Sandra Schuldheisz, MD
NPI 1194798934 · Specialist · Somerset, KY
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sandra Schuldheisz, MD is a Specialist provider in Somerset, KY (NPI 1194798934).
Provider details
- NPI number
- 1194798934
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 31007 (KY)
Specialties & taxonomies
Other Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,602 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 638 | $83 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 334 | $118 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 143 | $50 |
| Test to Determine Lung Volumes Using Sensors94726 | 138 | $49 |
| Test to Measure Expiratory Airflow and Volume94010 | 125 | $24 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 115 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 60 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 603 | 144 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 442 | 148 |
| Prednisone | 311 | 171 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 293 | 70 |
| Roflumilast | 244 | 50 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 192 | 35 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$28,826 across 76 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-10
- Last updated
- 2016-10-19
Frequently asked questions
- What is Sandra Schuldheisz's NPI number?
- Sandra Schuldheisz's National Provider Identifier (NPI) is 1194798934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sandra Schuldheisz's specialty?
- Sandra Schuldheisz is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Sandra Schuldheisz located?
- Sandra Schuldheisz's practice location on file with NPPES is 46 Turpen Ct, Somerset, KY 42503-3464.
- What is Sandra Schuldheisz's phone number?
- The practice phone number listed in the NPPES registry for Sandra Schuldheisz is (606) 679-0179.
- Does Sandra Schuldheisz accept Medicare?
- Sandra Schuldheisz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sandra Schuldheisz's NPI active?
- Yes — Sandra Schuldheisz's NPI (1194798934) is active in the NPPES registry as of the last update on 2016-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.