MICHAEL THOMAS SHEEHAN M.D.
NPI 1457359358
Surgery in Lima, OH

Q: What is Michael Sheehan's NPI number?

The NPI number for Michael Sheehan is 1457359358. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Q: What is Michael Sheehan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Sheehan was last updated on March 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment

830 W HIGH ST, SUITE 360, LIMA, OH 45801(419) 227-7117(419) 227-2848 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael Thomas Sheehan M.d. NPPES

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

MICHAEL THOMAS SHEEHAN M.D. (NPI 1457359358) is an individual surgery provider in Lima, Ohio, licensed in Ohio (35.059124) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Medical College Of Ohio (1988).

NPPES Registry Identity

NPI1457359358

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMICHAEL THOMAS SHEEHANCredential: M.D.

Location Address830 W HIGH ST, SUITE 360Lima, OH 45801-3971

Mailing AddressPo Box 636930Cincinnati, OH 45263-6930 · (513) 981-5123 · Fax (513) 981-5015

Phone(419) 227-7117

Fax(419) 227-2848

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 1988

Enumeration DateJuly 13, 2005

Last NPPES UpdateMarch 20, 2014

✔ NPI 1457359358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OH · 35.059124

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.

830 W HIGH ST, Lima, OH 45801

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Other Identifiers 3

Medicare UPINF51793OH

Medicare ID-Type UnspecifiedSH0734303OH

Medicaid0911446OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Michael Thomas Sheehan 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 ID3678573920

PECOS Enrollment IDI20070110000358

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 11

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.

96 services49 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.

41 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

14 services14 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

14 services14 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

13 services11 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.

13 services13 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

13 services13 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.

12 services12 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360009

Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County

Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number360058

Location800 West Main StreetColdwater, OH 45828 · Mercer County

Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360066

Location730 West Market StreetLima, OH 45801 · Allen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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.

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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.

MERCY HEALTH-ST RITAS MEDICAL CENTER LLC

Psychologist (Group Psychotherapy)

830 W HIGH ST, SUITE 260
LIMA, OH 45801

Allen County (419) 996-5033

MERCY HEALTH-ST RITAS MEDICAL CENTER LLC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

830 W HIGH ST, SU. 380
LIMA, OH 45801

Allen County (419) 996-5240

JENNIFER M PITSON MS, LAT, ATC

Specialist/Technologist (Athletic Trainer)

830 W HIGH ST
LIMA, OH 45801

Allen County (419) 226-9019

DR. SCOTT C. STALLKAMP M.D.

Obstetrics & Gynecology

830 W HIGH ST, STE 101
LIMA, OH 45801

Allen County (419) 227-0610

LAURIE ANN SCHNIPKE CNP

Nurse Practitioner

830 W HIGH ST, SUITE 250
LIMA, OH 45801

Allen County (419) 228-1535

DAVID K KIM, M.D.,LLC

Durable Medical Equipment & Medical Supplies

830 W HIGH ST, SUITE 302
LIMA, OH 45801

Allen County (419) 224-2601

LIMA FAMILY CARE INC

Family Medicine

830 W HIGH ST, SUITE 307
LIMA, OH 45801

Allen County (419) 227-5879

DR. SHEILLA D MCNEAL M.D.

Pediatrics

830 W HIGH ST, SUITE 102
LIMA, OH 45801

Allen County (419) 222-4045

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 Michael Sheehan's NPI number?

The NPI number for Michael Sheehan is 1457359358. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Michael Sheehan located?

Michael Sheehan practices at 830 W High St Suite 360, Lima, OH 45801. The listed phone number is (419) 227-7117.

What is Michael Sheehan's specialty?

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

Is Michael Sheehan enrolled in Medicare?

Yes. Michael Sheehan 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 Michael Sheehan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Michael Sheehan 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 Michael Sheehan affiliated with any hospitals?

According to CMS data, Michael Sheehan is affiliated with Lima Memorial Health System, Mercer County Joint Township Community Hospital and Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Sheehan was last updated on March 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.