintains a secondary practice location in Key West.

NPPES Registry Identity

NPI1497772495

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHERYL C BELANGERCredential: MD

Location Address1111 12TH ST STE 301Key West, FL 33040-3001

Mailing Address1200 Kennedy Dr Ste 2032Key West, FL 33040-4023 · (305) 294-1706 · Fax (305) 294-1764

Phone(305) 294-1706

Fax(305) 294-1764

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJuly 16, 2006

Last NPPES UpdateNovember 14, 20244 updates tracked since enumeration

NPPES CertifiedNovember 14, 2024

✔ NPI 1497772495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME169721✔ Licensed in CO · 47768

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.

1111 12TH ST STE 301, Key West, FL 33040

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Secondary Practice Location 1

Location 11111 12th St Ste 203Key West, FL 33040-3000 · Phone (305) 294-1706 · Fax (305) 294-1764

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).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

Sheryl C Belanger 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 ID244325637

PECOS Enrollment IDI20241108002744

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 2

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 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.

30 services25 patients

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.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Lower Keys Medical Center

Acute Care Hospitals · Key West, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100150

Location5900 College RoadKey West, FL 33040 · Monroe County

Emergency services Birthing friendly

Fishermen's Community Hospital

Critical Access Hospitals · Marathon, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number101312

Location3301 Overseas HwyMarathon, FL 33050 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33040 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers73 claims73 services$17.01 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers103 claims103 services$109.72 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers17 claims17 services$35.87 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 2

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

KEY WEST HMA PHYSICIAN MANAGEMENT LLC

Internal Medicine

1111 12TH ST STE 301
KEY WEST, FL 33040

Monroe County (305) 229-2587

DR. EDGARDO L MONTEMAYOR JR. M.D.

Family Medicine

1111 12TH ST STE 301
KEY WEST, FL 33040

Monroe County (305) 294-1706

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 Sheryl Belanger's NPI number?

The NPI number for Sheryl Belanger is 1497772495. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Sheryl Belanger located?

Sheryl Belanger practices at 1111 12th St Ste 301, Key West, FL 33040. The listed phone number is (305) 294-1706.

What is Sheryl Belanger's specialty?

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

Is Sheryl Belanger enrolled in Medicare?

Yes. Sheryl Belanger 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 Sheryl Belanger accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Sheryl Belanger 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 Sheryl Belanger affiliated with any hospitals?

According to CMS data, Sheryl Belanger is affiliated with Lower Keys Medical Center and Fishermen's Community Hospital.

When was this NPI record last updated?

The NPPES record for Sheryl Belanger was last updated on November 14, 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.