Physician

William Warren Sheaffer, M.D.

According to 2025 Medicare claims, William Sheaffer, M.D. (NPI: 1750768388) practices vascular surgery in the Duluth, MN-WI market, with the plurality of this provider's patient population coming from St. Louis, MN. This provider's primary affiliated billing organization is ST. MARY'S MEDICAL CENTER (NPI: 1821835851; TIN: 410695604) and primary practice location at 55805-1906. Sheaffer is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604) and Essentia Health ACO, Inc. (ACO ID: A5617), participating under the MSSP model.

Sheaffer's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 315 traditional Medicare patients, billed 717 HCPCS/CPT codes, and received $74,699 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 286 prescription claims across 128 beneficiaries totaling $10,145 in drug costs, led by Clopidogrel (Clopidogrel Bisulfate). Open Payments data shows 15 records totaling $1,831. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $1,762 to $10,145. 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$37K$75K2022 Medicare payment: $35,135 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $69,802 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $74,699 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022116308$35,135
2023300688$69,802
2024315717$74,699

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$16K$32K2015 Drug cost: $1,762 (USD; Tot_Drug_Cst)2016 Drug cost: $1,562 (USD; Tot_Drug_Cst)2017 Drug cost: $4,053 (USD; Tot_Drug_Cst)2018 Drug cost: $6,677 (USD; Tot_Drug_Cst)2019 Drug cost: $3,068 (USD; Tot_Drug_Cst)2020 Drug cost: $4,271 (USD; Tot_Drug_Cst)2021 Drug cost: $7,146 (USD; Tot_Drug_Cst)2022 Drug cost: $6,433 (USD; Tot_Drug_Cst)2023 Drug cost: $31,576 (USD; Tot_Drug_Cst)2024 Drug cost: $10,145 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153246$1,762
20162752$1,562
201766115$4,053
20183880$6,677
20194473$3,068
20203251$4,271
20214176$7,146
202247117$6,433
2023117345$31,576
2024128286$10,145

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more4141$100
93880Ultrasound of both sides of head and neck blood flow7582$26
93978Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts2627$25
93926Ultrasound of one leg arteries or artery grafts4352$15
76937Ultrasonic guidance for blood vessel access2427$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ClopidogrelClopidogrel Bisulfate13210,439$1,715
Atorvastatin CalciumAtorvastatin Calcium654,855$735
CilostazolCilostazol13620$157
Oxycodone HclOxycodone Hcl1536$32

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.15$1,831Terumo Medical Corporation
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 William Warren Sheaffer, M.D.?

Tedicare shows public-source Medicare data for William Warren Sheaffer, M.D. (NPI 1750768388), 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 Warren Sheaffer, M.D. have ACO affiliation data?

William Warren Sheaffer, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604) and Essentia Health ACO, Inc. (MSSP, ACO ID A5617).

What billing organization is linked to William Warren Sheaffer, M.D.?

William Warren Sheaffer, M.D. is linked to ST. MARY'S MEDICAL CENTER (billing NPI 1821835851) in the available physician profile data.

Does William Warren Sheaffer, M.D. have Open Payments data?

William Warren Sheaffer, M.D. has 15 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.