NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1316258932 M.D.
Verify on CMS → Charles Sheldon, M.D.
Emergency Medicine Physician in Augusta, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 66,293 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
541
Medicare Part D claims · 324 beneficiaries · Emergency Medicine Physician avg: 355
MIPS score
75/100
CMS neutral threshold · no category scores published
What the federal data shows
Charles Sheldon, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 541 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 541
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥65th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Charles Sheldon, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1316258932), first enumerated 06/29/2010.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 541 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1316258932 · Emergency Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-NEUTRAL · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1316258932
- ENUM-MID 2010
- TAX-MEGA 66K Emergency Medicine
- MIPS-NEUTRAL 75/100
- RX-LIGHT 541
- BOOK-LIGHT 1,648 in Georgia
- PHOTO-ENUM Janna Burkus, D.O. · 2010
Charles Sheldon, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
541 ≥ 65th percentile 65% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Charles Sheldon, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Charles Sheldon, M.D.?
CMS neutral score, not measuredPrimary specialty
Emergency Medicine Physician
Medicare Part D claims
541 52% vs specialty avg
MIPS final score
75/100
Specialty distribution in Georgia
How Emergency Medicine Physician compares to other specialties among Georgia providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1316258932 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/29/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Charles Sheldon, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Alexandria Springfield Emergency Physicians PC
Petersburg, VA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
541
Total Claims
$5K
Total Drug Cost
324
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 542.433
- Total Day Supply
- 4,598
- Generic Drug Cost
- $4K
- Opioid Claims
- 130 (24.0% rate)
- Antibiotic Claims
- 99
Patient Demographics
- Average Patient Age
- 69.5 years
- Avg HCC Risk Score
- 2.35
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 92, 65-74: 112, 75-84: 80, 85+: 40
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Charles Sheldon, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ondansetron Odt
Ondansetron Odt
84 claims
- Tramadol Hcl
Tramadol Hcl
70 claims
- Cephalexin
Cephalexin
37 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
35 claims
- Prednisone 27
Prednisone
27 claims
- Methocarbamol 24
Methocarbamol
24 claims
- Ketorolac Trometha… 22
Ketorolac Tromethamine
22 claims
- Hydrocodone-Acetam… 18
Hydrocodone-Acetaminophen
18 claims
| Drug | Claims |
|---|---|
| Ondansetron Odt Ondansetron | 84 |
| Tramadol Hcl | 70 |
| Cephalexin | 37 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 35 |
| Prednisone | 27 |
| Methocarbamol | 24 |
| Ketorolac Tromethamine | 22 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 18 |
| Lidocaine Hcl Viscous Lidocaine Hcl | 18 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Charles Sheldon, M.D. fits within the Emergency Medicine Physician landscape nationally.
66,293
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
355
Avg Claims per Provider
Charles Sheldon, M.D.'s 541 claims are above the specialty average of 355.
Nationwide Emergency Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Sheldon, both outside Georgia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Emergency Medicine Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Sheldon.
One of 1,648 Emergency Medicine Physician providers enrolled in Georgia, 5 are shown here.
Dr. Lindsea Abbott
M.D.
Johns Creek, GA
Zahraa Abdul Sater
MBBS
Augusta, GA
Dr. Hesham Abukhdeir
MD
Decatur, GA
Jeremy Ackerman
M.D. P.H.D.
Atlanta, GA
Dr. Clates Adams
DO
Fort Stewart, GA
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Charles Sheldon, M.D.'s specialty? ▼
Charles Sheldon, M.D. specializes in Emergency Medicine Physician and practices in Augusta, Georgia. Credentials: M.D..
How much does Charles Sheldon, M.D. prescribe under Medicare Part D? ▼
In 2024, Charles Sheldon, M.D. wrote 541 Medicare Part D claims totaling $5K in drug costs for 324 beneficiaries.
What is Charles Sheldon, M.D.'s Medicare quality score? ▼
Charles Sheldon, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Charles Sheldon, M.D. located? ▼
Charles Sheldon, M.D. is located at 2704 SMITH CREEK RD, Augusta, GA, 30909. Phone: (404) 784-5374.
What is Charles Sheldon, M.D.'s NPI number? ▼
Charles Sheldon, M.D.'s National Provider Identifier (NPI) is 1316258932, issued on 06/29/2010.
Does Charles Sheldon, M.D. prescribe opioids? ▼
Yes, Charles Sheldon, M.D. had 130 opioid claims in 2024 with an opioid prescribing rate of 24.0%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 66,293 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 355 Medicare Part D claims per year.
What drugs does Charles Sheldon, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Charles Sheldon, M.D.'s most frequently prescribed drugs include Ondansetron Odt, Tramadol Hcl, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Charles Sheldon, M.D. accept Medicare? ▼
Charles Sheldon, M.D. appears in CMS Medicare data with 541 Part D claims and 324 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Charles Sheldon, M.D.'s credentials? ▼
Charles Sheldon, M.D.'s NPI is 1316258932 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.