SHEILA BETH WHITELEY DO
NPI 1629227798
Family Medicine in Jackson, OH

Active since September 15, 2008PECOS EnrolledAccepts Medicare Assignment
81.42/100
CMS Quality Rating
280 PATTONSVILLE RD, JACKSON, OH 45640(855) 446-5937(740) 395-8834 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 11, 2021, Nov 6, 2019 (2 updates tracked since 2019).

About Sheila Beth Whiteley Do NPPES

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

SHEILA BETH WHITELEY DO (NPI 1629227798) is an individual family medicine provider in Jackson, Ohio, licensed in Ohio (34.009925) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Ohio University, College Of Osteopathic Medicine (2008).

NPPES Registry Identity

NPI1629227798
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHEILA BETH WHITELEYCredential: DO
Location Address280 PATTONSVILLE RDJackson, OH 45640-9452
Mailing Address90 Jackson PikeGallipolis, OH 45631-1560 · (740) 446-5287 · Fax (740) 446-5486
Fax(740) 395-8834
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2008
Enumeration DateSeptember 15, 2008
Last NPPES UpdateJanuary 11, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1629227798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34.009925
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
280 PATTONSVILLE RD, Jackson, OH 45640

Other Identifiers 2

Medicaid3810020690WV
Medicaid3093067OH

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

Sheila Beth Whiteley Do 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 ID4082808613
PECOS Enrollment IDI20101028000027
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 3

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 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.
179 services154 patients
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.
93 services87 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45640 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.28
Promoting Interoperability100
Improvement Activities40
Cost57.96

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.

Family Medicine
280 PATTONSVILLE RD
JACKSON, OH 45640
Pharmacist
280 PATTONSVILLE RD
JACKSON, OH 45640
Family Medicine
280 PATTONSVILLE RD
JACKSON, OH 45640
Internal Medicine
280 PATTONSVILLE RD
JACKSON, OH 45640
Nurse Practitioner
280 PATTONSVILLE RD
JACKSON, OH 45640
Speech-Language Pathologist
280 PATTONSVILLE RD
JACKSON, OH 45640
Family Medicine
280 PATTONSVILLE RD
JACKSON, OH 45640
Nurse Practitioner (Family)
280 PATTONSVILLE RD
JACKSON, OH 45640

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 Whiteley's NPI number?

The NPI number for Sheila Whiteley is 1629227798. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Sheila Whiteley located?

Sheila Whiteley practices at 280 Pattonsville Rd, Jackson, OH 45640. The listed phone number is (855) 446-5937.

What is Sheila Whiteley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sheila Whiteley enrolled in Medicare?

Yes. Sheila Whiteley 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 Whiteley accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, Highmark Blue Cross Blue Shield West Virginia and MedMutual list Sheila Whiteley 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 Whiteley affiliated with any hospitals?

According to CMS data, Sheila Whiteley is affiliated with Holzer Medical Center.

When was this NPI record last updated?

The NPPES record for Sheila Whiteley was last updated on January 11, 2021. 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.