Sheila Flom, M.D.
NPI 1265596761 · Family Medicine Physician · Ventura, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sheila Flom, M.D. is a Family Medicine Physician provider in Ventura, CA (NPI 1265596761).
Provider details
- NPI number
- 1265596761
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A82964 (CA)
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
62 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) |
|---|---|---|
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 31 | $150 |
| X-Ray of Chest, 2 Views71046 | 19 | $35 |
| X-Ray of Knee, 3 Views73562 | 12 | $43 |
Typical Medicare-allowed amounts for these services range $35–$150 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 81 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 197 | 51 |
| Metformin Hcl | 132 | 38 |
| Gabapentin | 115 | 28 |
| Lisinopril | 115 | 33 |
| Losartan Potassium | 114 | 29 |
| Amlodipine Besylate | 105 | 32 |
| Levothyroxine Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$477 across 29 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
Additional practice locations (1)
- 1227 E Los Angeles AveSimi Valley, CA 93065-2871Phone: (805) 582-4000
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2023-07-10
- Certified
- 2023-07-10
Frequently asked questions
- What is Sheila Flom's NPI number?
- Sheila Flom's National Provider Identifier (NPI) is 1265596761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sheila Flom's specialty?
- Sheila Flom is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sheila Flom located?
- Sheila Flom's practice location on file with NPPES is 3291 Loma Vista Rd, Ventura, CA 93003-3099.
- What is Sheila Flom's phone number?
- The practice phone number listed in the NPPES registry for Sheila Flom is (805) 652-6556.
- Does Sheila Flom accept Medicare?
- Sheila Flom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sheila Flom's NPI active?
- Yes — Sheila Flom's NPI (1265596761) is active in the NPPES registry as of the last update on 2023-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.