Physician

Abraham Matthias Sheffield, M.D., PH.D.

According to 2025 Medicare claims, Abraham Sheffield, M.D., PH.D. (NPI: 1841552411) practices otolaryngology, with the plurality of this provider's patient population coming from Adams, IL. This provider's primary affiliated billing organization is QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC (NPI: 1548234198; TIN: 37-1206525) and primary practice location at 62301-4096. Sheffield is affiliated with the IRCCO (ACO ID: A2619), Caravan Collaborative Pathways (ACO ID: A4604), and DULY HEALTH AND CARE ACCOUNTABLE CARE ORGANIZATION (ACO ID: D0265), participating under both the MSSP and REACH models.

Sheffield's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 270 traditional Medicare patients, billed 1,086 HCPCS/CPT codes, and received $88,461 in Medicare payments. The top billing code was 31231 (Diagnostic exam of nasal passages using an endoscope). Part D data shows 475 prescription claims across 177 beneficiaries totaling $46,809 in drug costs, led by Voriconazole (Voriconazole). Open Payments data shows 22 records totaling $1,346. 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 risen steadily, from $24,674 to $88,461. Similarly, Part D prescription costs have risen steadily, from $1,746 to $46,809. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	131	351	$24,674
2019	234	715	$64,992
2020	261	743	$58,970
2021	257	775	$73,798
2022	241	812	$85,907
2023	262	1,051	$86,548
2024	270	1,086	$88,461

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	46	70	$1,746
2016	52	120	$2,310
2017	21	50	$2,305
2018	47	76	$1,772
2019	94	272	$7,630
2020	122	265	$4,761
2021	126	279	$6,136
2022	128	284	$9,927
2023	157	434	$32,166
2024	177	475	$46,809

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
31231	Diagnostic exam of nasal passages using an endoscope	51	71	$129
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$71
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	121	159	$63
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	114	$40
92504	Exam of ear using a microscope	82	110	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Voriconazole	Voriconazole	12	360	$2,888
Azelastine Hcl	Azelastine Hcl	69	2,555	$1,680
Ciprofloxacin-Dexamethasone	Ciprofloxacin Hcl/Dexameth	12	121	$1,587
Budesonide Dr	Budesonide	12	360	$1,454
Budesonide Ec	Budesonide	14	420	$709

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	22	$1,346	Integra LifeSciences Corporation
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 Abraham Matthias Sheffield, M.D., PH.D.?

Tedicare shows public-source Medicare data for Abraham Matthias Sheffield, M.D., PH.D. (NPI 1841552411), 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 Abraham Matthias Sheffield, M.D., PH.D. have ACO affiliation data?

Abraham Matthias Sheffield, M.D., PH.D. is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), Caravan Collaborative Pathways (MSSP, ACO ID A4604), and DULY HEALTH AND CARE ACCOUNTABLE CARE ORGANIZATION (REACH, ACO ID D0265).

What billing organization is linked to Abraham Matthias Sheffield, M.D., PH.D.?

Abraham Matthias Sheffield, M.D., PH.D. is linked to QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC (billing NPI 1548234198) in the available physician profile data.

Does Abraham Matthias Sheffield, M.D., PH.D. have Open Payments data?

Abraham Matthias Sheffield, M.D., PH.D. has 22 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.