DR. SHEILA C LLANES-DIOPITA M.D.
NPI 1982861688
Family Medicine in Wilmington, OH

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
1184 W LOCUST ST, WILMINGTON, OH 45177(937) 382-1616(937) 382-7877 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 13, 2024, Apr 19, 2019 (2 updates tracked since 2019).

About Dr. Sheila C Llanes-diopita M.d. NPPES

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

DR. SHEILA C LLANES-DIOPITA M.D. (NPI 1982861688) is an individual family medicine provider in Wilmington, Ohio, licensed in Ohio (35.096923) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Clinton Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982861688
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHEILA C LLANES-DIOPITACredential: M.D.
Location Address1184 W LOCUST STWilmington, OH 45177-2009
Mailing Address1184 W Locust StWilmington, OH 45177-2009 · (937) 382-1616 · Fax (937) 382-7877
Fax(937) 382-7877
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 20, 2008
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1982861688 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 · 35.096923
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.

1184 W LOCUST ST, Wilmington, OH 45177

Secondary Practice Locations 2

Location 16394 Thornberry Ct, Suite 820Mason, OH 45040-7810 · Phone (513) 492-8541 · Fax (513) 492-8542
Location 22241 Rombach AveWilmington, OH 45177-1995 · Phone (937) 283-9910

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

Dr. Sheila C Llanes-diopita 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 ID1759556814
PECOS Enrollment IDI20111219000762
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.

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.
148 services80 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
87 services63 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.
55 services41 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360175
Location610 West Main StreetWilmington, OH 45177 · Clinton County
Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361332
Location1275 North High StreetHillsboro, OH 45133 · Highland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45177 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 2

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
4 suppliers19 claims22 services$5.38 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
2 suppliers37 claims37 services$109.49 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 15

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

Nurse Practitioner (Pediatrics)
1184 W LOCUST ST
WILMINGTON, OH 45177
Nurse Practitioner
1184 W LOCUST ST
WILMINGTON, OH 45177
Family Medicine
1184 W LOCUST ST
WILMINGTON, OH 45177
Nurse Practitioner (Family)
1184 W LOCUST ST
WILMINGTON, OH 45177
Pediatrics
1184 W LOCUST ST
WILMINGTON, OH 45177
Family Medicine
1184 W LOCUST ST
WILMINGTON, OH 45177
Family Medicine
1184 W LOCUST ST
WILMINGTON, OH 45177
Family Medicine
1184 W LOCUST ST
WILMINGTON, OH 45177

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 Sheila Llanes-diopita's NPI number?

The NPI number for Sheila Llanes-diopita is 1982861688. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Sheila Llanes-diopita located?

Sheila Llanes-diopita practices at 1184 W Locust St, Wilmington, OH 45177. The listed phone number is (937) 382-1616.

What is Sheila Llanes-diopita's specialty?

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

Is Sheila Llanes-diopita enrolled in Medicare?

Yes. Sheila Llanes-diopita 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 Sheila Llanes-diopita accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and Oscar Health Insurance list Sheila Llanes-diopita 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 Sheila Llanes-diopita affiliated with any hospitals?

According to CMS data, Sheila Llanes-diopita is affiliated with Clinton Memorial Hospital, Bethesda North and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Llanes-diopita was last updated on December 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.