DANIEL J. SHEEHAN MD
NPI 1619088671
Dermatology in Augusta, GA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1120 15TH ST, AUGUSTA, GA 30912(706) 721-3291(706) 721-1459 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daniel J. Sheehan Md NPPES

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

DANIEL J. SHEEHAN MD (NPI 1619088671) is an individual dermatology provider in Augusta, Georgia, licensed in Georgia (053030) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2001).

NPPES Registry Identity

NPI1619088671
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDANIEL J. SHEEHANCredential: MD
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1499 Walton Way, Ste 1400Augusta, GA 30901-2602 · (706) 828-6410
Fax(706) 721-1459
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2001
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 1, 2011
NPI 1619088671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in GA · 053030
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1120 15TH ST, Augusta, GA 30912

Other Identifiers 4

MedicaidG53030SC
Medicare ID-Type Unspecified07BBSQWGA · Ga Medicare
Medicaid077438943AGA
Medicare UPINI29221

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

Daniel J. Sheehan 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 ID3971545542
PECOS Enrollment IDI20050524000638
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 28

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,513 services301 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
993 services795 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
519 services442 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
446 services385 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
376 services301 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
358 services286 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Pharmacist (Pharmacotherapy)
1120 15TH ST, DEPARTMENT OF PHARMACY
AUGUSTA, GA 30912
Orthopaedic Surgery
1120 15TH ST
AUGUSTA, GA 30912
Psychiatry & Neurology (Neurology)
1120 15TH ST, DEPARTMENT OF NEUROLOGY
AUGUSTA, GA 30912
Genetic Counselor, MS
1120 15TH ST, BB7514
AUGUSTA, GA 30912
Emergency Medicine (Emergency Medical Services)
1120 15TH ST
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST, ROOM 2144
AUGUSTA, GA 30912
Dentist (Endodontics)
1120 15TH ST, MCG DENTAL SCHOOL DEPTARTMENT OF ENDODONTICS
AUGUSTA, GA 30912

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619088671, enumerated as an "individual" on August 31, 2006.

The provider is located at 1120 15TH ST AUGUSTA, GA 30912 and the phone number is (706) 721-3291.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.