Dr. Todd Sheils, MD
121 N 20th St, # 18, Opelika, AL 36801 • +1-871-555-2550
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Opelika Percentiles
NPI #1174575070 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across AL Orthopedic Surgery providers positions Dr. Todd Sheils, MD in Opelika at +4.09σ (75th city percentile / 98.83th state percentile, 643 Medicare beneficiaries), with clinical focus spanning 87 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 121 N 20th St, # 18 shows Dr. Todd Sheils's primary concentration in Focused Orthopedic Joint & Spine Mobility Evaluation (code 99213: 1012x/yr, 75th local percentile) alongside Major Joint (Knee/Shoulder/Hip) Aspiration or Injection (20610: 759x/yr, $37–$52).
At 121 N 20th St, # 18 (36801), Dr. Todd Sheils, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.63/5 bedside rating).
Patients evaluating Dr. Todd Sheils in ZIP 36801 note 17 years of post-doctoral tenure (null, 2009) alongside 75.9 annual CMS procedures per patient.
Compared against Opelika, AL Orthopedic Surgery peers
48,774 annual services across 643 beneficiaries
Standard deviations from AL Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 1,012 | 75th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 759 | 77th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 534 | 78th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 309 | 77th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 197 | 77th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (87 HCPCS billing breadth) | 45,963 | 75th | $45 – $65 |
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Dr. Todd Sheils, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sheils National Provider Identifier | NPI #1174575070 (MD) | CMS NPPES Registry (36801) |
| Dr. Sheils Opelika CMS Volume Rank | 75.00th Pct (48,774 CMS svcs; Z +4.087σ) | CMS Medicare Part B (AL Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Opelika, AL) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.63/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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