DR. MICHAEL ALLEN SHEFFIELD MD
NPI 1801867379
Hospitalist in Great Falls, MT

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
1101 26TH ST S, GREAT FALLS, MT 59405(406) 455-5000(406) 731-8318 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2025, Apr 8, 2024, Jan 13, 2022 (3 updates tracked since 2022).

About Dr. Michael Allen Sheffield Md NPPES

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

DR. MICHAEL ALLEN SHEFFIELD MD (NPI 1801867379) is an individual hospitalist provider in Great Falls, Montana, licensed in Montana (104463) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and maintains a secondary practice location in Great Falls.

NPPES Registry Identity

NPI1801867379
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MICHAEL ALLEN SHEFFIELDCredential: MD
Location Address1101 26TH ST SGreat Falls, MT 59405-5161
Mailing AddressPo Box 6010Great Falls, MT 59406-6010
Fax(406) 731-8318
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1993
Enumeration DateJanuary 31, 2006
Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
NPI 1801867379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MT · 104463
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 104463 (MT)
1101 26TH ST S, Great Falls, MT 59405

Secondary Practice Location 1

Location 12800 11th Ave S Ste 24Great Falls, MT 59405-5263 · Phone (406) 771-6681

Other Identifiers 3

Other8F6434TX · Bcbs
Medicaid105932104TX
Medicaid105932105TX

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. Michael Allen 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.

PECOS PAC ID1254469778
PECOS Enrollment IDI20220321002587
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
285 services111 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
75 services26 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
57 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$37.99 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$18.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$93.93 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.

Hospitalist
1101 26TH ST S
GREAT FALLS, MT 59405
Internal Medicine (Clinical Cardiac Electrophysiology)
1101 26TH ST S
GREAT FALLS, MT 59405
Occupational Therapy Assistant
1101 26TH ST S
GREAT FALLS, MT 59405
Occupational Therapist
1101 26TH ST S
GREAT FALLS, MT 59405
Neurological Surgery
1101 26TH ST S
GREAT FALLS, MT 59405
Nurse Practitioner (Family)
1101 26TH ST S
GREAT FALLS, MT 59405
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405
Radiology (Diagnostic Radiology)
1101 26TH ST S
GREAT FALLS, MT 59405

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 Sheffield's NPI number?

The NPI number for Michael Sheffield is 1801867379. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Michael Sheffield located?

Michael Sheffield practices at 1101 26th St S, Great Falls, MT 59405. The listed phone number is (406) 455-5000.

What is Michael Sheffield's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Michael Sheffield enrolled in Medicare?

Yes. Michael 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 Michael Sheffield accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and WellPoint list Michael 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 Michael Sheffield affiliated with any hospitals?

According to CMS data, Michael Sheffield is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Michael Sheffield was last updated on February 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.