SHEILA GREENLAW
NPI 1316173495
Dermatology in Springfield, MA
NPI Status: Active since June 03, 2009
Contact Information
3455 MAIN ST STE 5
NEW ENGLAND DERMATOLOGY & LASER CENTER
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 733-9600
Fax: (413) 732-6534
- Individual
- Female
- Years of Experience 17
- Dermatology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SHEILA GREENLAW
This page provides the complete NPI Profile along with additional information for Sheila Greenlaw, a provider established in Springfield, Massachusetts with a medical specialization in Dermatology and more than 17 years of experience. She graduated from University Of Massachusetts Medical School in 2009. The healthcare provider is registered in the NPI registry with number 1316173495 assigned on June 2009. The practitioner's primary taxonomy code is 207N00000X with license number 245389 (MA). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1316173495
- Provider Name
- SHEILA GREENLAW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3455 MAIN ST STE 5 NEW ENGLAND DERMATOLOGY & LASER CENTER SPRINGFIELD, MA 01107
- Location Phone
- (413) 733-9600
- Location Fax
- (413) 732-6534
- Mailing Address
- 3455 MAIN ST STE 5 NEW ENGLAND DERMATOLOGY & LASER CENTER SPRINGFIELD, MA 01107
- Mailing Phone
- (413) 733-9600
- Mailing Fax
- (413) 732-6534
- Medical School Name
- UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
- Graduation Year
- 2009
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-03-2009
- Last Update Date
- 12-08-2014
- Code Navigator
A dermatologist like Sheila Greenlaw is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 245389
- License State
- MA
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sheila Greenlaw is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Sheila Greenlaw is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3274775465
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20130819000489
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
All potassium hydroxide (koh) preparations
Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
Application of light to destroy precancer skin growth
Biopsy of related skin growth, each additional growth
Biopsy of related skin growth, first growth
Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm
Destruction of precancer skin growth, 1 growth
Destruction of precancer skin growth, 2-14 growths
Destruction of skin growth, 1-14 growths
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Injection into skin growth, 1-7 growths
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Melanoma (skin cancer) excision
New patient office or other outpatient visit, 15-29 minutes
New patient office or other outpatient visit, 30-44 minutes
Punch biopsy, first skin growth
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
Therapy procedure using ultraviolet radiation with tar or petroleum jelly application
Potassium hydroxide (KOH) preparations are used in medical testing to identify fungal infections. In this procedure, a sample (like skin, hair, or nail) is collected and treated with KOH solution. This destroys non-fungal cells, making it easier to spot fungi under a microscope.
This service was performed 16 times for 12 patientsAminolevulinic Acid HCL is a medication applied to the skin to treat certain types of skin conditions. It works by making the skin more sensitive to light, which helps to kill abnormal skin cells. The 20% solution is a single dose of 354 mg.
This service was performed 18 times for 13 patientsThis procedure involves the use of special light to eradicate precancerous skin growths. The light targets abnormal cells causing them to die off, while leaving healthy skin unharmed. It's a non-invasive method that helps prevent skin cancer.
This service was performed 15 times for 13 patientsA biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
This service was performed 65 times for 51 patientsA biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
This service was performed 249 times for 221 patientsThis procedure involves the removal of a cancerous skin growth on the trunk, arms, or legs that is between 0.6 and 1.0 cm in size. The goal is to eliminate the cancerous cells and prevent further spread. The method of destruction may vary, including methods such as surgery, laser, or cryotherapy.
This service was performed 30 times for 26 patients"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
This service was performed 209 times for 168 patientsThis procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
This service was performed 270 times for 84 patients"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
This service was performed 340 times for 294 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 259 times for 221 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 1,009 times for 814 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 98 times for 86 patientsThis procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.
This service was performed 27 times for 19 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 78 times for 20 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 1-10 patientsThis service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
This service was performed 34 times for 34 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 33 times for 33 patientsA punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.
This service was performed 15 times for 15 patientsThis is a simple procedure where a small skin growth on your body, arms, or legs, measuring 0.5 cm or less, is carefully shaved off. It's typically quick, with minimal discomfort. It helps to prevent any potential health issues related to the growth.
This service was performed 13 times for 12 patientsThis therapy involves applying tar or petroleum jelly on the skin, followed by exposure to ultraviolet radiation. It helps in treating skin conditions by slowing cell growth and reducing inflammation. It's a safe, controlled process, often used for conditions like psoriasis.
This service was performed 235 times for 46 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.67 for a new patient copayment and $18.3 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01107 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.22
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $18.3
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sheila Greenlaw is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| COOLEY DICKINSON HOSPITAL INC,THE | 30 LOCUST STREET NORTHAMPTON, MA 01060 | (413) 582-2000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 1 | 7 | 3 | 4 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 2 | 7 | 6 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 2 + 7 + 6 + 4 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1316173495 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538470976 | DR. MICHAEL D HORWICH MD, PHD Individual | Dermatology | 3455 MAIN ST STE 5 NEW ENGLAND DERMATOLOGY & LASER CENTER SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1063619146 | MICHAEL LOOSEMORE M.D. Individual | Dermatology (MOHS-Micrographic Surgery) | 3455 MAIN ST STE 5 NEW ENGLAND DERMATOLOGY & LASER CENTER SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1447659016 | AMANDA GOULD FALVEY PA-C Individual | Physician Assistant (Medical) | 3455 MAIN ST STE 5 NEW ENGLAND DERMATOLOGY & LASER CENTER SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1043736739 | ALYSSA DESMARAIS PA-C Individual | Physician Assistant | 3455 MAIN ST STE 5 SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1689671505 | HELEN PETROS NP, PA-C Individual | Nurse Practitioner | 3455 MAIN ST STE 5 SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1821645649 | ERICA SILK Individual | Dermatology | 3455 MAIN ST STE 5 SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1912326265 | EMILY WEST MD Individual | Dermatology | 3455 MAIN ST STE 5 SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1740748235 | DANIEL MICHAEL LEARY PA-C Individual | Physician Assistant | 3455 MAIN ST STE 5 SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1376275370 | ALEYAH CAMPBELL Individual | Physician Assistant | 3455 MAIN ST STE 5 SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1568865194 | ELIZABETH MCNICHOL FNP Individual | Nurse Practitioner | 3455 MAIN ST STE 5 SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1699229054 | KARLA MARIE WYTAS PA-C Individual | Physician Assistant (Medical) | 3455 MAIN ST STE 5 SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1760896674 | MADELEINE THERESE MAGUIRE NP Individual | Nurse Practitioner (Family) | 3455 MAIN ST STE 5 SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1891219572 | MRS. SARAH JAMES DALHAUS NP Individual | Nurse Practitioner (Family) | 3455 MAIN ST STE 5 SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1942876750 | SOFIA EDDA CAPUA PA-C Individual | Physician Assistant (Surgical) | 3455 MAIN ST STE 5 SPRINGFIELD, MA 01107 (413) 733-9600 |
| 1215668207 | DAVID THEODORE GOUDREAULT PA-C Individual | Physician Assistant (Medical) | 3455 MAIN ST STE 5 SPRINGFIELD, MA 01107 (413) 733-9600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316173495, enumerated in the NPI registry as an "individual" on June 03, 2009
The provider is located at 3455 Main St Ste 5 New England Dermatology & Laser Center Springfield, Ma 01107 and the phone number is (413) 733-9600
The provider's speciality is Dermatology with taxonomy code 207N00000X
The provider has more than 17 years of experience. She graduated from University Of Massachusetts Medical School in 2009.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.7 with an average copayment of $22.67 for new patient appointments. Established patients should expect a typical charge of $73.22 and an average copayment of 18.3. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: All potassium hydroxide (koh) preparations, Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg), Application of light to destroy precancer skin growth, Biopsy of related skin growth, each additional growth, Biopsy of related skin growth, first growth, Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm, Destruction of precancer skin growth, 1 growth, Destruction of precancer skin growth, 2-14 growths, Destruction of skin growth, 1-14 growths, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Injection into skin growth, 1-7 growths, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Melanoma (skin cancer) excision, New patient office or other outpatient visit, 15-29 minutes, New patient office or other outpatient visit, 30-44 minutes, Punch biopsy, first skin growth, Shaving of skin growth of body, arms, or legs, 0.5 cm or less and Therapy procedure using ultraviolet radiation with tar or petroleum jelly application.
The practitioner is affiliated to the following hospital(s): COOLEY DICKINSON HOSPITAL INC,THE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 03, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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