Active NPI 1942476833 Individual Practitioner Female Practitioner

Dr. Holly K Sheldon , MD

Surgery • Springfield, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Holly Sheldon, MD is a certified Surgery practicing in Springfield, MA. With approximately 19 years of clinical experience since graduating from Boston University School Of Medicine in 2007, Dr. Sheldon delivers high-quality medical care to the local community at 2 MEDICAL CENTER DR.

Dr. Sheldon is affiliated with Baystate Medical Practices Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include diagnostic examination of the anus using an endoscope, new patient outpatient office visit, established 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

2 Medical Center Dr
Ste 308

Springfield, MA 011071270

Telephone 4137947020

Fax 4137942670

Associated Practice Facility / Clinic

🏢 Pediatric Gastroenterology & Nutrition Of Western Ma Facility NPI 1093792533

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Springfield, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -3.3 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

53 Specialists

Practicing in Springfield, MA (1077 Statewide)

Telehealth Adoption Rate

18.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheldon (19 Years) 19 Yrs

Springfield Specialty Average (22.3 Years) 22.3 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
46600 Diagnostic examination of the anus using an endoscope	41	40	$228.10	$119.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$515.66	$221.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$268.42	$123.90
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$186.67	$91.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$471.71	$170.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$403.29	$168.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	57	54	$214.35	$125.87
99213 Established patient office or other outpatient visit, typically 15 minutes	47	39	$174.02	$92.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$481.78	$216.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$251.58	$130.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$468.25	$174.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$383.45	$170.03
49905 Repair of abdomen using abdominal lining graft	11	11	$673.18	$269.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	53	51	$213.00	$130.41
99213 Established patient office or other outpatient visit, typically 15 minutes	46	36	$173.00	$94.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$250.00	$132.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$380.00	$173.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$468.00	$201.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$480.00	$229.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	53	49	$213.00	$130.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	24	$167.00	$73.80
99213 Established patient office or other outpatient visit, typically 15 minutes	35	28	$173.00	$95.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$250.00	$135.79
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$480.00	$231.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$468.00	$205.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$380.00	$175.36

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	76	32	$164.76	$75.58
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$166.66	$78.93
46600 Diagnostic examination of the anus using an endoscope	44	39	$213.00	$111.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$461.25	$211.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	14	$236.40	$108.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$471.00	$217.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$372.93	$172.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$245.08	$114.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	58	$164.00	$77.52
46600 Diagnostic examination of the anus using an endoscope	77	56	$213.00	$100.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	39	$162.00	$73.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	25	$234.00	$107.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$242.00	$110.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$456.00	$209.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$466.00	$206.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$371.00	$171.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$309.00	$141.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	68	54	$213.00	$89.46
99213 Established patient office or other outpatient visit, typically 15 minutes	60	42	$164.00	$72.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	18	$234.00	$102.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	26	$242.00	$106.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$466.00	$199.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$98.00	$44.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$371.00	$163.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$456.00	$200.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$162.00	$71.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$309.00	$134.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	85	64	$213.00	$93.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	35	$98.00	$45.22
99213 Established patient office or other outpatient visit, typically 15 minutes	45	34	$164.00	$75.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$371.00	$168.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$244.00	$111.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$309.00	$139.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	12	$234.00	$106.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$162.00	$73.79
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$211.00	$103.36

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 242091

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

Baystate Medical Practices Inc

2 Medical Ctr Dr, Springfield, MA 011071270

Phone: 4137951120

Baystate Medical Practices Inc

759 Chestnut St, Springfield, MA 011991001

Phone: 4137945439

Baystate Medical Practices Inc

2 Medical Ctr Dr, Springfield, MA 011071270

Baystate Medical Practices Inc

280 Chestnut St, Springfield, MA 011991001

Practice Associates & Co-Workers

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

27 Associated Practitioners

Dr. David Page , MD

Surgery

NPI 1073604211

Doctor of Medicine (M.D.)

Dr. Jacqueline Wu , MD

Surgery

NPI 1083639702

Doctor of Medicine (M.D.)

Cynthia Lucas , PA

Physician Assistant - Surgical

NPI 1134212798

Physician Assistant

Dr. Paul Friedmann , MD

Surgery

NPI 1174562268

Doctor of Medicine (M.D.)

Dr. Georgios Orthopoulos , MD

Surgery

NPI 1174866024

Doctor of Medicine (M.D.)

Dr. Kelly Tyler , MD

Colon & Rectal Surgery

NPI 1235335795

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 November 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2016

Registered at 2 MEDICAL CENTER DR, STE 308, SPRINGFIELD, MA 011071270 (Tel: 4137947020)

📍

Updated Business Mailing Address November 15, 2016

Registered at 280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

👤

Provider Name / Credentials Updated November 15, 2016

Recorded as HOLLY SHELDON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2016

Surgery (License #242091 in MA)

🟢

Initial NPI Registration & Enumeration May 01, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1942476833

Entity Type:

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

Enumeration Date: May 01, 2008

Last Update: November 15, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

280 Chestnut St, 2nd Floor

Springfield, MA 011991001

Phone: 4137945700

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.