1. Home
  2. Directory
  3. Ohio
  4. Toledo
  5. Internal Medicine
  6. NPI Profile

DR. THOMAS C SODEMAN M.D.
NPI 1932182433
Internal Medicine - Gastroenterology in Toledo, OH

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
3125 TRANSVERSE DR, TOLEDO, OH 43614(419) 383-3780(419) 383-6197 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2017 (2 updates tracked since 2017).

About Dr. Thomas C Sodeman M.d. NPPES

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

DR. THOMAS C SODEMAN M.D. (NPI 1932182433) is an individual gastroenterology provider in Toledo, Ohio, licensed in Ohio (35086316) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and is a graduate of Medical College Of Ohio (1995).

NPPES Registry Identity

NPI1932182433
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. THOMAS C SODEMANCredential: M.D.
Location Address3125 TRANSVERSE DRToledo, OH 43614-8008
Mailing Address3355 Glendale Ave Fl 3Toledo, OH 43614-2426 · (419) 383-5322 · Fax (419) 383-6235
Phone(419) 383-3780
Fax(419) 383-6197
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1995
Enumeration DateNovember 29, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1932182433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OH · 35086316
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3125 TRANSVERSE DR, Toledo, OH 43614
Open in Google Maps ↗

Other Identifiers 1

Medicaid2581291OH

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

Dr. Thomas C Sodeman 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 ID9638106842
PECOS Enrollment IDI20050720000001
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 4

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.

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.
169 services161 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.
18 services15 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.
18 services14 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43614 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
$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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%194 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%155 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
80%354 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%354 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
53%354 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
36%354 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.

CHRISTY WEIKER CNP
Nurse Practitioner
3125 TRANSVERSE DR
TOLEDO, OH 43614
Lucas County (419) 383-3787
MISS NICOLE LOUISE HAMONS R.PH., PHARMD.
Pharmacist
3125 TRANSVERSE DR, RM 1341, SUITE M
TOLEDO, OH 43614
Lucas County (419) 383-3355
JESAL BHATT MD
Student in an Organized Health Care Education/Training Program
3125 TRANSVERSE DR
TOLEDO, OH 43614
Lucas County (419) 383-3771
LINDSEY JACKSON DO
Student in an Organized Health Care Education/Training Program
3125 TRANSVERSE DR
TOLEDO, OH 43614
Lucas County (419) 383-3771
UNIVERSITY OF TOLEDO MEDICAL CTR - 340B
Pharmacy (Clinic Pharmacy)
3125 TRANSVERSE DR, ROOM 1341, SUITE M
TOLEDO, OH 43614
Lucas County (419) 383-3355
CHRISTINA CORRINE CARMONY MA, LPCC
Counselor (Professional)
3125 TRANSVERSE DR
TOLEDO, OH 43614
Lucas County (419) 383-5695
KHALED ABDELJAOUED MD
Student in an Organized Health Care Education/Training Program
3125 TRANSVERSE DR
TOLEDO, OH 43614
Lucas County (419) 291-0159
DR. RAGHEB A ASSALY M.D.
Internal Medicine (Pulmonary Disease)
3125 TRANSVERSE DR
TOLEDO, OH 43614
Lucas County (419) 383-3780

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 Thomas Sodeman's NPI number?

The NPI number for Thomas Sodeman is 1932182433. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Thomas Sodeman located?

Thomas Sodeman practices at 3125 Transverse Dr, Toledo, OH 43614. The listed phone number is (419) 383-3780.

What is Thomas Sodeman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Thomas Sodeman enrolled in Medicare?

Yes. Thomas Sodeman 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 Thomas Sodeman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Thomas Sodeman 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 Thomas Sodeman affiliated with any hospitals?

According to CMS data, Thomas Sodeman is affiliated with University Of Toledo Medical Center and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Sodeman was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.