Physician

Michael S Sheldon, MD

According to 2025 Medicare claims, Michael Sheldon, MD (NPI: 1487689469) practices internal medicine in the Fargo, ND-MN market, with the plurality of this provider's patient population coming from Cass, ND. This provider's primary affiliated billing organization is INNOVIS HEALTH LLC (NPI: 1255677084; TIN: 261175213) and primary practice location at 58103-4940. Sheldon is affiliated with the Central Minnesota ACO, LLC (ACO ID: A2844) and Essentia Health ACO, Inc. (ACO ID: A5617), participating under the MSSP model.

Sheldon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 482 traditional Medicare patients, billed 2,849 HCPCS/CPT codes, and received $164,874 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 14,947 prescription claims across 675 beneficiaries totaling $1,211,373 in drug costs, led by Jardiance (Empagliflozin). DME data shows 231 claims. No Open Payments records. 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 higher plateau to a lower plateau, from $2,075,289 to $1,211,373. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $20,768 and ending at $17,727.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	688	2,423	$157,061
2016	652	2,178	$140,736
2017	611	2,278	$150,045
2018	583	2,379	$155,195
2019	640	2,543	$167,846
2020	624	2,496	$164,038
2021	581	2,343	$193,384
2022	551	2,445	$182,037
2023	521	2,655	$178,208
2024	482	2,849	$164,874

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	963	18,904	$2,075,289
2016	826	20,939	$2,650,997
2017	791	19,783	$2,694,724
2018	770	19,385	$1,223,702
2019	740	17,963	$1,093,213
2020	702	17,768	$1,157,978
2021	707	16,557	$1,233,963
2022	679	15,510	$1,325,966
2023	657	14,786	$1,410,445
2024	675	14,947	$1,211,373

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	161	611	$20,308
2016	200	730	$25,190
2017	151	644	$18,484
2018	193	771	$25,210
2019	192	801	$28,113
2020	189	612	$26,474
2021	152	531	$29,298
2022	145	435	$21,286
2023	114	367	$20,711
2024	87	231	$15,059

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	385	385	$125
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	140	205	$97
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	438	1,031	$62
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	61	82	$39
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	271	578	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	254	10,926	$198,764
Ozempic	Semaglutide	154	5,424	$169,483
Eliquis	Apixaban	200	7,817	$145,934
Xarelto	Rivaroxaban	81	3,294	$61,295
Myrbetriq	Mirabegron	87	3,895	$57,017

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	21	$8,312
A7030	Full face mask used with positive airway pressure device, each	N	11	17	$1,784
A7031	Face mask interface, replacement for full face mask, each	N	N/R	16	$1,492
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	24	61	$1,164
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	14	23	$820

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Michael S. Sheldon, MD?

Tedicare shows public-source Medicare data for Michael S. Sheldon, MD (NPI 1487689469), 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 Michael S. Sheldon, MD have ACO affiliation data?

Michael S. Sheldon, MD is shown with ACO affiliation data for Central Minnesota ACO, LLC (MSSP, ACO ID A2844) and Essentia Health ACO, Inc. (MSSP, ACO ID A5617).

What billing organization is linked to Michael S. Sheldon, MD?

Michael S. Sheldon, MD is linked to INNOVIS HEALTH LLC (billing NPI 1255677084) in the available physician profile data.

Does Michael S. Sheldon, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.