JOHN C SHEFFIELD MD
NPI 1801811351
Family Medicine in West Reading, PA
About John C Sheffield Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN C SHEFFIELD MD (NPI 1801811351) is an individual family medicine provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD056810L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Chester County Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
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
John C Sheffield 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chester County Hospital
Acute Care Hospitals · West Chester, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Sheffield's NPI number?
The NPI number for John Sheffield is 1801811351. It was assigned to this individual provider in the NPPES registry on July 13, 2006.
Where is John Sheffield located?
John Sheffield practices at 6th Avenue And Spruce St, West Reading, PA 19611. The listed phone number is (484) 628-8000.
What is John Sheffield's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Sheffield enrolled in Medicare?
Yes. John Sheffield 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 John Sheffield accept?
Health plans from Highmark Blue Cross Blue Shield Delaware list John Sheffield 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 John Sheffield affiliated with any hospitals?
According to CMS data, John Sheffield is affiliated with Chester County Hospital.
When was this NPI record last updated?
The NPPES record for John Sheffield was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
