DR. AMY SHELDAHL MD
NPI 1619081668
Hospitalist in Aurora, CO

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12605 E. 16TH AVENUE, UNIVERSITY OF COLORADO HOSPITAL, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amy Sheldahl Md NPPES

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

DR. AMY SHELDAHL MD (NPI 1619081668) is an individual hospitalist provider in Aurora, Colorado, licensed in Colorado (DR.0056395) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2006).

NPPES Registry Identity

NPI1619081668
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. AMY SHELDAHLCredential: MD
Location Address12605 E. 16TH AVENUE, UNIVERSITY OF COLORADO HOSPITALAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2006
Enumeration DateAugust 18, 2006
Last NPPES UpdateOctober 6, 2016
NPI 1619081668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CO · DR.0056395
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
12605 E. 16TH AVENUE, Aurora, CO 80045

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. Amy Sheldahl 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 ID1254485105
PECOS Enrollment IDI20161108001783
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 4

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 moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
139 services66 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.
113 services57 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.
16 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers13 claims13 services$11.85 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
3 suppliers14 claims14 services$54.15 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 8

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

Clinical Nurse Specialist (Adult Health)
12605 E. 16TH AVENUE
AURORA, CO 80045
Psychologist (Clinical Child & Adolescent)
12605 E. 16TH AVENUE, UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045
Internal Medicine (Pulmonary Disease)
12605 E. 16TH AVENUE, UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045
Internal Medicine (Clinical Cardiac Electrophysiology)
12605 E. 16TH AVENUE, UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045
Hospitalist
12605 E. 16TH AVENUE, UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045
Nurse Practitioner (Adult Health)
12605 E. 16TH AVENUE, UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045
Physician Assistant (Medical)
12605 E. 16TH AVENUE, UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
12605 E. 16TH AVENUE, UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045

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 Amy Sheldahl's NPI number?

The NPI number for Amy Sheldahl is 1619081668. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Amy Sheldahl located?

Amy Sheldahl practices at 12605 E. 16th Avenue University Of Colorado Hospital, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Amy Sheldahl's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Amy Sheldahl enrolled in Medicare?

Yes. Amy Sheldahl 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 Amy Sheldahl accept?

Health plans from Medica list Amy Sheldahl 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 Amy Sheldahl was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.