KAREN S SHEEHAN M.D.
NPI 1902805732
Radiology - Diagnostic Radiology in Sandusky, OH

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
1101 DECATUR ST, SANDUSKY, OH 44870(866) 439-9184(614) 764-9147 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen S Sheehan M.d. NPPES

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

KAREN S SHEEHAN M.D. (NPI 1902805732) is an individual diagnostic radiology provider in Sandusky, Ohio, licensed in Ohio (35-06-4189-S) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (1991).

NPPES Registry Identity

NPI1902805732
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameKAREN S SHEEHANCredential: M.D.
Location Address1101 DECATUR STSandusky, OH 44870-3335
Mailing AddressPo Box 74289Cleveland, OH 44194-0002 · (866) 439-9184 · Fax (614) 764-9147
Fax(614) 764-9147
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1991
Enumeration DateJuly 14, 2005
Last NPPES UpdateSeptember 5, 2014
NPI 1902805732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in OH · 35-06-4189-S
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1101 DECATUR ST, Sandusky, OH 44870

Other Identifiers 3

Medicaid0247736OH
Medicare UPING14606OH
Medicare PIN0843808OH

Accepted 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

Karen S 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 ID1557454550
PECOS Enrollment IDI20070907000192, I20250130003267, I20251020002597
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 73

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
687 services475 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
484 services484 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
481 services481 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
399 services356 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
392 services364 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
237 services219 patients

Hospital Affiliations CMS Care Compare 3

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360065
Location272 Benedict AvenueNorwalk, OH 44857 · Huron County
Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.06
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
100%905 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine (Emergency Medical Services)
1101 DECATUR ST
SANDUSKY, OH 44870
Nurse Anesthetist, Certified Registered
1101 DECATUR ST
SANDUSKY, OH 44870
Physical Therapist
1101 DECATUR ST
SANDUSKY, OH 44870
Specialist
1101 DECATUR ST
SANDUSKY, OH 44870
Clinical Medical Laboratory
1101 DECATUR ST, 1ST FLOOR LABORATORY
SANDUSKY, OH 44870
Dietitian, Registered
1101 DECATUR ST
SANDUSKY, OH 44870
Emergency Medicine (Emergency Medical Services)
1101 DECATUR ST
SANDUSKY, OH 44870
Physical Therapist
1101 DECATUR ST
SANDUSKY, OH 44870

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 Karen Sheehan's NPI number?

The NPI number for Karen Sheehan is 1902805732. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Karen Sheehan located?

Karen Sheehan practices at 1101 Decatur St, Sandusky, OH 44870. The listed phone number is (866) 439-9184.

What is Karen Sheehan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Karen Sheehan enrolled in Medicare?

Yes. Karen 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 Karen Sheehan accept?

Health plans from CareSource list Karen 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 Karen Sheehan affiliated with any hospitals?

According to CMS data, Karen Sheehan is affiliated with Firelands Regional Medical Center, Fisher-Titus Hospital and Bellevue Hospital.

When was this NPI record last updated?

The NPPES record for Karen Sheehan was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.