What is John Sheffield's specialty?

John Sheffield (NPI 1801811351) is a Medicare-billing provider whose primary specialty is Family Practice in West Reading, PA.

Where does John Sheffield practice?

John Sheffield practices in West Reading, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1801811351.

How much does Medicare pay John Sheffield?

John Sheffield (NPI 1801811351) received approximately $6K in total Medicare Part B payments, serving 28 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1801811351

John SheffieldMD

Family PracticeWest Reading, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$3K

Peer benchmark

Total Medicare services vs. 4,194 Family Practice providers in PA — bottom quintile (cohort median 645).

PRESCRIBING · PART D · 2024

Total Rx claims

1,064

Beneficiaries

—

Total drug cost

$77K

Distinct drugs

Brand share

18.0%

Top prescribed drugs

Atorvastatin Calcium89 claims

Losartan Potassium66 claims

Lisinopril53 claims

Albuterol Sulfate43 claims

Amlodipine Besylate41 claims

QUALITY · MIPS · 2024

Final MIPS score

88.1

Quality

77.2

Cost

79.0

Improvement activities

40.0

Promoting interop.

98.0

Payment adjustment

0.55%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where John Sheffield's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 13 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA	125	496
Juan Blas-Boria Diagnostic Radiology · Lebanon, PA	35	101
Oleg Leontiev Diagnostic Radiology · Philadelphia, PA	28	83
Eugene Glavin Diagnostic Radiology · Lebanon, PA	25	65
Jane Zendarski Family Practice · Lebanon, PA	18	57
Robert Stevenson Clinical Cardiac Electrophysiology · Lebanon, PA	17	44
MORLEY, DAVID MATTHEW	15	39
Thomas Clemens Internal Medicine · Lebanon, PA	15	25
Tyler Fugate Interventional Cardiology · Lebanon, PA	14	50
Edward Tadajweski Interventional Cardiology · Lebanon, PA	13	34
Lind Larsen Emergency Medicine · Holmdel, NJ	13	31
BOOGAARD, RONALD	11	37

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events