DAVID SHELDON, M.D.
Surgical Oncology Physician · KALISPELL, MT
Individual Active NPI 1497713598
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 150 | 392 | $491,963 | $115,245 | $90,170 |
| 2023 | 106 | 245 | $300,284 | $71,404 | $56,944 |
| 2022 | 161 | 393 | $469,236 | $123,726 | $98,329 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 33 | $50 | $34 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 32 | $175 | $141 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 27 | $80 | $62 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 16 | $193 | $134 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 16 | $234 | $170 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 14 | $120 | $76 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 13 | $138 | $110 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | ✓ | 12029 | MT |
| Surgery Physician | 208600000X | G175650 | CA | |
| Surgery Physician | 208600000X | 12029 | MT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgical Oncology Physician providers in Montana
- NPI 1053790063
- NPI 1750876645
- NPI 1083616643
- NPI 1265624209
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.