MICHAEL SHEEN M.D.
NPI 1750369997
Orthopaedic Surgery in Wichita Falls, TX

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
66.74/100
CMS Quality Rating
1620 8TH STREET, WICHITA FALLS, TX 76301(940) 764-5400 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Sheen M.d. NPPES

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

MICHAEL SHEEN M.D. (NPI 1750369997) is an individual orthopaedic surgery provider in Wichita Falls, Texas, licensed in Texas (G6612) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and maintains a secondary practice location in Wichita Falls.

NPPES Registry Identity

NPI1750369997
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL SHEENCredential: M.D.
Location Address1620 8TH STREETWichita Falls, TX 76301
Mailing AddressPo Box 9261Wichita Falls, TX 76308-9261 · (940) 764-5400
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1978
Enumeration DateJanuary 6, 2006
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedMarch 7, 2023
NPI 1750369997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · G6612
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.

1620 8TH STREET, Wichita Falls, TX 76301

Secondary Practice Location 1

Location 11518 9th StWichita Falls, TX 76301-4323 · Phone (940) 764-5400

Other Identifiers 1

Medicaid0897001-02TX

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

Michael Sheen 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 ID1951406974
PECOS Enrollment IDI20070420000097
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 26

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, 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.
166 services123 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
154 services20 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
127 services68 patients
X-ray of hip, 1 view 73501
An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.
124 services73 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
90 services55 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.
72 services68 patients

Hospital Affiliations CMS Care Compare

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76301 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

66.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.18
Promoting Interoperability82
Improvement Activities40
Cost38.95

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.04%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Family Medicine (Sports Medicine)
1620 8TH STREET
WICHITA FALLS, TX 76301
Podiatrist (Foot & Ankle Surgery)
1620 8TH STREET
WICHITA FALLS, TX 76301
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1620 8TH STREET
WICHITA FALLS, TX 76301
Orthopaedic Surgery (Hand Surgery)
1620 8TH STREET
WICHITA FALLS, TX 76301
Family Medicine (Sports Medicine)
1620 8TH STREET
WICHITA FALLS, TX 76301
Physician Assistant (Surgical)
1620 8TH STREET
WICHITA FALLS, TX 76301
Nurse Practitioner (Family)
1620 8TH STREET
WICHITA FALLS, TX 76301

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 Michael Sheen's NPI number?

The NPI number for Michael Sheen is 1750369997. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Michael Sheen located?

Michael Sheen practices at 1620 8th Street, Wichita Falls, TX 76301. The listed phone number is (940) 764-5400.

What is Michael Sheen's specialty?

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

Is Michael Sheen enrolled in Medicare?

Yes. Michael Sheen 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 Michael Sheen accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael Sheen 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 Michael Sheen affiliated with any hospitals?

According to CMS data, Michael Sheen is affiliated with United Regional Health Care System.

When was this NPI record last updated?

The NPPES record for Michael Sheen was last updated on December 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.