DR. SHEILA ALGAN M.D.
NPI 1629071543
Orthopaedic Surgery in Oklahoma City, OK

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
66.03/100
CMS Quality Rating
825 NE 10TH ST, OUPB1300, OKLAHOMA CITY, OK 73104(405) 271-2663(405) 271-6762 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sheila Algan M.d. NPPES

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

DR. SHEILA ALGAN M.D. (NPI 1629071543) is an individual orthopaedic surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (25626) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Tomah Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1991).

NPPES Registry Identity

NPI1629071543
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDR. SHEILA ALGANCredential: M.D.
Location Address825 NE 10TH ST, OUPB1300Oklahoma City, OK 73104-5417
Mailing Address1122 Ne 13th St, Ori 236Oklahoma City, OK 73117-1039 · (405) 271-2663 · Fax (405) 271-6762
Fax(405) 271-6762
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1991
Enumeration DateMay 24, 2005
Last NPPES UpdateJune 22, 2021
NPPES CertifiedJune 22, 2021
NPI 1629071543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in OK · 25626 Licensed in OR · MD24018
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

825 NE 10TH ST, Oklahoma City, OK 73104

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. Sheila Algan 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 ID6608967740
PECOS Enrollment IDI20241127001437
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.

Hospital Affiliations CMS Care Compare

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

Tomah Memorial Hospital

Critical Access Hospitals · Tomah, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521320
Location501 Gopher DrTomah, WI 54660 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

66.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.46
Promoting Interoperability0
Improvement Activities40
Cost73.66

Referred Medical Equipment & Supplies CMS DME claims

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier11 claims11 services$60.16 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 20

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

Pharmacist
825 NE 10TH ST, #2200
OKLAHOMA CITY, OK 73104
Obstetrics & Gynecology (Maternal & Fetal Medicine)
825 NE 10TH ST, OUPB3200
OKLAHOMA CITY, OK 73104
Internal Medicine
825 NE 10TH ST, OUPB2300
OKLAHOMA CITY, OK 73104
Social Worker (Clinical)
825 NE 10TH ST, OUPB4300
OKLAHOMA CITY, OK 73104
Obstetrics & Gynecology
825 NE 10TH ST, OUPB3300
OKLAHOMA CITY, OK 73104
Internal Medicine (Geriatric Medicine)
825 NE 10TH ST, OUPB 4400
OKLAHOMA CITY, OK 73104
Otolaryngology
825 NE 10TH ST, OUPB4200
OKLAHOMA CITY, OK 73104
Advanced Practice Midwife
825 NE 10TH ST, OUPB3300
OKLAHOMA CITY, OK 73104

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 Sheila Algan's NPI number?

The NPI number for Sheila Algan is 1629071543. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Sheila Algan located?

Sheila Algan practices at 825 NE 10th St Oupb1300, Oklahoma City, OK 73104. The listed phone number is (405) 271-2663.

What is Sheila Algan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Sheila Algan enrolled in Medicare?

Yes. Sheila Algan 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 Sheila Algan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Nebraska and HealthPartners and 4 other insurers list Sheila Algan 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 Sheila Algan affiliated with any hospitals?

According to CMS data, Sheila Algan is affiliated with Tomah Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Algan was last updated on June 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.