Scott Sheldon, MD
NPI 1265475685 · Internal Medicine Physician · Winston Salem, NC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Scott Sheldon, MD is a Internal Medicine Physician provider in Winston Salem, NC (NPI 1265475685).
Provider details
- NPI number
- 1265475685
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 200100779 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
670 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) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 141 | $99 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 134 | $124 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 102 | $119 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 81 | $171 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 57 | $72 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 210 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 591 | 88 |
| Atorvastatin Calcium | 562 | 97 |
| Amlodipine Besylate | 519 | 86 |
| Apixabanbrand: Eliquis | 419 | 66 |
| Gabapentin | 411 | 79 |
| Furosemide | 386 | 92 |
| Potassium Chloride | 380 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 across 1 record (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
- 2006-06-14
- Last updated
- 2022-05-05
- Certified
- 2022-05-05
Frequently asked questions
- What is Scott Sheldon's NPI number?
- Scott Sheldon's National Provider Identifier (NPI) is 1265475685, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Sheldon's specialty?
- Scott Sheldon is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Scott Sheldon located?
- Scott Sheldon's practice location on file with NPPES is 4692 Brownsboro Rd, Winston Salem, NC 27106-3410.
- What is Scott Sheldon's phone number?
- The practice phone number listed in the NPPES registry for Scott Sheldon is (336) 251-1114.
- Does Scott Sheldon accept Medicare?
- Scott Sheldon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Scott Sheldon's NPI active?
- Yes — Scott Sheldon's NPI (1265475685) is active in the NPPES registry as of the last update on 2022-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.