Active NPI 1457359358 Individual Practitioner Male Practitioner

Dr. Michael Thomas Sheehan , MD

Surgery • Lima, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sheehan, MD is a certified Surgery practicing in Lima, OH. With approximately 38 years of clinical experience since graduating from Medical College Of Ohio in 1988, Dr. Sheehan delivers high-quality medical care to the local community at 830 W HIGH ST.

Dr. Sheehan is affiliated with Mercy Health Physicians Lima Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

830 W High St
Suite 360

Lima, OH 458013971

Telephone 4192277117

Fax 4192272848

Associated Practice Facility / Clinic

🏢 Mercy Health-St Ritas Medical Center Llc Facility NPI 1992705669

Medicare Profile & Education

Medical School

Medical College Of Ohio

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lima, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +16.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

15 Specialists

Practicing in Lima, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheehan (38 Years) 38 Yrs

Lima Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	49	$104.00	$75.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$291.00	$165.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$248.40	$158.76
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$30.00	$17.14
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1400.00	$303.28
99239 Hospital discharge day management, more than 30 minutes	13	13	$154.00	$102.62
99284 Emergency department visit with moderate level of medical decision making	13	13	$190.00	$115.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$60.00	$47.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$198.00	$124.54
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$112.82	$68.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$192.64	$121.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	28	$104.00	$76.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$291.00	$167.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$247.00	$159.01
99284 Emergency department visit with moderate level of medical decision making	14	14	$190.00	$118.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$60.00	$48.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	51	$104.00	$69.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$291.00	$190.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$247.00	$155.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$164.71	$109.71
99239 Hospital discharge day management, more than 30 minutes	13	11	$154.00	$102.31
99284 Emergency department visit with moderate level of medical decision making	13	13	$190.00	$121.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$326.00	$217.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	43	$104.00	$70.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	44	$291.00	$196.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$163.63	$109.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$323.00	$217.43
99239 Hospital discharge day management, more than 30 minutes	12	12	$154.00	$103.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	56	$103.00	$71.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$291.00	$200.87
99283 Emergency department visit with low level of medical decision making	17	17	$123.00	$65.50
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$112.00	$73.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	141	64	$103.00	$70.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	68	$291.00	$197.70
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$112.00	$73.01
99239 Hospital discharge day management, more than 30 minutes	22	22	$154.00	$104.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$161.00	$104.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$305.00	$199.64
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$109.00	$71.11
99283 Emergency department visit with low level of medical decision making	13	13	$123.00	$57.92
19301 Partial removal of breast	12	12	$1059.00	$650.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	127	76	$103.00	$71.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	61	$291.00	$198.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$161.00	$103.86
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$112.00	$72.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$305.00	$200.25
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$109.00	$70.12
99239 Hospital discharge day management, more than 30 minutes	15	15	$154.00	$105.03
19301 Partial removal of breast	13	13	$1059.00	$646.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	48	$103.00	$70.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$291.00	$198.07
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$109.00	$69.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$161.00	$103.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	18	$66.00	$40.20
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$112.00	$69.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$198.00	$133.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	15	$56.00	$38.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$159.00	$103.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$305.00	$199.01
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$714.00	$234.09

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.059124

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0911446 (OH)

Hospital & Practice Group Affiliations

Mercy Health Physicians Lima Specialty Care Llc

830 W High St, Lima, OH 458013988

Phone: 4192269610

Mercy Health Physicians Lima Specialty Care Llc

730 W Market St, Lima, OH 458014602

Phone: 4192264310

Mercy Health Physicians Lima Specialty Care Llc

730 W Market St, Lima, OH 458014602

Phone: 4199962714

Mercy Health Physicians Lima Specialty Care Llc

830 W High St, Lima, OH 458013975

Phone: 4192269182

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Cameron Pappa , PA

Physician Assistant - Surgical

NPI 1033760244

Physician Assistant

Brooke Lange , PA-C

Physician Assistant - Medical

NPI 1093103038

Physician Assistant (Certified)

Emma Ruga , PA

Physician Assistant

NPI 1144011826

Physician Assistant

Taran Mcmillan

Physician Assistant

NPI 1326926288

Dr. Jeffrey Wisser , DO

Surgery

NPI 1336147255

Doctor of Osteopathic Medicine (D.O.)

Dr. Jason Bowersock , MD

Surgery

NPI 1396961983

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 20, 2014

Registered at 830 W HIGH ST, SUITE 360, LIMA, OH 458013971 (Tel: 4192277117)

📍

Updated Business Mailing Address March 20, 2014

Registered at PO BOX 636930, CINCINNATI, OH 452636930 (Tel: 5139815123)

👤

Provider Name / Credentials Updated March 20, 2014

Recorded as MICHAEL SHEEHAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2014

Surgery (License #35.059124 in OH)

🟢

Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457359358

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 13, 2005

Last Update: March 20, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 636930

Cincinnati, OH 452636930

Phone: 5139815123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.