DR. HOLLY K SHELDON MD
NPI 1942476833
Surgery in Springfield, MA

Active since May 01, 2008PECOS EnrolledAccepts Medicare Assignment
2 MEDICAL CENTER DR, STE 308, SPRINGFIELD, MA 01107(413) 794-7020(413) 794-2670 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Holly K Sheldon Md NPPES

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

DR. HOLLY K SHELDON MD (NPI 1942476833) is an individual surgery provider in Springfield, Massachusetts, licensed in Massachusetts (242091) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Baystate Wing Hospital, and is a graduate of Boston University School Of Medicine (2007).

NPPES Registry Identity

NPI1942476833
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. HOLLY K SHELDONCredential: MD
Location Address2 MEDICAL CENTER DR, STE 308Springfield, MA 01107-1270
Mailing Address280 Chestnut St, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Fax(413) 794-2670
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2007
Enumeration DateMay 1, 2008
Last NPPES UpdateNovember 15, 2016
NPI 1942476833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MA · 242091
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2 MEDICAL CENTER DR, Springfield, MA 01107

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. Holly K Sheldon 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 ID4284866617
PECOS Enrollment IDI20150930001024
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.

Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
41 services40 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
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.
19 services17 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.
18 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220030
Location40 Wright StreetPalmer, MA 01069 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
5 suppliers16 claims460 services$2.41 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
3 suppliers11 claims13 services$6.42 avg. paid by Medicare
Ostomy skin barrier, liquid (spray, brush, etc.), per oz A4369
DME-Orthotic Devices · category DF010N
6 suppliers24 claims65 services$2.21 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
3 suppliers12 claims31 services$3.52 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
9 suppliers49 claims1,374 services$4.59 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
5 suppliers14 claims328 services$2.45 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.

Internal Medicine (Cardiovascular Disease)
2 MEDICAL CENTER DR, SUITE 410
SPRINGFIELD, MA 01107
Surgery
2 MEDICAL CENTER DR, SUITE 308
SPRINGFIELD, MA 01107
Plastic Surgery
2 MEDICAL CENTER DR, SUITE 309
SPRINGFIELD, MA 01107
Surgery
2 MEDICAL CENTER DR, STE 308
SPRINGFIELD, MA 01107
Obstetrics & Gynecology
2 MEDICAL CENTER DR, SUITE 306
SPRINGFIELD, MA 01107
Pediatrics
2 MEDICAL CENTER DR
SPRINGFIELD, MA 01107
Nurse Practitioner (Family)
2 MEDICAL CENTER DR, SUITE 205
SPRINGFIELD, MA 01107
Advanced Practice Midwife
2 MEDICAL CENTER DR, SUITE 204
SPRINGFIELD, MA 01107

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 Holly Sheldon's NPI number?

The NPI number for Holly Sheldon is 1942476833. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Holly Sheldon located?

Holly Sheldon practices at 2 Medical Center Dr Ste 308, Springfield, MA 01107. The listed phone number is (413) 794-7020.

What is Holly Sheldon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Holly Sheldon enrolled in Medicare?

Yes. Holly Sheldon 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 Holly Sheldon accept?

Health plans from Anthem Blue Cross and Blue Shield list Holly Sheldon 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 Holly Sheldon affiliated with any hospitals?

According to CMS data, Holly Sheldon is affiliated with Baystate Wing Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Holly Sheldon was last updated on November 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.