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SHELDEN C WICAL D.O.
NPI 1821040007
Family Medicine in Minster, OH

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
90.54/100
CMS Quality Rating
4463 STATE ROUTE 66, MIAMI ERIE FAMILY PRACTICE & PEDIATRICE, MINSTER, OH 45865(419) 628-3821(419) 628-9501 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelden C Wical D.o. NPPES

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

SHELDEN C WICAL D.O. (NPI 1821040007) is an individual family medicine provider in Minster, Ohio, licensed in Ohio (34007266) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and maintains a secondary practice location in Sidney.

NPPES Registry Identity

NPI1821040007
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHELDEN C WICALCredential: D.O.
Location Address4463 STATE ROUTE 66, MIAMI ERIE FAMILY PRACTICE & PEDIATRICEMinster, OH 45865-8727
Mailing Address200 Saint Clair Ave, Grand Lake Physician PracticesSaint Marys, OH 45885-2400 · (419) 394-3387 · Fax (419) 628-9501
Phone(419) 628-3821
Fax(419) 628-9501
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 1998
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1821040007 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 · 34007266
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.
4463 STATE ROUTE 66, Minster, OH 45865
Open in Google Maps ↗

Secondary Practice Location 1

Location 11529 Fair Rd Ste 101Sidney, OH 45365-8193 · Phone (937) 710-4242

Other Identifiers 3

Medicaid2236940OH
Other1104024546OH · Npi Group - Miami & Erie Family Practice & Pediatrics
Other9934723OH · Medicare Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Shelden C Wical D.o. 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 ID9335216035
PECOS Enrollment IDI20080923000084
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 6

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 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.
212 services105 patients
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.
90 services64 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
36 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
26 services22 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
17 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45865 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.

90.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Promoting Interoperability100
Improvement Activities40
Cost87.75

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims42 services$5.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$209.46 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 5

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

DR. JAMES D LUEDEKE MD
Family Medicine
4463 STATE ROUTE 66
MINSTER, OH 45865
Auglaize County (419) 628-3821
SARAH WERNER DO
Family Medicine
4463 STATE ROUTE 66, MIAMI & ERIE FAMILY PRACTICE & PEDIATRICS
MINSTER, OH 45865
Auglaize County (419) 628-3821
ROBERT PATRICK GILL M.D.
Family Medicine
4463 STATE ROUTE 66
MINSTER, OH 45865
Auglaize County (419) 394-3387
SARA LEE HESS NP-C
Nurse Practitioner (Family)
4463 STATE ROUTE 66
MINSTER, OH 45865
Auglaize County (419) 628-3821
DR. OLUBUKOLA ABIGAIL ADELOLA M.D
Family Medicine
4463 STATE ROUTE 66
MINSTER, OH 45865
Auglaize County (419) 628-3821

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 Shelden Wical's NPI number?

The NPI number for Shelden Wical is 1821040007. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Shelden Wical located?

Shelden Wical practices at 4463 State Route 66 Miami Erie Family Practice & Pediatrice, Minster, OH 45865. The listed phone number is (419) 628-3821.

What is Shelden Wical's specialty?

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

Is Shelden Wical enrolled in Medicare?

Yes. Shelden Wical 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 Shelden Wical accept?

Health plans from CareSource and MedMutual list Shelden Wical 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 Shelden Wical affiliated with any hospitals?

According to CMS data, Shelden Wical is affiliated with Wilson Memorial Hospital, Grand Lake Health System, Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Shelden Wical was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.