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DR. THERESA RITA SHERIDAN D.O.
NPI 1225345259
Family Medicine in Grove City, OH

Active since September 13, 2010PECOS Enrolled
84.5/100
CMS Quality Rating
1957 OHIO DR, GROVE CITY, OH 43123(614) 366-5671(614) 688-7581 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2024, Jan 13, 2021, Jun 21, 2016 (3 updates tracked since 2016).

About Dr. Theresa Rita Sheridan D.o. NPPES

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

DR. THERESA RITA SHERIDAN D.O. (NPI 1225345259) is an individual family medicine provider in Grove City, Ohio, licensed in Ohio (34.010381) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hudson.

NPPES Registry Identity

NPI1225345259
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THERESA RITA SHERIDANCredential: D.O.
Location Address1957 OHIO DRGrove City, OH 43123-4835
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 366-5671 · Fax (614) 688-7581
Phone(614) 366-5671
Fax(614) 688-7581
Sole ProprietorNo
Enumeration DateSeptember 13, 2010
Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1225345259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34.010381
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1957 OHIO DR, Grove City, OH 43123
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Secondary Practice Location 1

Location 182 W Streetsboro StHudson, OH 44236-2876 · Phone (330) 344-7650

Other Identifiers 1

OtherCB216759CA · Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theresa Rita Sheridan D.o. 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
38 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43123 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

ALLEN DOUGLAS FRYE ARNP CNP
Nurse Practitioner
1957 OHIO DR
GROVE CITY, OH 43123
Franklin County (614) 366-5671
THERESA ERZUAH-CUDJOE APRN-CNP
Nurse Practitioner
1957 OHIO DR
GROVE CITY, OH 43123
Franklin County (614) 366-5671
ANDREW STEPHEN FAIELLA PHARMD
Pharmacist
1957 OHIO DR
GROVE CITY, OH 43123
Franklin County (614) 366-5671
MRS. CHERYL ANN TATKA APRN
Nurse Practitioner
1957 OHIO DR
GROVE CITY, OH 43123
Franklin County (614) 366-5671
DR. THEODORE W. POLLOCK DO
Internal Medicine (Hematology & Oncology)
1957 OHIO DR
GROVE CITY, OH 43123
Franklin County (614) 366-5671
HUMA CHAUDHRY DO
Family Medicine
1957 OHIO DR
GROVE CITY, OH 43123
Franklin County (614) 366-5671

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 Theresa Sheridan's NPI number?

The NPI number for Theresa Sheridan is 1225345259. It was assigned to this individual provider in the NPPES registry on September 13, 2010.

Where is Theresa Sheridan located?

Theresa Sheridan practices at 1957 Ohio Dr, Grove City, OH 43123. The listed phone number is (614) 366-5671.

What is Theresa Sheridan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Theresa Sheridan enrolled in Medicare?

Yes. Theresa Sheridan is registered in the Medicare PECOS enrollment system.

What insurance does Theresa Sheridan accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and Molina Healthcare list Theresa Sheridan 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 Theresa Sheridan was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.