Sheila M. Nicholson , PT, MS
Physical Therapist • Springfield, IL
1700 W Washington St
Springfield, IL 627026420
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Sheila Nicholson is listed in NPPES under Physical Therapist.
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NPI assigned on August 30, 2007; this date does not establish years in practice.
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Published CMS data list 792 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 97530 — Therapy procedure using functional activities: 343 service units.
- 97116 — Therapy procedure for walking training: 228 service units.
- 97112 — Therapy procedure to re-educate brain-to-nerve-to-muscle function: 139 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See all 5 records in the table · Guide: How to read Medicare Part B data
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Medicare Part B services went from 1,285 in 2018 to 792 in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018–2022.
Practice Location & Contact Primary Location
1700 W Washington St
Springfield, IL 627026420
What Public CMS Data Show
Physical Therapist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $21,690 in 2022
The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022.
Paid by Medicare
About $16,527 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Springfield and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Sheila Nicholson are from 2022.
149 active clinicians are listed under Physical Therapist with a practice address in Springfield, IL (12,059 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
0.7% of these 149 clinicians have the CMS telehealth indicator.
33.6% of these 149 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 38% from 1,285 in 2018 to 792 in 2022.
- 2018: 1,285
- 2019: 2,173
- 2020: 1,084
- 2021: 1,476
- 2022: 792
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Medicare-allowed amount
Medicare-allowed amount decreased 41% from $37,052 in 2018 to $21,690 in 2022.
- 2018: $37,052
- 2019: $67,269
- 2020: $33,208
- 2021: $44,622
- 2022: $21,690
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Paid by Medicare
Paid by Medicare decreased 44% from $29,405 in 2018 to $16,527 in 2022.
- 2018: $29,405
- 2019: $53,129
- 2020: $26,260
- 2021: $35,513
- 2022: $16,527
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2018–2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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97530
Therapy procedure using functional activities
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343 | 39 | $72.00 | $28.72 |
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97116
Therapy procedure for walking training, each 15 minutes
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228 | 31 | $54.00 | $21.61 |
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97112
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
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139 | 25 | $63.00 | $25.29 |
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97110
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
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62 | 17 | $55.00 | $23.05 |
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97161
Evaluation for physical therapy, typically 20 minutes
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20 | 18 | $153.00 | $98.40 |
Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 225100000X
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physical Therapist
Physical Therapist
Occupational Therapist
Occupational Therapist Registered
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1700 W WASHINGTON ST, SPRINGFIELD, IL 627026420 (Tel: 2176190667)
Registered at 518 W EDWARDS ST APT A, SPRINGFIELD, IL 627041920 (Tel: 2176381646)
Recorded as SHEILA NICHOLSON, P.T., M.S.
Physical Therapist (license number reported to NPPES: IL 070.007543)
NPI status registered as active in NPPES database
Registered at 315 8TH ST, LINCOLN, IL 626562671 (Tel: 2177322161)
Registered at 315 8TH ST, LINCOLN, IL 626562671 (Tel: 2177322161)
Recorded as SHEILA MCCOY, P.T., M.S.
Physical Therapist
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physical Therapists in Springfield
- Darren Ward, PT
- Derek Kelton
- Dr. Amanda Kollmann, DPT
- Dr. Mallory Boente, PT, DPT
- Dr. Trenton Wiseman, DPT
- Chelsea Wright
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Mailing Address
518 W Edwards St Apt A
Springfield, IL 627041920
Phone: 2176381646