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DR. TED JUSTIN STIDHAM M.D.
NPI 1134428402
Pediatrics in Portsmouth, OH

Active since March 25, 2011PECOS Enrolled
1611 27TH ST STE 101, PORTSMOUTH, OH 45662(740) 356-7337(740) 356-6304 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ted Justin Stidham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TED JUSTIN STIDHAM M.D. (NPI 1134428402) is an individual pediatrics provider in Portsmouth, Ohio, licensed in Ohio (35.120739) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134428402
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. TED JUSTIN STIDHAMCredential: M.D.
Location Address1611 27TH ST STE 101Portsmouth, OH 45662-6932
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8681 · Fax (740) 353-7900
Phone(740) 356-7337
Fax(740) 356-6304
Sole ProprietorNo
Enumeration DateMarch 25, 2011
Last NPPES UpdateDecember 16, 2020
NPPES CertifiedDecember 16, 2020
✔ NPI 1134428402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.120739
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1611 27TH ST STE 101, Portsmouth, OH 45662
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Other Identifiers 1

Medicaid0106413OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ted Justin Stidham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ted Stidham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Somc Medical Care Foundation, Inc.
Same address
Diagnostic Radiology
1805 27TH ST
Portsmouth, OH 45662
  • Reassigned Medicare billing, Ohio enrollment
  • 549 clinicians in this Medicare group
NPI 1366686230 (740) 356-8117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY J. BARTOS FNP-BC
Nurse Practitioner
1611 27TH ST STE 101
PORTSMOUTH, OH 45662
Scioto County (740) 356-7337
MIKELL N RASE M.D.
Pediatrics
1611 27TH ST STE 101
PORTSMOUTH, OH 45662
Scioto County (740) 356-7337
JOHN R RADFORD MD
Pediatrics
1611 27TH ST STE 101
PORTSMOUTH, OH 45662
Scioto County (740) 356-7337
STACIA N BOYER
Nurse Practitioner (Pediatrics)
1611 27TH ST STE 101
PORTSMOUTH, OH 45662
Scioto County (740) 356-7337
ALISHA M. IOKIA M.D.
Pediatrics
1611 27TH ST STE 101
PORTSMOUTH, OH 45662
Scioto County (740) 356-7337
COURTNEY MARIE HARRIS CNP
Nurse Practitioner
1611 27TH ST STE 101
PORTSMOUTH, OH 45662
Scioto County (740) 356-7337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ted Stidham's NPI number?

The NPI number for Ted Stidham is 1134428402. It was assigned to this individual provider in the NPPES registry on March 25, 2011.

Where is Ted Stidham located?

Ted Stidham practices at 1611 27th St Ste 101, Portsmouth, OH 45662. The listed phone number is (740) 356-7337.

What is Ted Stidham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ted Stidham enrolled in Medicare?

Yes. Ted Stidham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ted Stidham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ted Stidham reassigns Medicare benefits to Somc Medical Care Foundation, Inc. (Portsmouth, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ted Stidham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ted Stidham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Ted Stidham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ted Stidham was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.