DR. THOMAS E SONNANSTINE IV MD
NPI 1396852927
Surgery in Columbus, OH

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
3773 OLENTANGY RIVER RD, LOWER LEVEL, COLUMBUS, OH 43214(614) 566-3946(614) 566-1212 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas E Sonnanstine Iv Md NPPES

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

DR. THOMAS E SONNANSTINE IV MD (NPI 1396852927) is an individual surgery provider in Columbus, Ohio, licensed in Ohio (35085182) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1998).

NPPES Registry Identity

NPI1396852927
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. THOMAS E SONNANSTINE IVCredential: MD
Location Address3773 OLENTANGY RIVER RD, LOWER LEVELColumbus, OH 43214-3425
Mailing Address5400 Frantz Rd, Ste 250Dublin, OH 43016-4144 · (614) 544-6155
Fax(614) 566-1212
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1998
Enumeration DateAugust 23, 2006
Last NPPES UpdateJanuary 5, 2022
NPI 1396852927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OH · 35085182
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3773 OLENTANGY RIVER RD, Columbus, OH 43214

Other Identifiers 3

Medicaid200505460IN
Medicaid2489669OH
Medicaid64080237KY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas E Sonnanstine Iv Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315917077
PECOS Enrollment IDI20110921000759
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This 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.
131 services86 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This 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.
49 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 20

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

Family Medicine
3773 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Family Medicine
3773 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Nurse Practitioner (Acute Care)
3773 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Internal Medicine (Cardiovascular Disease)
3773 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Pharmacist
3773 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Physical Therapist
3773 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Physical Therapist
3773 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Dietitian, Registered
3773 OLENTANGY RIVER RD
COLUMBUS, OH 43214

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 Thomas Sonnanstine's NPI number?

The NPI number for Thomas Sonnanstine is 1396852927. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Thomas Sonnanstine located?

Thomas Sonnanstine practices at 3773 Olentangy River Rd Lower Level, Columbus, OH 43214. The listed phone number is (614) 566-3946.

What is Thomas Sonnanstine's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thomas Sonnanstine enrolled in Medicare?

Yes. Thomas Sonnanstine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Sonnanstine accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Thomas Sonnanstine 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.

Is Thomas Sonnanstine affiliated with any hospitals?

According to CMS data, Thomas Sonnanstine is affiliated with Riverside Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Sonnanstine was last updated on January 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.