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SHANNON RENAE SUTHERLAND D.O.
NPI 1740266501
Obstetrics & Gynecology in Perrysburg, OH

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
1103 VILLAGE SQUARE DR, SUITE 101, PERRYSBURG, OH 43551(419) 872-3219(419) 872-3208 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Renae Sutherland D.o. NPPES

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

SHANNON RENAE SUTHERLAND D.O. (NPI 1740266501) is an individual obstetrics & gynecology provider in Perrysburg, Ohio, licensed in Ohio (34.008522) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Bay Park Community Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1740266501
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHANNON RENAE SUTHERLANDCredential: D.O.
Location Address1103 VILLAGE SQUARE DR, SUITE 101Perrysburg, OH 43551-1783
Mailing Address5901 Monclova RdMaumee, OH 43537 · (419) 872-3201 · Fax (419) 872-3208
Phone(419) 872-3219
Fax(419) 872-3208
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2000
Enumeration DateDecember 22, 2005
Last NPPES UpdateJanuary 18, 2011
✔ NPI 1740266501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OH · 34.008522✔ Licensed in OH · BL9255058
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1103 VILLAGE SQUARE DR, Perrysburg, OH 43551
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Other Names 1

Former Name (1)Shannon Renae Lucente D.o.

Other Identifiers 4

Medicare PIN4166452OH
Medicare ID-Type UnspecifiedLU4166451OH
Medicare UPINI39583OH
Medicaid2604793OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Moda Health Plan, Inc., Molina Healthcare 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

Shannon Renae Sutherland D.o. 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 ID3577591825
PECOS Enrollment IDI20251120002303
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 Shannon Sutherland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bmh Inc
1,441 mi
Family Medicine
1533 N SUNSTONE DR STE A
Idaho Falls, ID 83401
  • Reassigned Medicare billing, Idaho enrollment
  • 159 clinicians in this Medicare group
NPI 1174091896 (208) 529-2828

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 3

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.
49 services39 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
38 services38 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43551 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 15

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

STEPHANIE RENEE GERDEMAN NP
Nurse Practitioner (Family)
1103 VILLAGE SQUARE DR, SUITE 100
PERRYSBURG, OH 43551
Wood County (419) 872-3213
OAKMONT MEDICAL LLC
Family Medicine
1103 VILLAGE SQUARE DR, SUITE 100
PERRYSBURG, OH 43551
Wood County (419) 874-8745
VIRENDER KRISHAN PURI M.D.
Internal Medicine
1103 VILLAGE SQUARE DR, SUITE 100
PERRYSBURG, OH 43551
Wood County (419) 872-3213
DR. JOEL STUART RETHOLTZ D.O..
Internal Medicine
1103 VILLAGE SQUARE DR, STE 100
PERRYSBURG, OH 43551
Wood County (419) 872-3213
RICHARD B. MARKWOOD, DO LLC
Obstetrics & Gynecology
1103 VILLAGE SQUARE DR, SUITE 101
PERRYSBURG, OH 43551
Wood County (419) 872-3201
JOHN O RANKER MD
Internal Medicine
1103 VILLAGE SQUARE DR, STE 205
PERRYSBURG, OH 43551
Wood County (419) 874-3246
OAKMONT FAMILY MEDICINE LLC
Family Medicine
1103 VILLAGE SQUARE DR, SUITE 100
PERRYSBURG, OH 43551
Wood County (419) 874-8745
DIANE JENNIFER KIELMEYER NP
Nurse Practitioner (Family)
1103 VILLAGE SQUARE DR, STE 100
PERRYSBURG, OH 43551
Wood County (419) 872-3213

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 Shannon Sutherland's NPI number?

The NPI number for Shannon Sutherland is 1740266501. It was assigned to this individual provider in the NPPES registry on December 22, 2005. The provider is also known as Shannon Renae Lucente D.O..

Where is Shannon Sutherland located?

Shannon Sutherland practices at 1103 Village Square Dr Suite 101, Perrysburg, OH 43551. The listed phone number is (419) 872-3219.

What is Shannon Sutherland's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shannon Sutherland enrolled in Medicare?

Yes. Shannon Sutherland 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 Shannon Sutherland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Sutherland reassigns Medicare benefits to Bmh Inc (Idaho Falls, ID). 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 Shannon Sutherland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Sutherland accept?

Health plans from Anthem Blue Cross and Blue Shield, Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Providence Health Plan and 1 other insurer list Shannon Sutherland 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 Shannon Sutherland affiliated with any hospitals?

According to CMS data, Shannon Sutherland is affiliated with Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Sutherland was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.