1. Home
  2. Directory
  3. Ohio
  4. Centerville
  5. Podiatrist
  6. NPI Profile

KEVIN FREDERICK SUNSHEIN D.P.M.
NPI 1538164348
Podiatrist in Centerville, OH

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
6474 CENTERVILLE BUSINESS PKWY, CENTERVILLE, OH 45459(937) 435-7477(937) 435-6644 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin Frederick Sunshein D.p.m. NPPES

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

KEVIN FREDERICK SUNSHEIN D.P.M. (NPI 1538164348) is an individual podiatrist in Centerville, Ohio, licensed in Ohio (36002266) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of William M. Scholl College Of Podiatric Medicine (1984).

NPPES Registry Identity

NPI1538164348
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameKEVIN FREDERICK SUNSHEINCredential: D.P.M.
Location Address6474 CENTERVILLE BUSINESS PKWYCenterville, OH 45459-2633
Mailing Address6474 Centerville Business PkwyCenterville, OH 45459-2633 · (937) 435-7477 · Fax (937) 435-6644
Phone(937) 435-7477
Fax(937) 435-6644
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1984
Enumeration DateJune 17, 2005
Last NPPES UpdateMarch 22, 2016
✔ NPI 1538164348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in OH · 36002266
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
6474 CENTERVILLE BUSINESS PKWY, Centerville, OH 45459
Open in Google Maps ↗

Other Identifiers 2

Medicaid0864131OH
Medicare PINSU0704954OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Kevin Frederick Sunshein D.p.m. 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 ID1850342460
PECOS Enrollment IDI20060303000359
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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Sunshein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kevin F Sunshein DPM Inc
Same address
Podiatrist
6474 CENTERVILLE BUSINESS PKWY
Centerville, OH 45459
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1154374304 (937) 435-7477

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 10

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.
415 services238 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
173 services127 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
121 services121 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.
82 services66 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
43 services32 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.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 3

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

KEVIN F SUNSHEIN DPM INC
Podiatrist
6474 CENTERVILLE BUSINESS PKWY
CENTERVILLE, OH 45459
Montgomery County (937) 435-7477
ANASTASIA KOSS DPM
Podiatrist
6474 CENTERVILLE BUSINESS PKWY
DAYTON, OH 45459
Montgomery County (937) 435-7477
DR. CARL SAALER BRAUNSCHWEIGER DPM
Podiatrist (Foot & Ankle Surgery)
6474 CENTERVILLE BUSINESS PKWY
CENTERVILLE, OH 45459
Montgomery County (937) 435-7477

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 Kevin Sunshein's NPI number?

The NPI number for Kevin Sunshein is 1538164348. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Kevin Sunshein located?

Kevin Sunshein practices at 6474 Centerville Business Pkwy, Centerville, OH 45459. The listed phone number is (937) 435-7477.

What is Kevin Sunshein's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kevin Sunshein enrolled in Medicare?

Yes. Kevin Sunshein 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 Kevin Sunshein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Sunshein reassigns Medicare benefits to Kevin F Sunshein DPM Inc (Centerville, 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 Kevin Sunshein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Sunshein accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and UnitedHealthcare list Kevin Sunshein 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 Kevin Sunshein was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.