CLIFTON A. SHEETS (M.D.) – Emergency Medicine Physician, NPI 1831287945

CLIFTON A. SHEETS (M.D.) is a healthcare provider. based in Fredericksburg, Virginia. specializing in GENERAL PRACTICE, INTERNAL MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0101044230 (VA). The NPI Number for CLIFTON A. SHEETS (M.D.) is 1831287945

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
CLIFTON A. SHEETS (M.D.)
NPI
1831287945
Phone
(540) 786-1200
Address
2511 SALEM CHURCH RD
Enumeration Date
11 October 2006
Last Update Date
7 February 2012

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
5407861200
Graduation Year
1983 (43 years ago)
PAC ID
6305836883
Group Practice PAC ID
7618959750
Professional Enrollment ID
I20040715000827
Address ID
VA225531915SP9763XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

130 GENERAL PRACTICE in VA

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Provider Addresses for CLIFTON A. SHEETS (M.D.)

  • PrimeCare Urgent and Family Care, 2511, Salem Church Road, Fredericksburg, Spotsylvania County, Virginia, 22407, United States

    FREDERICKSBURG, VA 224076466

    Phone: (540) 786-1200

    Fax: (540) 786-3195

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 108 Open Payments records for all available years, with a total value of $2,124.

Total Amount is formed as General ($2,124) + Research ($0) + Ownership ($0) = $2,124.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($528).

Total Amount

$2,124

General + Research + Ownership

Payments

108

Total payment records

General Amount

$2,124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040715000827IInternal MedicineVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes199129$0
99213Established patient office or other outpatient visit, 20-29 minutes8570$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2322$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
81002Urinalysis, manual test1313$0
View full utilization report →

Insurance plans in this area (ZIP 22407)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618959750View full group profile

Reviews

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Frequently asked questions

Is CLIFTON A. SHEETS (M.D.) listed with a National Provider Identifier?
Yes — CLIFTON A. SHEETS (M.D.) has NPI 1831287945 on file in the registry.
Would CLIFTON A. SHEETS (M.D.) appear as active to a payer?
You can treat CLIFTON A. SHEETS (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with CLIFTON A. SHEETS (M.D.)?
CLIFTON A. SHEETS (M.D.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CLIFTON A. SHEETS (M.D.) located near Fredericksburg?
CLIFTON A. SHEETS (M.D.) currently maps to Fredericksburg, Virginia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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