Dr. Sean Sheff, MD - Surgery in Americus, GA

Professional Overview & Biography Verified Profile Summary

Dr. Sean Sheff, MD is a certified Surgery practicing in Americus, GA. With approximately 21 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2005, Dr. Sheff delivers high-quality medical care to the local community at 120 HWY 280.

Dr. Sheff is affiliated with Phoebe Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 Hwy 280

Americus, GA 317198645

Telephone 2299311159

Fax 2299311160

Associated Practice Facility / Clinic

🏢 Sumter Women And Family Health Facility NPI 1588974406

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Americus, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +2.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Americus, GA (1046 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheff (21 Years) 21 Yrs

Americus Specialty Average (19.0 Years) 19.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	28	$182.29	$119.67
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$128.56	$83.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$896.00	$86.60
45380 Biopsy of large bowel using an endoscope	13	13	$1171.00	$115.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	23	$218.78	$117.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	17	$140.00	$76.36
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$140.25	$85.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$260.00	$125.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$896.00	$80.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	28	$150.00	$120.42
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$100.00	$82.68
45380 Biopsy of large bowel using an endoscope	16	16	$1171.00	$114.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$896.00	$79.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	34	$100.00	$85.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	29	$150.00	$121.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$896.00	$83.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$255.00	$160.85

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	46	23	$140.00	$70.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	27	$150.00	$96.29
99213 Established patient office or other outpatient visit, typically 15 minutes	31	23	$100.00	$72.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$260.00	$136.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$255.00	$159.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$896.00	$79.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	58	$100.00	$70.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	50	$151.44	$102.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	19	$140.00	$71.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$896.00	$102.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$255.00	$159.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$260.00	$135.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	70	$147.39	$99.19
99213 Established patient office or other outpatient visit, typically 15 minutes	81	59	$96.85	$69.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	13	$140.00	$71.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$260.00	$133.90
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$896.00	$96.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$255.00	$158.63
45380 Biopsy of large bowel using an endoscope	14	14	$1171.00	$163.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$180.00	$103.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	55	$120.00	$98.80
99213 Established patient office or other outpatient visit, typically 15 minutes	63	51	$85.00	$69.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	14	$140.00	$70.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	25	$896.00	$90.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$255.00	$151.47
45380 Biopsy of large bowel using an endoscope	15	15	$1171.00	$137.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$180.00	$102.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$260.00	$132.84

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 065888

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License GA 001271

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License WI 54504

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.

Hospital & Practice Group Affiliations

Phoebe Physician Group Inc

417 W 3rd Ave, Albany, GA 317011943

Phone: 2293125133

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Ngoc Nguyen , MD

Internal Medicine - Cardiovascular Disease

NPI 1427493899

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 24, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2013

Registered at 120 HWY 280, AMERICUS, GA 317198645 (Tel: 2299311159)

📍

Updated Business Mailing Address September 24, 2013

Registered at 500 W 3RD AVE, STE100, ALBANY, GA 317011900 (Tel: 2293125800)

👤

Provider Name / Credentials Updated September 24, 2013

Recorded as SEAN SHEFF, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2013

Surgery (License #065888 in GA)

🟢

Initial NPI Registration & Enumeration April 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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Dr. Sean R Sheff , MD

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Hospital & Practice Group Affiliations

Phoebe Physician Group Inc

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address