DR. TODD A SHEER M.D.
NPI 1568434702
Internal Medicine - Gastroenterology in Durango, CO

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
1010 THREE SPRINGS BLVD, STE 270, DURANGO, CO 81301(970) 764-3800(970) 764-3840 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Todd A Sheer M.d. NPPES

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

DR. TODD A SHEER M.D. (NPI 1568434702) is an individual gastroenterology provider in Durango, Colorado, licensed in Colorado (DR.0056114) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Georgetown University School Of Medicine (1997).

NPPES Registry Identity

NPI1568434702
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. TODD A SHEERCredential: M.D.
Location Address1010 THREE SPRINGS BLVD, STE 270Durango, CO 81301-8296
Mailing Address1010 Three Springs Blvd, Ste 270Durango, CO 81301-8296 · (970) 764-3800 · Fax (970) 764-3840
Fax(970) 764-3840
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1997
Enumeration DateFebruary 2, 2006
Last NPPES UpdateMarch 28, 2016
NPI 1568434702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in CO · DR.0056114 Licensed in CA · A66415 Licensed in TX · M6881
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License A66415 (CA)
1010 THREE SPRINGS BLVD, Durango, CO 81301

Other Identifiers 3

OtherP00651372TX · Rrmcr
Medicaid193531401TX
Medicare PIN8K4908TX

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. Todd A Sheer 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 ID1658459227
PECOS Enrollment IDI20160331002310
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 16

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.
155 services127 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
127 services126 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
102 services96 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.
57 services55 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
53 services53 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.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Critical Care Medicine)
1010 THREE SPRINGS BLVD, STE 110
DURANGO, CO 81301
Emergency Medicine
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
Pathology (Anatomic Pathology & Clinical Pathology)
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
Anesthesiology
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
Registered Nurse
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
Pathology (Anatomic Pathology & Clinical Pathology)
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
Anesthesiology
1010 THREE SPRINGS BLVD
DURANGO, CO 81301
Surgery
1010 THREE SPRINGS BLVD
DURANGO, CO 81301

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 Todd Sheer's NPI number?

The NPI number for Todd Sheer is 1568434702. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Todd Sheer located?

Todd Sheer practices at 1010 Three Springs Blvd Ste 270, Durango, CO 81301. The listed phone number is (970) 764-3800.

What is Todd Sheer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Todd Sheer enrolled in Medicare?

Yes. Todd Sheer 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 Todd Sheer accept?

Health plans from University of Utah Health Plans list Todd Sheer 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 Todd Sheer affiliated with any hospitals?

According to CMS data, Todd Sheer is affiliated with San Juan Regional Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Todd Sheer was last updated on March 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.