Active NPI 1487689469 Individual Practitioner Male Practitioner

Dr. Michael S Sheldon , MD

Internal Medicine • Fargo, ND

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sheldon, MD is a certified Internal Medicine practicing in Fargo, ND. With approximately 34 years of clinical experience since graduating from University Of North Dakota School Of Medicine in 1992, Dr. Sheldon delivers high-quality medical care to the local community at 1702 UNIVERSITY DR S.

Dr. Sheldon maintains professional affiliations with Centracare Health System - Melrose, Innovis Health Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1702 University Dr S

Fargo, ND 581034940

Telephone 7013643300

Fax 7013648906

Associated Practice Facility / Clinic

🏢 Dakota Clinic, Ltd. Facility NPI 1740231182

Medicare Profile & Education

Medical School

University Of North Dakota School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fargo, ND

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +14.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

134 Specialists

Practicing in Fargo, ND (255 Statewide)

Telehealth Adoption Rate

5.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheldon (34 Years) 34 Yrs

Fargo Specialty Average (19.5 Years) 19.5 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	1,031	438	$205.14	$92.44
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	578	271	$60.00	$15.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	385	385	$355.29	$124.59
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	330	51	$165.76	$47.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	205	140	$281.42	$136.91
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	93	23	$121.60	$32.55
99213 Established patient office or other outpatient visit, typically 15 minutes	82	61	$142.27	$62.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	26	$184.00	$51.84
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	22	22	$95.00	$7.68
99496 Transitional care management services for problem of high complexity	18	14	$738.11	$180.94
99495 Transitional care management services for problem of at least moderate complexity	14	13	$551.36	$133.25
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$184.71	$124.11
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$465.00	$159.03

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	1,097	474	$197.37	$93.52
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	487	63	$132.62	$48.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	419	419	$318.74	$125.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	230	158	$270.00	$137.82
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	133	44	$106.12	$33.05
99213 Established patient office or other outpatient visit, typically 15 minutes	132	94	$139.39	$63.15
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	40	$184.00	$51.00
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	30	29	$95.00	$7.83
99496 Transitional care management services for problem of high complexity	14	14	$702.86	$183.35
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$435.14	$150.60
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$188.00	$125.70

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	1,181	494	$185.11	$95.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	420	420	$290.45	$128.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	239	172	$248.51	$141.59
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	222	57	$105.00	$49.42
99213 Established patient office or other outpatient visit, typically 15 minutes	117	91	$126.60	$64.61
77080 Dxa bone density measurement of hip, pelvis, spine	62	62	$298.00	$27.69
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	57	32	$98.00	$34.87
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	34	33	$95.00	$8.06
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	23	$184.00	$51.98
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$416.70	$164.64
99496 Transitional care management services for problem of high complexity	17	15	$670.76	$189.80
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$189.50	$129.74

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	1,350	548	$175.23	$97.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	456	456	$282.81	$131.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	255	165	$227.12	$143.78
99213 Established patient office or other outpatient visit, typically 15 minutes	116	83	$116.43	$66.06
99443 Telephone medical discussion with physician, 21-30 minutes	25	17	$287.40	$97.86
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$416.00	$166.25
99496 Transitional care management services for problem of high complexity	21	20	$663.00	$192.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	16	$95.00	$8.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	13	$184.00	$52.39
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$201.77	$132.76

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	1,592	584	$183.65	$78.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	440	440	$280.00	$115.11
99213 Established patient office or other outpatient visit, typically 15 minutes	120	95	$128.33	$50.62
99443 Telephone medical discussion with physician, 21-30 minutes	118	75	$278.22	$78.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	37	$222.93	$110.49
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	12	$162.00	$40.78
99496 Transitional care management services for problem of high complexity	27	23	$663.00	$160.97
99442 Telephone medical discussion with physician, 11-20 minutes	27	22	$188.56	$50.84
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$182.74	$126.34
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	20	17	$95.00	$8.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$405.00	$169.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$184.00	$52.69

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	1,719	622	$156.02	$76.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	480	480	$267.50	$114.18
99213 Established patient office or other outpatient visit, typically 15 minutes	133	99	$107.37	$50.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	34	$209.25	$108.62
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$387.31	$168.34
99496 Transitional care management services for problem of high complexity	27	24	$663.00	$156.67
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	26	26	$95.00	$8.36
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$170.35	$123.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$184.00	$52.41

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	1,664	562	$150.20	$76.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	423	423	$255.00	$115.12
99213 Established patient office or other outpatient visit, typically 15 minutes	104	90	$101.93	$50.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	47	$201.68	$107.39
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	28	27	$95.00	$8.35
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$165.00	$124.42
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$375.00	$169.22
99496 Transitional care management services for problem of high complexity	21	19	$663.00	$157.10

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	1,531	590	$147.57	$76.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	430	430	$255.00	$113.77
99213 Established patient office or other outpatient visit, typically 15 minutes	88	73	$101.25	$49.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	78	61	$189.94	$108.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$375.00	$167.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	24	23	$93.38	$8.32
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$165.00	$124.22
99496 Transitional care management services for problem of high complexity	13	12	$663.00	$156.58
99495 Transitional care management services for problem of at least moderate complexity	11	11	$470.00	$108.10

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License ND 7444

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

977016000 (ND)

Medicaid State Provider ID

18809 (ND)

Commercial Insurance / Payer ID Ndbs #

14064 (ND)

Commercial Insurance / Payer ID Healthpartners #

HP22974 (ND)

Commercial Insurance / Payer ID America's Ppo/araz #

598775 (ND)

Commercial Insurance / Payer ID Ucare #

142064 (ND)

Commercial Insurance / Payer ID Sioux Valley #

15640 (ND)

Commercial Insurance / Payer ID Preferred One #

DA9011015586 (ND)

Commercial Insurance / Payer ID Lhs #

ND100011 (ND)

Commercial Insurance / Payer ID Medica #

0402549 (ND)

Hospital & Practice Group Affiliations

Innovis Health Llc

1702 University Dr S, Fargo, ND 581034940

Phone: 7013648900

Centracare Health System - Melrose

525 Main St W, Melrose, MN 563521043

Phone: 3202564231

Innovis Health Llc

3000 32nd Ave S, Fargo, ND 581036132

Phone: 7013648000

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Optometrist

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Doctor of Medicine (M.D.)

Dr. Bess Martin , PhD, LP

Clinical Neuropsychologist

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Doctor of Philosophy (Ph.D.), Licensed Psychologist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 16, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 16, 2011

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: 7013643300)

📍

Updated Business Mailing Address August 16, 2011

Registered at PO BOX 6001, FARGO, ND 581086001 (Tel: 7013643300)

👤

Provider Name / Credentials Updated August 16, 2011

Recorded as MICHAEL SHELDON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2011

Internal Medicine (License #7444 in ND)

🟢

Initial NPI Registration & Enumeration July 11, 2006

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: 1487689469

Entity Type:

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

Enumeration Date: July 11, 2006

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6001

Fargo, ND 581086001

Phone: 7013643300

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.