Dr. Holly K Sheldon , MD
Surgery • Springfield, MA
2 Medical Center Dr, Ste 308
Springfield, MA 011071270
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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NPI assigned on May 1, 2008; this date does not establish years in practice.
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Published CMS data list 135 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 46600 — Diagnostic exam of anus using an endoscope: 41 service units.
- 99205 — New patient outpatient office visit: 29 service units.
- 99214 — Established patient outpatient office visit: 19 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 82 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Diphenoxylate-Atropine (Diphenoxylate Hcl/Atropine) — 25 prescription fills, including refills.
- Loperamide (Loperamide Hcl) — 21 prescription fills, including refills.
- Oxycodone Hcl — 18 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 60% of clinicians listed under Surgery in Springfield, MA (2024, 28 clinicians with data). Median for this group: 157. Middle half: 90 to 263.
Fewer Medicare Part B services than 70% of clinicians listed under Surgery in Massachusetts (2024, 438 clinicians with data). Median for this group: 221. Middle half: 112 to 421.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 236 in 2020 to 135 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
2 Medical Center Dr
Ste 308
Springfield, MA 011071270
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Baystate Medical Practices Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Boston University School Of Medicine
2007
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
126 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $20,102 in 2024
The total amount Medicare approved for these services in 2024. 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, 2024.
Paid by Medicare
About $15,259 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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, 2024.
30-day fills
84 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,471 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2008
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Sheldon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Sheldon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Springfield and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 60% of clinicians listed under Surgery in Springfield, MA (2024, 28 clinicians with data). Median for this group: 157. Middle half: 90 to 263.
Fewer Medicare Part B services than 70% of clinicians listed under Surgery in Massachusetts (2024, 438 clinicians with data). Median for this group: 221. Middle half: 112 to 421.
Medicare-allowed amount
A lower Medicare-allowed amount than 60% of clinicians listed under Surgery in Springfield, MA (2024, 28 clinicians with data). Median for this group: $22,344. Middle half: $12,250 to $37,341.
A lower Medicare-allowed amount than 65% of clinicians listed under Surgery in Massachusetts (2024, 438 clinicians with data). Median for this group: $32,226. Middle half: $14,398 to $58,427.
Paid by Medicare
Close to the middle for clinicians listed under Surgery in Springfield, MA (2024, 28 clinicians with data). Median for this group: $16,116. Middle half: $8,634 to $28,830.
A lower Medicare payment amount than 65% of clinicians listed under Surgery in Massachusetts (2024, 438 clinicians with data). Median for this group: $24,707. Middle half: $10,899 to $44,507.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Surgery in Springfield, MA (2024, 18 clinicians with data). Median for this group: 34. Middle half: 20 to 88.
More Part D prescriptions than 75% of clinicians listed under Surgery in Massachusetts (2024, 308 clinicians with data). Median for this group: 34. Middle half: 19 to 71.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Surgery in Springfield, MA (2024, 18 clinicians with data). Median for this group: $533. Middle half: $61 to $2,242.
A higher Part D drug cost than 80% of clinicians listed under Surgery in Massachusetts (2024, 308 clinicians with data). Median for this group: $173. Middle half: $55 to $854.
50 active clinicians are listed under Surgery with a practice address in Springfield, MA (1,003 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
20% of these 50 clinicians have the CMS telehealth indicator.
54% of these 50 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 43% from 236 in 2020 to 135 in 2024.
- 2020: 236
- 2021: 201
- 2022: 161
- 2023: 188
- 2024: 135
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Medicare-allowed amount
Medicare-allowed amount decreased 23% from $26,067 in 2020 to $20,102 in 2024.
- 2020: $26,067
- 2021: $27,191
- 2022: $22,120
- 2023: $27,475
- 2024: $20,102
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Paid by Medicare
Paid by Medicare decreased 19% from $18,832 in 2020 to $15,259 in 2024.
- 2020: $18,832
- 2021: $21,263
- 2022: $16,873
- 2023: $20,572
- 2024: $15,259
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 141% from 34 in 2020 to 82 in 2024.
- 2020: 34
- 2021: 96
- 2022: 65
- 2023: 72
- 2024: 82
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30-day fills
30-day fills increased 83% from 46 in 2020 to 84 in 2024.
- 2020: 46
- 2021: 102
- 2022: 69
- 2023: 74
- 2024: 84
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Part D drug cost
Part D drug cost increased 10% from $2,238 in 2020 to $2,471 in 2024.
- 2020: $2,238
- 2021: $5,300
- 2022: $5,464
- 2023: $3,706
- 2024: $2,471
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), 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 2016–2023 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, 2017–2024; 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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46600
Diagnostic exam of anus using an endoscope
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41 | 40 | $228.10 | $119.71 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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29 | 29 | $515.66 | $221.85 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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19 | 17 | $268.42 | $123.90 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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18 | 14 | $186.67 | $91.79 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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14 | 14 | $403.29 | $168.62 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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14 | 14 | $471.71 | $170.92 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 25 | 694 | $959.44 | — |
| Loperamide | Loperamide Hcl | 21 | 690 | $1,133.07 | — |
| Oxycodone Hcl | Oxycodone Hcl | 18 | 115 | $123.35 | 16 |
| Gavilyte-G | Peg3350/Sod Sulf,bicarb,cl/Kcl | 18 | 21 | $255.47 | 18 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - COLORECTAL SURGERY (PROCTOLOGY)
I20150930001024
MA
4284866617
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Baystate Medical Practices Inc
2 Medical Ctr Dr, Springfield, MA 011071270
Phone: 4137951120
Baystate Medical Practices Inc
759 Chestnut St, Springfield, MA 011991001
Phone: 4137945439
Baystate Medical Practices Inc
2 Medical Ctr Dr, Springfield, MA 011071270
Baystate Medical Practices Inc
280 Chestnut St, Springfield, MA 011991001
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery
Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)
Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated May 01, 2008.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Surgery Specialists in Springfield
- Aleksandra Ogrodnik
- Dr. Alicja Zalewski, MD
- Dr. Holly Mason, MD
- Dr. Viriato Fiallo, MD
- Dr. Daniel Morrison, MD
- Parth Sharma
Mailing Address
280 Chestnut St, 2nd Floor
Springfield, MA 011991001
Phone: 4137945700