DR. THOMAS E SONNANSTINE IV MD
NPI 1396852927
Surgery in Columbus, OH
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
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Thomas Sonnanstine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, OH 43214
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Methodist Hospital
Acute Care Hospitals · Columbus, OHGrant Medical Center
Acute Care Hospitals · Columbus, OHPhysician 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.
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.
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.
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.
Which organization bills Medicare for Thomas Sonnanstine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Sonnanstine reassigns Medicare benefits to Ohiohealth Corporation (Columbus, 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 Thomas Sonnanstine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Sonnanstine accept?
Health plans from Anthem Blue Cross and Blue Shield 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 and Grant Medical Center.
When was this NPI record last updated?
The NPPES record for Thomas Sonnanstine was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Thomas E Sonnanstine IV, MD · NPI 1396852927
Surgery physician in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since August 23, 2006.
## Identity
- **NPI:** 1396852927 (Entity type: Individual)
- **Enumerated:** August 23, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 35085182 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 3773 OLENTANGY RIVER RD, LOWER LEVEL, Columbus, OH 43214-3425
- **Phone:** (614) 566-3946 · **Fax:** (614) 566-1212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ohiohealth Corporation (NPI 1194979526, Columbus, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 1998
## Record status
- **NPPES last updated:** January 5, 2022
- **Other identifiers:** Medicaid 200505460 (IN); Medicaid 2489669 (OH); Medicaid 64080237 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1396852927) · Data from the CMS NPPES public registry.