Physician

Todd Michael Sheils, M.D.

According to 2025 Medicare claims, Todd Sheils, M.D. (NPI: 1174575070) practices orthopedic surgery in the Auburn-Opelika, AL market, with the plurality of this provider's patient population coming from Lee, AL. This provider's primary affiliated billing organization is THE ORTHOPAEDIC CLINIC, P.C. (NPI: 1497706220; TIN: 721376223) and primary practice location at 36801-5457.

Sheils' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 643 traditional Medicare patients, billed 48,774 HCPCS/CPT codes, and received $267,052 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 3,874 prescription claims across 1,155 beneficiaries totaling $43,287 in drug costs, led by Celecoxib (Celecoxib). DME data shows 61 claims. Open Payments data shows 1 records totaling $107. 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 declined steadily, from $414,561 to $267,052. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $37,360 and ending at $43,287. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $17,997 to $4,808.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,113	8,529	$414,561
2016	1,322	10,349	$534,096
2017	1,037	9,018	$433,369
2018	975	7,644	$397,742
2019	987	7,187	$440,620
2020	796	5,012	$350,141
2021	810	7,120	$395,343
2022	753	11,299	$328,387
2023	690	5,254	$300,382
2024	643	48,774	$267,052

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	790	3,276	$37,360
2016	937	3,688	$57,550
2017	911	3,550	$34,123
2018	989	3,636	$41,605
2019	1,078	4,033	$44,657
2020	979	3,594	$33,997
2021	1,045	3,579	$55,367
2022	1,073	3,535	$42,146
2023	1,103	3,940	$54,662
2024	1,155	3,874	$43,287

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	139	152	$13,884
2016	236	314	$21,199
2017	167	285	$14,820
2018	147	260	$13,760
2019	130	235	$12,265
2020	87	130	$7,519
2021	79	190	$8,484
2022	57	116	$4,142
2023	33	47	$2,364
2024	30	61	$2,155

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	210	250	$62
20610	Aspiration and/or injection of fluid from large joint	308	608	$45
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	315	426	$37
73560	X-ray of knee, 1-2 views	211	292	$22
J1010	Injection, methylprednisolone acetate, 1 mg	278	45,761	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	264	18,340	$13,519
Meloxicam	Meloxicam	1,167	68,686	$6,072
Diclofenac Sodium	Diclofenac Sodium	212	11,762	$5,897
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	507	3,506	$4,281
Gabapentin	Gabapentin	567	32,812	$3,295

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0143	Walker, folding, wheeled, adjustable or fixed height	N	30	30	$1,794
K0001	Standard wheelchair	Y	N/R	17	$276
E0149	Walker, heavy duty, wheeled, rigid or folding, any type	Y	N/R	14	$84

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$107	DePuy Synthes Sales Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Todd Michael Sheils, M.D.?

Tedicare shows public-source Medicare data for Todd Michael Sheils, M.D. (NPI 1174575070), 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 Todd Michael Sheils, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Todd Michael Sheils, M.D.?

Todd Michael Sheils, M.D. is linked to THE ORTHOPAEDIC CLINIC, P.C. (billing NPI 1497706220) in the available physician profile data.

Does Todd Michael Sheils, M.D. have Open Payments data?

Todd Michael Sheils, M.D. has 1 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.