Active NPI 1154473387 Individual Practitioner Female Practitioner

Dr. Sheila M. Hodgson , MD

Surgery • Modesto, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sheila Hodgson, MD is a certified Surgery practicing in Modesto, CA. With approximately 31 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1995, Dr. Hodgson delivers high-quality medical care to the local community at 1541 FLORIDA AVE STE 200.

Dr. Hodgson is affiliated with First Choice Physician Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1541 Florida Ave Ste 200

Modesto, CA 95350

Telephone 2095773388

Fax 2095237583

Associated Practice Facility / Clinic

🏢 Mchenry Medical Group Inc Facility NPI 1205859154

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Modesto, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +6.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

36 Specialists

Practicing in Modesto, CA (3346 Statewide)

Telehealth Adoption Rate

19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hodgson (31 Years) 31 Yrs

Modesto Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	56	$202.00	$77.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	44	$380.00	$127.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$456.00	$162.06
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$202.00	$92.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$562.00	$170.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$298.00	$130.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	49	$202.00	$80.58
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$202.00	$93.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	31	$380.00	$132.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$299.00	$115.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$122.00	$59.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$562.00	$176.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$456.00	$171.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	12	$109.00	$50.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	49	$189.42	$72.04
99221 Initial hospital inpatient care per day, typically 30 minutes	35	34	$263.60	$100.90
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$191.33	$94.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$357.45	$136.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$437.50	$171.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$112.00	$58.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$286.80	$132.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	14	$105.40	$38.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$285.29	$115.31
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$195.25	$75.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	42	$186.00	$73.32
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$259.00	$102.26
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$191.00	$76.31
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$186.00	$95.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$349.00	$138.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$112.00	$58.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	16	$186.00	$75.77
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$191.00	$80.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$112.00	$48.32
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$259.00	$105.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	26	$186.00	$74.59
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$191.00	$79.75
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$190.68	$77.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$349.00	$140.05
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$259.00	$103.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$275.00	$112.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$255.00	$107.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	11	$170.00	$102.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$326.00	$124.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$218.00	$161.25
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$75.00	$63.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$321.00	$256.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	15	$164.00	$132.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$133.00	$99.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$60.00	$32.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$152.00	$95.49
49505 Repair of groin hernia (5 years or older)	15	15	$1514.00	$656.54
46600 Diagnostic examination of the anus using an endoscope	11	11	$67.00	$51.97

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A72294

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License CA A72294

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Hospital & Practice Group Affiliations

First Choice Physician Partners

1144 Norman Dr, Manteca, CA 953365960

Phone: 2092396008

Secondary Practice Locations

4601 Dale Rd

Modesto, CA 953569718

Phone: 2095571000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Douglas Phan , MD

Otolaryngology

NPI 1013073766

Doctor of Medicine (M.D.)

Dr. Brian Mc Caffrey , MD

Urology

NPI 1013940451

Doctor of Medicine (M.D.)

Dr. Giang Lam , MD

Family Medicine

NPI 1033198288

Doctor of Medicine (M.D.)

Dr. Keliang Xiao , MD

Plastic Surgery

NPI 1043672629

Doctor of Medicine (M.D.)

Dr. Tanya Dam , DO

Internal Medicine - Gastroenterology

NPI 1104105030

Doctor of Osteopathic Medicine (D.O.)

Dr. Raymundo Racela , MD

Surgery

NPI 1144372244

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location May 14, 2018

Registered at 1541 FLORIDA AVE STE 200, MODESTO, CA 95350 (Tel: 2095773388)

📍

Updated Business Mailing Address May 14, 2018

Registered at 1541 FLORIDA AVE STE 200, MODESTO, CA 953504438 (Tel: 2095773388)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2018

Surgery (License #A72294 in CA)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4601 DALE RD, MODESTO, CA 953569718 (Tel: 2095571000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1800 HARRISON ST FL 7, OAKLAND, CA 946123429 (Tel: 5106256262)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SHEILA HODGSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Colon & Rectal Surgery (License #A72294 in CA)

🟢

Initial NPI Registration & Enumeration January 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154473387

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 17, 2007

Last Update: May 14, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1541 Florida Ave Ste 200

Modesto, CA 953504438

Phone: 2095773388

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.