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KIMBERLY C SHEETS DO
NPI 1790765386
Family Medicine in Lodi, OH

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
225 ELYRIA ST, LODI, OH 44254(330) 948-9939(330) 948-2263 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly C Sheets Do NPPES

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

KIMBERLY C SHEETS DO (NPI 1790765386) is an individual family medicine provider in Lodi, Ohio, licensed in Ohio (34-008209) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Summa Health System, and is a graduate of Ohio University, College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1790765386
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLY C SHEETSCredential: DO
Location Address225 ELYRIA STLodi, OH 44254
Mailing Address225 Elyria StLodi, OH 44254-1031 · (330) 948-5533 · Fax (330) 948-2726
Phone(330) 948-9939
Fax(330) 948-2263
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2001
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJune 15, 2018
✔ NPI 1790765386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34-008209
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
225 ELYRIA ST, Lodi, OH 44254
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Other Identifiers 5

Medicaid2504909OH
Other3613031OH · Lodi Hospital Medicare #
Other1003849910OH · Lodi Community Care Center Type 2 Npi #
Other1801807870OH · Lodi Hospital Type 2 Npi #
Other2396081OH · Lodi Hospital Medicaid #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, Oscar Insurance Corporation of Ohio.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

Kimberly C Sheets Do 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 ID4183692288
PECOS Enrollment IDI20040916001261
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 7

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 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.
215 services129 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.
152 services100 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
63 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
20 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Medina Hospital

Acute Care Hospitals · Medina, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360091
Location1000 East Washington StreetMedina, OH 44256 · Medina County
Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Lodi Community Hospital

Critical Access Hospitals · Lodi, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361303
Location225 Elyria StreetLodi, OH 44254 · Medina County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44254 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers40 claims69 services$5.22 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims72 services$2.08 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers33 claims33 services$15.87 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers12 claims12 services$6.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers38 claims38 services$77.52 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LODI COMMUNITY CARE CENTER
Family Medicine
225 ELYRIA ST
LODI, OH 44254
Medina County (330) 948-5533
RAFIK KHALIL MD
Radiology (Diagnostic Radiology)
225 ELYRIA ST
LODI, OH 44254
Medina County (330) 948-1222
PARTNERS PHYSICIAN GROUP
Surgery
225 ELYRIA ST
LODI, OH 44254
Medina County (330) 344-3583
DR. ERIK JOSEPH MODLO M.D.
Internal Medicine
225 ELYRIA ST
LODI, OH 44254
Medina County (330) 948-9939
LODI COMMUNITY HOSPITAL
Clinical Medical Laboratory
225 ELYRIA ST
LODI, OH 44254
Medina County (330) 948-1222
NICOLE A KLONARIS CNP
Nurse Practitioner
225 ELYRIA ST
LODI, OH 44254
Medina County (330) 948-5533
CHARLENE MARIE NAGEL NP-C
Nurse Practitioner (Adult Health)
225 ELYRIA ST
LODI, OH 44254
Medina County (330) 948-9939
VISITING NURSE SERVICE AND AFFILIATES
Home Health
225 ELYRIA ST
LODI, OH 44254
Medina County (330) 948-4053

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 Kimberly Sheets's NPI number?

The NPI number for Kimberly Sheets is 1790765386. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Kimberly Sheets located?

Kimberly Sheets practices at 225 Elyria St, Lodi, OH 44254. The listed phone number is (330) 948-9939.

What is Kimberly Sheets's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimberly Sheets enrolled in Medicare?

Yes. Kimberly Sheets 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 Kimberly Sheets accept?

Health plans from CareSource, Molina Healthcare and Oscar Insurance Corporation of Ohio list Kimberly Sheets 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 Kimberly Sheets affiliated with any hospitals?

According to CMS data, Kimberly Sheets is affiliated with Summa Health System, Akron General Medical Center, Medina Hospital, Cleveland Clinic and Lodi Community Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Sheets was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.