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THEODORE ROOSEVELT SHERMAN M.D.
NPI 1427072248
Internal Medicine in St Petersburg, FL

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
1201 5TH AVE N, SUITE 410, ST PETERSBURG, FL 33705(727) 822-5410(941) 746-4111 Get Directions Write a Review

NPPES record last updated: May 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore Roosevelt Sherman M.d. NPPES

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

THEODORE ROOSEVELT SHERMAN M.D. (NPI 1427072248) is an individual internal medicine provider in St Petersburg, Florida, licensed in Florida (ME55395) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Orlando Health Bayfront Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (1986).

NPPES Registry Identity

NPI1427072248
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHEODORE ROOSEVELT SHERMANCredential: M.D.
Location Address1201 5TH AVE N, SUITE 410St Petersburg, FL 33705-1433
Mailing Address1201 5th Ave N, Suite 410St Petersburg, FL 33705-1433 · (727) 822-5410 · Fax (941) 746-4111
Phone(727) 822-5410
Fax(941) 746-4111
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1986
Enumeration DateJuly 26, 2006
Last NPPES UpdateMay 21, 2012
✔ NPI 1427072248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME55395
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1201 5TH AVE N, St Petersburg, FL 33705
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Other Identifiers 3

Medicare ID-Type Unspecified094462
Medicare UPINE52992
Medicaid379926300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Theodore Roosevelt Sherman M.d. 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 ID3971799420
PECOS Enrollment IDI20101123000090
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
807 services222 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
280 services103 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
188 services176 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
154 services136 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
77 services71 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
49 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Orlando Health Bayfront Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100032
Location701 6th St SSaint Petersburg, FL 33701 · Pinellas County
Emergency services Birthing friendly

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33705 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 20

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

MS. JENNIFER KAY HIECKE PA-C
Physician Assistant (Medical)
1201 5TH AVE N, SUITE 202
ST PETERSBURG, FL 33705
Pinellas County (727) 820-7701
ALINA GONZALEZ-MAYO MD
Psychiatry & Neurology (Psychiatry)
1201 5TH AVE N, SUITE 305
ST PETERSBURG, FL 33705
Pinellas County (727) 327-3737
MICHAEL T REILLY MD PA
Family Medicine
1201 5TH AVE N
ST PETERSBURG, FL 33705
Pinellas County (727) 821-1132
DR. JAMES ARNOLD MCCLINTIC MD
Internal Medicine
1201 5TH AVE N, SUITE 408
ST PETERSBURG, FL 33705
Pinellas County (727) 894-3733
MICHAEL SIEDLECKI MD
Internal Medicine (Nephrology)
1201 5TH AVE N, STE 302
ST PETERSBURG, FL 33705
Pinellas County (727) 821-2388
ROBISON & GRAMLICH PA
Family Medicine
1201 5TH AVE N, #409
ST PETERSBURG, FL 33705
Pinellas County (727) 894-4100
JOHN S MORROW MD P A
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1201 5TH AVE N, STE 304
ST PETERSBURG, FL 33705
Pinellas County (727) 820-7708
JOHN S MORROW MD P A
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1201 5TH AVE N, STE 304
ST PETERSBURG, FL 33705
Pinellas County (727) 820-7708

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 Theodore Sherman's NPI number?

The NPI number for Theodore Sherman is 1427072248. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Theodore Sherman located?

Theodore Sherman practices at 1201 5th Ave N Suite 410, St Petersburg, FL 33705. The listed phone number is (727) 822-5410.

What is Theodore Sherman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theodore Sherman enrolled in Medicare?

Yes. Theodore Sherman 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 Theodore Sherman accept?

Health plans from AvMed list Theodore Sherman 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 Theodore Sherman affiliated with any hospitals?

According to CMS data, Theodore Sherman is affiliated with Orlando Health Bayfront Hospital and St Anthonys Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Sherman was last updated on May 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.