MATTHEW VINSON SHEFFIELD M.D.
NPI 1922054972
Pathology - Anatomic Pathology & Clinical Pathology in Birmingham, AL

Q: What is Matthew Sheffield's NPI number?

The NPI number for Matthew Sheffield is 1922054972. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Q: What is Matthew Sheffield's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Sheffield was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1528 CARRAWAY BLVD, BIRMINGHAM, AL 35234(205) 502-6206(205) 502-5773 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Matthew Vinson Sheffield M.d. NPPES

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

MATTHEW VINSON SHEFFIELD M.D. (NPI 1922054972) is an individual anatomic pathology & clinical pathology provider in Birmingham, Alabama, licensed in Alabama (23335) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1992).

NPPES Registry Identity

NPI1922054972

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameMATTHEW VINSON SHEFFIELDCredential: M.D.

Location Address1528 CARRAWAY BLVDBirmingham, AL 35234-1998

Mailing Address1528 Carraway Blvd, Attn: Credentialing DepartmentBirmingham, AL 35234-1998 · (205) 250-6851 · Fax (205) 250-6819

Phone(205) 502-6206

Fax(205) 502-5773

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1992

Enumeration DateMay 25, 2006

Last NPPES UpdateJuly 8, 2010

✔ NPI 1922054972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in AL · 23335

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1528 CARRAWAY BLVD, Birmingham, AL 35234

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF73341AL

Medicaid051526953AL

Medicare ID-Type Unspecified051526953AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Vinson Sheffield 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 ID5698721728

PECOS Enrollment IDI20050322001009

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.

Medicare Billing Reassignments

Medicare enrollment records show Matthew Sheffield reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathology Associates Of Alabama

3.8 mi

Anatomic Pathology & Clinical Pathology

800 MONTCLAIR RD
Birmingham, AL 35213

Reassigned Medicare billing, Alabama enrollment
11 clinicians in this Medicare group

NPI 1396815536 (205) 802-5220

Gastroenterology Associates Of North-Central Alabama Inc

5.2 mi

Specialist

513 BROOKWOOD BLVD, SUITE 401
Birmingham, AL 35209

Reassigned Medicare billing, Alabama enrollment
162 clinicians in this Medicare group

NPI 1528080595 (205) 870-0256

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 25

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

960 services498 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

483 services112 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

187 services139 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

151 services138 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

134 services68 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

111 services85 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

87 services80 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

69 services64 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

49 services26 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

48 services44 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

40 services12 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

39 services26 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

38 services28 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

34 services28 patients

Blood bank physician services for cross match and/or evaluation and written report 86077

Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.

33 services30 patients

Pathology cytologic examination of specimen during surgery, initial site 88333

A pathology cytologic examination during surgery involves taking a small sample of cells from the initial site of concern. This sample is then examined under a microscope by a pathologist to check for any abnormal or disease-causing cells. This helps guide the ongoing surgical procedure.

33 services32 patients

Cell examination of body fluid, smears 88104

Cell examination of body fluid, or smear, is a laboratory test where a sample of your body fluid is taken. It's then thinly spread on a glass slide and examined under a microscope to check for abnormalities. This can help diagnose various health conditions.

30 services24 patients

Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode 88177

A Pap test is a procedure that checks for abnormal cells in the body, which could indicate a serious condition. The evaluation of a fine needle aspirate is a process where a small sample is taken with a thin needle for examination. This can be done multiple times for a thorough analysis.

30 services24 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

23 services20 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

23 services20 patients

Examination of archival tissue for genetic analysis 88363

Examination of archival tissue for genetic analysis involves studying previously collected tissue samples. This process helps detect any genetic alterations that may be linked to certain diseases. It's a crucial step in understanding your health and planning appropriate treatments.

23 services21 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

22 services11 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

15 services14 patients

Special stained specimen slides to examine tissue, initial procedure 88342

15 services14 patients

Pathology examination of tissue using a microscope 88302

A pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35234 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

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.

HEMATOLOGY AND ONCOLOGY ASSOCIATES OF ALABAMA, LLC

Radiology (Radiation Oncology)

1528 CARRAWAY BLVD, ATTN: RADIATION ONCOLOGY DEPARTMENT
BIRMINGHAM, AL 35234

Jefferson County (205) 502-4020

PHYSICIANS MEDICAL CENTER, LLC

Specialist

1528 CARRAWAY BLVD, STE 202
BIRMINGHAM, AL 35234

Jefferson County (205) 502-3602

NORWOOD CLINIC, INC

Durable Medical Equipment & Medical Supplies

1528 CARRAWAY BLVD
BIRMINGHAM, AL 35234

Jefferson County (205) 250-6000

MR. JOHN ROBERT WILSON R.PH.

Pharmacist

1528 CARRAWAY BLVD
BIRMINGHAM, AL 35234

Jefferson County (205) 502-1010

CARDIOVASCULAR ASSOCIATES OF NORTH ALABAMA, P.C.

Internal Medicine (Cardiovascular Disease)

1528 CARRAWAY BLVD, 3RD FLOOR
BIRMINGHAM, AL 35234

Jefferson County (205) 250-6964

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 Matthew Sheffield's NPI number?

The NPI number for Matthew Sheffield is 1922054972. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Matthew Sheffield located?

Matthew Sheffield practices at 1528 Carraway Blvd, Birmingham, AL 35234. The listed phone number is (205) 502-6206.

What is Matthew Sheffield's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Matthew Sheffield enrolled in Medicare?

Yes. Matthew 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.

Which organizations bill Medicare for Matthew Sheffield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Sheffield reassigns Medicare benefits to 2 organizations: Pathology Associates Of Alabama (Birmingham, AL) and Gastroenterology Associates Of North-Central Alabama Inc (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Sheffield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Sheffield accept?

Health plans from Blue Cross and Blue Shield of Alabama list Matthew 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.

When was this NPI record last updated?

The NPPES record for Matthew Sheffield was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.