John C. Sheffield, MD
Family Medicine Physician · West Reading, PA
John C. Sheffield, MD is a family medicine physician with a practice address in West Reading, Pennsylvania, and NPI 1801811351, issued on Jul 13, 2006. Check the license (Pennsylvania MD056810L, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- John C. Sheffield
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- MD056810L PA
Self-reported in NPPES; status is on the state search - Practice location
- 6TH Avenue And Spruce St, West Reading, PA 19611
- Phone
- (484) 628-8000
- Enumerated
- Jul 13, 2006
- Record last updated
- Jun 22, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicaid ID
- 001656442 PA
- Medicare enrollment
- Enrolled (PECOS I20050823000984); accepts Medicare assignment
- Medical or professional school
- Virginia Commonwealth University, School Of Medicine, 1993
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 7,483 in Pennsylvania → Look up another NPI →
Also registered at 6TH Avenue And Spruce St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Thomas Adamec, M.D.Anatomic Pathology Physician1447257779
Verify John C. Sheffield in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD056810LCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
57% fewer Medicare Part D claims than the average family medicine physician in 2024
1,539 Medicare Part D claims for 179 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims. 65 claims were for opioids.
Most prescribed
- Atorvastatin Calcium89 claims
- Losartan Potassium66 claims
- Lisinopril53 claims
- Albuterol Sulfate Hfa43 claims
- Amlodipine Besylate41 claims
- Metformin Hcl35 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 86.1 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Clinical Care Associates OF The University OF Pennsylvania Health.West Chester, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John C. Sheffield among 7,483 family medicine physician records in Pennsylvania
John C. Sheffield, MD is one of 7,483 family medicine physician records with a practice address in Pennsylvania. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.
- NPI issued2006 · 12% of these records are older, 53% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated1993 · median 2005 among the 4,529 with a school on file
- Record last updated2018 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
32 family medicine physician records list a practice address in West Reading
They are 32 of the 1,123 NPPES records with a practice address in West Reading, and 7,483 family medicine physician records in Pennsylvania.
All 7,483 in Pennsylvania → Every provider in West Reading → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Donald Baxter, M.D.W Reading, PA 196111134124142
- Samantha CunninghamWest Reading, PA 196111548498835
- Russell Emrich, M.D.West Reading, PA 196111477513430
- Yanyan LiWest Reading, PA 196111821206335
- William Lovett, MDWest Reading, PA 196111841259660
- Teresa Lowery, MDWest Reading, PA 196111982651089
- Louis Mancano, M.D.West Reading, PA 196111972561322
- Doris Maurer, CRNPWest Reading, PA 196111245292978
Common questions
What is John C. Sheffield, MD's NPI number?
John C. Sheffield, MD's National Provider Identifier (NPI) is 1801811351, issued on Jul 13, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John C. Sheffield, MD located?
The NPPES record lists a practice address at 6TH Avenue And Spruce St, West Reading, PA, 19611. Phone: (484) 628-8000. Providers update this record themselves, so call before visiting.
How can I verify John C. Sheffield, MD's license?
NPPES lists Pennsylvania license number MD056810L, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John C. Sheffield, MD prescribe under Medicare Part D?
In 2024, John C. Sheffield, MD had 1,539 Medicare Part D claims for 179 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is John C. Sheffield, MD's MIPS final score?
The 2023 MIPS final score is 86.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.