Dr. Scott Sheldon, MD
4692 Brownsboro Rd, Physicians Eldercare, Pa, Winston Salem, NC 27106 • +1-423-555-2888
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Winston Salem Percentiles
NPI #1265475685 • CBSA Regional • Internal Medicine
Anchored in Winston Salem, NC 27106, Dr. Scott Sheldon, MD (NPI 1265475685) logged 745 annual procedures (focused low-volume boutique caseload (15.52th Winston Salem percentile), 10.98th NC percentile, -0.35σ) with sub-specialty concentration in 22 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Sheldon (averaging 2.7 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (335 encounters), paired with 99213 (194x).
Direct cash-pay transparency modeling sets Dr. Sheldon's baseline new-consult rate near $209.00 in Winston Salem, NC (cash-pay accepted, in-person clinic visits only, 19-minute average reception wait).
Spanning 13 years of clinical practice following 2013 graduation from medical training, Dr. Scott Sheldon integrates 22 Active CMS HCPCS Codes diagnostics for Winston Salem metro patients.
Compared against Winston Salem, NC Internal Medicine peers
745 annual services across 272 beneficiaries
Standard deviations from NC Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 335 | 15.52th | $170 – $232 |
| 99213 | Established Preventive & Chronic Care Visit | 194 | 16.52th | $130 – $178 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 97 | 13.52th | $62 – $85 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 75 | 14.52th | $199 – $273 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 45 | 14.52th | $236 – $323 |
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Dr. Scott Sheldon, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sheldon National Provider Identifier | NPI #1265475685 (MD) | CMS NPPES Registry (27106) |
| Dr. Sheldon Winston Salem CMS Volume Rank | 15.52th Pct (745 CMS svcs; Z -0.346σ) | CMS Medicare Part B (NC Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winston Salem, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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