SHANE LEE SHEFFIELD MD
NPI 1558476200
Obstetrics & Gynecology in Cullman, AL

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
1800 AL HIGHWAY 157 STE 302, CULLMAN, AL 35058(256) 736-6224(256) 736-6226 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 22, 2020, Mar 27, 2018, Mar 7, 2018 (3 updates tracked since 2018).

About Shane Lee Sheffield Md NPPES

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

SHANE LEE SHEFFIELD MD (NPI 1558476200) is an individual obstetrics & gynecology provider in Cullman, Alabama, licensed in Alabama (00027523) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2003).

NPPES Registry Identity

NPI1558476200
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameSHANE LEE SHEFFIELDCredential: MD
Location Address1800 AL HIGHWAY 157 STE 302Cullman, AL 35058-1273
Mailing Address503 Clark St NeCullman, AL 35055-1921 · (256) 739-0801 · Fax (256) 739-0027
Fax(256) 736-6226
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2003
Enumeration DateAugust 21, 2006
Last NPPES UpdateDecember 22, 20203 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
✔ NPI 1558476200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AL · 00027523
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1800 AL HIGHWAY 157 STE 302, Cullman, AL 35058

Other Identifiers 2

Medicaid117937AL
Medicaid1598717381AL

Accepted 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

Shane Lee Sheffield 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 ID9234135872
PECOS Enrollment IDI20061004000667
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

2

Medicare enrollment records show Shane Sheffield reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
101 SIVLEY RD SW, EM DEPT
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 193 clinicians in this Medicare group
Specialist
101 SIVLEY RD SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 182 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35058 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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

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

Nurse Practitioner (Family)
1800 AL HIGHWAY 157 STE 302
CULLMAN, AL 35058

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 Shane Sheffield's NPI number?

The NPI number for Shane Sheffield is 1558476200. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Shane Sheffield located?

Shane Sheffield practices at 1800 Al Highway 157 Ste 302, Cullman, AL 35058. The listed phone number is (256) 736-6224.

What is Shane Sheffield's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shane Sheffield enrolled in Medicare?

Yes. Shane Sheffield 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 Shane Sheffield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Sheffield reassigns Medicare benefits to 2 organizations: Emergency Physicians Group (Huntsville, AL) and Hh Physicians Network (Huntsville, AL). 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 Shane Sheffield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Sheffield accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Shane Sheffield 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.

When was this NPI record last updated?

The NPPES record for Shane Sheffield was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.