Physician

John M Sheldon, MD

According to 2025 Medicare claims, John Sheldon, MD (NPI: 1467415646) practices radiation oncology in the Amherst Town-Northampton, MA market, with the plurality of this provider's patient population coming from Hampshire, MA. This provider's primary affiliated billing organization is MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC (NPI: 1295787919; TIN: 043194547) and primary practice location at 01061-5001. Sheldon is affiliated with the Mass General Brigham ACO, LLC (ACO ID: A4641), participating under the MSSP model.

Sheldon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 281 traditional Medicare patients, billed 3,940 HCPCS/CPT codes, and received $255,673 in Medicare payments. The top billing code was 77427 (Radiation treatment management, 5 treatment sessions). Part D data shows 140 prescription claims across 74 beneficiaries totaling $2,551 in drug costs, led by Tamsulosin Hcl (Tamsulosin Hcl). Open Payments data shows 1 records totaling $33. 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 moved from a lower plateau to a higher plateau, from $131,306 to $255,673. In contrast, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $15,185 to $2,551. 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$140K$280K2015 Medicare payment: $131,306 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $123,673 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $86,385 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $115,121 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $102,626 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $218,896 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $191,814 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $232,294 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $280,483 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $255,673 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151982,217$131,306
20161791,693$123,673
2017144939$86,385
20181701,333$115,121
20191841,407$102,626
20201943,043$218,896
20212052,527$191,814
20222233,179$232,294
20232574,029$280,483
20242813,940$255,673

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$12K$23K2015 Drug cost: $15,185 (USD; Tot_Drug_Cst)2016 Drug cost: $23,384 (USD; Tot_Drug_Cst)2017 Drug cost: $9,610 (USD; Tot_Drug_Cst)2018 Drug cost: $7,327 (USD; Tot_Drug_Cst)2019 Drug cost: $5,133 (USD; Tot_Drug_Cst)2020 Drug cost: $2,707 (USD; Tot_Drug_Cst)2021 Drug cost: $4,521 (USD; Tot_Drug_Cst)2022 Drug cost: $4,901 (USD; Tot_Drug_Cst)2023 Drug cost: $3,875 (USD; Tot_Drug_Cst)2024 Drug cost: $2,551 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201586349$15,185
2016100427$23,384
201793343$9,610
201880288$7,327
201983247$5,133
20204888$2,707
202150119$4,521
202272143$4,901
202363123$3,875
202474140$2,551

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
77427Radiation treatment management, 5 treatment sessions110410$151
77263Complex radiation therapy planning110121$128
77334Design and construction of complex radiation treatment device111337$48
77014Ct guidance for insertion of radiation therapy fields1361,852$35
77300Calculation of radiation therapy dose110427$26

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Tamsulosin HclTamsulosin Hcl322,220$498
Silver SulfadiazineSilver Sulfadiazine13230$453
Lidocaine Hcl ViscousLidocaine Hcl14161$291

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.1$33Myriad Genetic Laboratories, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for John M. Sheldon, MD?

Tedicare shows public-source Medicare data for John M. Sheldon, MD (NPI 1467415646), 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 John M. Sheldon, MD have ACO affiliation data?

John M. Sheldon, MD is shown with ACO affiliation data for Mass General Brigham ACO, LLC (MSSP, ACO ID A4641).

What billing organization is linked to John M. Sheldon, MD?

John M. Sheldon, MD is linked to MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC (billing NPI 1295787919) in the available physician profile data.

Does John M. Sheldon, MD have Open Payments data?

John M. Sheldon, MD 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.