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

Q: 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.

Q: What is Sheila Llanes-diopita's specialty?

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

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: October 18, 2026.

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

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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

Phone(937) 382-1616

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, 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

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.

Medicare Billing Reassignments

Medicare enrollment records show Sheila Llanes-diopita reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wilmington Physicians Group LLC

0.6 mi

Family Medicine

610 W MAIN ST
Wilmington, OH 45177

Reassigned Medicare billing, Ohio enrollment
74 clinicians in this Medicare group

NPI 1932401411 (937) 382-5438

Trihealth G LLC

42 mi

Internal Medicine

379 DIXMYTH AVE
Cincinnati, OH 45220

Reassigned Medicare billing, Ohio enrollment
1,126 clinicians in this Medicare group

NPI 1295862944 (513) 246-7000

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 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 16

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

ROSS S WICKSTROM CNP

Nurse Practitioner (Family)