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DR. DONISE B. SHERIDAN O.D.
NPI 1457325565
Optometrist in Mayfield, KY

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
1400 COMMONWEALTH DR., MAYFIELD, KY 42066(270) 247-2417(270) 247-2090 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Donise B. Sheridan O.d. NPPES

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

DR. DONISE B. SHERIDAN O.D. (NPI 1457325565) is an individual optometrist in Mayfield, Kentucky, licensed in Kentucky (1388DT) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1997).

NPPES Registry Identity

NPI1457325565
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DONISE B. SHERIDANCredential: O.D.
Location Address1400 COMMONWEALTH DR.Mayfield, KY 42066
Mailing Address1400 Commonwealth DrMayfield, KY 42066 · (270) 247-2417 · Fax (270) 247-2090
Phone(270) 247-2417
Fax(270) 247-2090
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1997
Enumeration DateFebruary 15, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1457325565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 1388DT
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1400 COMMONWEALTH DR., Mayfield, KY 42066
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Other Identifiers 6

Other135441KY · Cole Managed Vision
Other390980KY · Healthlink
Other5679620KY · Aetna
Medicaid77013886KY
OtherU68612KY · Bluegrass Family Health
Other000000214672KY · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.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. Donise B. Sheridan O.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 ID8527114305
PECOS Enrollment IDI20100518000454
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 9

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,066 services11 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
147 services147 patients
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.
102 services92 patients
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.
81 services65 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
44 services43 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
32 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42066 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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 Donise Sheridan's NPI number?

The NPI number for Donise Sheridan is 1457325565. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Donise Sheridan located?

Donise Sheridan practices at 1400 Commonwealth Dr., Mayfield, KY 42066. The listed phone number is (270) 247-2417.

What is Donise Sheridan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Donise Sheridan enrolled in Medicare?

Yes. Donise Sheridan 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 Donise Sheridan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 7 other insurers list Donise 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 Donise Sheridan was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.