Physician

William Scott Sheldon, D.O.

According to 2025 Medicare claims, William Sheldon, D.O. (NPI: 1124008941) practices interventional cardiology in the Sandusky, OH market, with the plurality of this provider's patient population coming from Erie, OH. This provider's primary affiliated billing organization is UNIVERSITY PRIMARY CARE PRACTICES INC (NPI: 1720220098; TIN: 341768928) and primary practice location at 44870-3323. Sheldon is affiliated with the University Hospitals Coordinated Care Organization (ACO ID: A1262) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Sheldon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 702 traditional Medicare patients, billed 1,447 HCPCS/CPT codes, and received $141,809 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 9,624 prescription claims across 1,262 beneficiaries totaling $1,236,539 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 20 records totaling $17,552. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $649,468 to $1,236,539. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$112K$223K2015 Medicare payment: $223,462 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $217,145 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $202,302 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $208,030 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $218,506 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $203,769 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $191,584 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $173,758 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $155,006 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $141,809 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159842,250$223,462
20161,0072,420$217,145
20179742,435$202,302
20188602,298$208,030
20198972,312$218,506
20208362,124$203,769
20217861,825$191,584
20227651,644$173,758
20237121,483$155,006
20247021,447$141,809

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$704K$1.4M2015 Drug cost: $649,468 (USD; Tot_Drug_Cst)2016 Drug cost: $698,399 (USD; Tot_Drug_Cst)2017 Drug cost: $700,418 (USD; Tot_Drug_Cst)2018 Drug cost: $832,965 (USD; Tot_Drug_Cst)2019 Drug cost: $1,053,589 (USD; Tot_Drug_Cst)2020 Drug cost: $1,206,082 (USD; Tot_Drug_Cst)2021 Drug cost: $1,238,756 (USD; Tot_Drug_Cst)2022 Drug cost: $1,333,120 (USD; Tot_Drug_Cst)2023 Drug cost: $1,407,853 (USD; Tot_Drug_Cst)2024 Drug cost: $1,236,539 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151,2988,363$649,468
20161,2478,051$698,399
20171,2928,590$700,418
20181,3318,725$832,965
20191,4439,627$1,053,589
20201,49710,203$1,206,082
20211,55510,290$1,238,756
20221,2999,901$1,333,120
20231,2229,558$1,407,853
20241,2629,624$1,236,539

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more7378$127
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more280314$81
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes69114$58
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more226232$51
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report125153$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban32621,805$411,254
EntrestoSacubitril/Valsartan1479,923$212,836
XareltoRivaroxaban1479,783$180,756
BrilintaTicagrelor1328,058$115,423
JardianceEmpagliflozin815,760$105,524

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.12$332ShockWave Medical, Inc
Research PaymentsReported research-related payment or transfer-of-value amount.8$17,220CSL Behring
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for William Scott Sheldon, D.O.?

Tedicare shows public-source Medicare data for William Scott Sheldon, D.O. (NPI 1124008941), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does William Scott Sheldon, D.O. have ACO affiliation data?

William Scott Sheldon, D.O. is shown with ACO affiliation data for University Hospitals Coordinated Care Organization (MSSP, ACO ID A1262) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to William Scott Sheldon, D.O.?

William Scott Sheldon, D.O. is linked to UNIVERSITY PRIMARY CARE PRACTICES INC (billing NPI 1720220098) in the available physician profile data.

Does William Scott Sheldon, D.O. have Open Payments data?

William Scott Sheldon, D.O. has 20 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.