Jesse Sheffield, DO
NPI 1265408298 · Family Medicine Physician · Waco, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jesse Sheffield, DO is a Family Medicine Physician provider in Waco, TX (NPI 1265408298).
Provider details
- NPI number
- 1265408298
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- J3221 (TX)
Specialties & taxonomies
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
128 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 | 34 | $86 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 20 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 19 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 17 | $10 |
| Hemoglobin A1c Level83036 | 13 | $10 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 13 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 43 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 68 | 35 |
| Rosuvastatin Calcium | 55 | 20 |
| Lisinopril | 54 | 26 |
| Levothyroxine Sodium | 53 | 29 |
| Gabapentin | 42 | 14 |
| Losartan Potassium | 42 | 21 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$197 across 7 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
- 2006-02-28
- Last updated
- 2024-11-01
- Certified
- 2024-11-01
Frequently asked questions
- What is Jesse Sheffield's NPI number?
- Jesse Sheffield's National Provider Identifier (NPI) is 1265408298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Sheffield's specialty?
- Jesse Sheffield is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jesse Sheffield located?
- Jesse Sheffield's practice location on file with NPPES is 9821 China Spring Rd, Waco, TX 76708-4800.
- What is Jesse Sheffield's phone number?
- The practice phone number listed in the NPPES registry for Jesse Sheffield is (254) 202-7400.
- Does Jesse Sheffield accept Medicare?
- Jesse Sheffield is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jesse Sheffield's NPI active?
- Yes — Jesse Sheffield's NPI (1265408298) is active in the NPPES registry as of the last update on 2024-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.