John Sheffield, MD
NPI 1801811351 · Family Medicine Physician · West Reading, PA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Sheffield, MD is a Family Medicine Physician provider in West Reading, PA (NPI 1801811351).
Provider details
- NPI number
- 1801811351
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD056810L (PA)
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 tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
42 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 42 | $75 |
Typical Medicare-allowed amounts for these services range $75–$75 (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 · 47 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 89 | 32 |
| Losartan Potassium | 66 | 20 |
| Lisinopril | 53 | 15 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 43 | 15 |
| Amlodipine Besylate | 41 | 13 |
| Metformin Hcl | 35 | 12 |
Practice location
Mailing address
Additional practice locations (2)
- 301 S 7th Ave Ste 200West Reading, PA 19611-1410Phone: (484) 628-8198
- 6th Avenue and Spruce StWest Reading, PA 19611-1428Phone: (484) 628-8000
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2018-06-22
Frequently asked questions
- What is John Sheffield's NPI number?
- John Sheffield's National Provider Identifier (NPI) is 1801811351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Sheffield's specialty?
- John Sheffield is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is John Sheffield located?
- John Sheffield's practice location on file with NPPES is 6th Avenue and Spruce St, West Reading, PA 19611-1428.
- What is John Sheffield's phone number?
- The practice phone number listed in the NPPES registry for John Sheffield is (484) 628-8000.
- Does John Sheffield accept Medicare?
- John Sheffield is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Sheffield's NPI active?
- Yes — John Sheffield's NPI (1801811351) is active in the NPPES registry as of the last update on 2018-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.