Kimberly A Sunshein , NP
Nurse Practitioner โข Kettering, OH
3535 Southern Blvd
Kettering, OH 454291221
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Kimberly Sunshein is listed in NPPES under Nurse Practitioner.
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NPI assigned on January 4, 2006; this date does not establish years in practice.
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Published CMS data list 1,868 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 1,380 service units.
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 450 service units.
- 99349 โ Residence visit for established patient with moderate level of medical decision making, per day: 38 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,340 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 153 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) โ 129 prescription fills, including refills.
- Gabapentin โ 108 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 32 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Kettering, OH (2024, 15 clinicians with data). Median for this group: 63. Middle half: 51 to 193.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: 200. Middle half: 88 to 433.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,667 in 2020 to 1,868 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
3535 Southern Blvd
Kettering, OH 454291221
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 9 distinct additional practice-address records in Beavercreek, OH; Centerville, OH; Dayton, OH and 6 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
373 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $150,645 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $114,509 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
1,362 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$14,486 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Kimberly Sunshein has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Kimberly Sunshein as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Kettering and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Kettering, OH (2024, 15 clinicians with data). Median for this group: 63. Middle half: 51 to 193.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: 200. Middle half: 88 to 433.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Kettering, OH (2024, 15 clinicians with data). Median for this group: $7,233. Middle half: $3,865 to $17,958.
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: $14,983. Middle half: $6,723 to $30,403.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Kettering, OH (2024, 15 clinicians with data). Median for this group: $5,688. Middle half: $2,565 to $13,950.
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: $11,287. Middle half: $4,812 to $22,230.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Kettering, OH (2024, 17 clinicians with data). Median for this group: 211. Middle half: 120 to 263.
More Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,946 clinicians with data). Median for this group: 341. Middle half: 95 to 1,344.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Kettering, OH (2024, 17 clinicians with data). Median for this group: $1,387. Middle half: $737 to $14,486.
Close to the middle for clinicians listed under Nurse Practitioner in Ohio (2024, 1,946 clinicians with data). Median for this group: $17,171. Middle half: $1,153 to $140,965.
24 active clinicians are listed under Nurse Practitioner with a practice address in Kettering, OH (4,257 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Kettering
0% of these 24 clinicians have the CMS telehealth indicator.
79.2% of these 24 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 30% from 2,667 in 2020 to 1,868 in 2024.
- 2020: 2,667
- 2021: 2,846
- 2022: 3,081
- 2023: 2,384
- 2024: 1,868
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Medicare-allowed amount
Medicare-allowed amount decreased 12% from $171,111 in 2020 to $150,645 in 2024.
- 2020: $171,111
- 2021: $186,516
- 2022: $204,392
- 2023: $188,968
- 2024: $150,645
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Paid by Medicare
Paid by Medicare decreased 14% from $133,661 in 2020 to $114,509 in 2024.
- 2020: $133,661
- 2021: $146,644
- 2022: $155,889
- 2023: $145,193
- 2024: $114,509
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 156% from 524 in 2020 to 1,340 in 2024.
- 2020: 524
- 2021: 683
- 2022: 1,758
- 2023: 3,042
- 2024: 1,340
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30-day fills
30-day fills increased 160% from 524 in 2020 to 1,362 in 2024.
- 2020: 524
- 2021: 684
- 2022: 1,775
- 2023: 3,044
- 2024: 1,362
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Part D drug cost
Part D drug cost decreased 34% from $21,842 in 2020 to $14,486 in 2024.
- 2020: $21,842
- 2021: $35,305
- 2022: $46,004
- 2023: $55,924
- 2024: $14,486
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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1,380 | 250 | $178.00 | $80.27 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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450 | 122 | $177.89 | $80.55 |
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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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38 | 13 | $155.21 | $95.38 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 153 | 1,811 | $2,637.83 | 44 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 129 | 1,207 | $2,029.76 | 26 |
| Gabapentin | Gabapentin | 108 | 940 | $980.53 | โ |
| Levothyroxine Sodium | Levothyroxine Sodium | 91 | 801 | $525.81 | โ |
| Oxycodone Hcl | Oxycodone Hcl | 82 | 662 | $1,081.88 | 22 |
| Trazodone Hcl | Trazodone Hcl | 70 | 601 | $607.96 | โ |
| Lorazepam | Lorazepam | 67 | 907 | $547.73 | 26 |
| Tramadol Hcl | Tramadol Hcl | 49 | 540 | $384.67 | 15 |
| Pantoprazole Sodium | Pantoprazole Sodium | 48 | 336 | $405.62 | โ |
| Montelukast Sodium | Montelukast Sodium | 47 | 331 | $368.58 | โ |
| Tamsulosin Hcl | Tamsulosin Hcl | 37 | 328 | $323.76 | โ |
| Donepezil Hcl | Donepezil Hcl | 36 | 254 | $207.30 | โ |
| Pregabalin | Pregabalin | 31 | 443 | $689.28 | โ |
| Atorvastatin Calcium | Atorvastatin Calcium | 30 | 562 | $145.78 | โ |
| Metformin Hcl | Metformin Hcl | 29 | 272 | $120.65 | โ |
| Nifedipine Er | Nifedipine | 28 | 190 | $269.94 | โ |
| Furosemide | Furosemide | 27 | 355 | $84.59 | โ |
| Memantine Hcl | Memantine Hcl | 27 | 189 | $239.86 | โ |
| Amlodipine Besylate | Amlodipine Besylate | 24 | 261 | $109.99 | โ |
| Mirtazapine | Mirtazapine | 23 | 278 | $176.67 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 22 | 605 | $238.72 | โ |
| Clopidogrel | Clopidogrel Bisulfate | 22 | 246 | $114.77 | โ |
| Ondansetron Hcl | Ondansetron Hcl | 22 | 157 | $127.57 | โ |
| Clonazepam | Clonazepam | 21 | 283 | $219.47 | โ |
| Divalproex Sodium | Divalproex Sodium | 21 | 149 | $153.19 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-05-05NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20050203000244
OH
5395796759
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
100 Kettering Way
Franklin, OH 450051155
Phone: 9374584700
3535 Pentagon Blvd
Beavercreek, OH 454311705
Phone: 9377024500
8701 Old Troy Pike
Huber Heights, OH 454241066
Phone: 9375583338
4000 Miamisburg Centerville Rd
Miamisburg, OH 453427615
Phone: 9373848791
1997 Miamisburg Centerville Rd
Centerville, OH 454593811
Phone: 9374016228
405 W Grand Ave
Dayton, OH 454057538
Phone: 9377233211
450 Washington Jackson Rd Ste F
Eaton, OH 453208699
Phone: 9374568376
600 W Main St
Troy, OH 453732928
Phone: 9379807010
6147 State Route 122
Middletown, OH 450055201
Phone: 5132613410
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Nurse Practitioner
Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Emergency Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Internal Medicine - Critical Care Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3131 NEWMARK DR STE 220, MIAMISBURG, OH 453425400 (Tel: 9374364658)
NPI status registered as active in NPPES database
Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958166)
Registered at 4967 CROOKS RD, STE 130, TROY, MI 480985801 (Tel: 2489521601)
Recorded as KIMBERLY SUNSHEIN, NP
Nurse Practitioner (license number reported to NPPES: OH NP08088)
NPI status registered as active in NPPES database
Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958166)
Registered at 4967 CROOKS RD, STE 130, TROY, MI 480985801 (Tel: 2489521601)
Recorded as KIMBERLY SUNSHEIN, NP
Nurse Practitioner (license number reported to NPPES: OH NP08088)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Kettering
- Noriko Banerjee, RN, CNP
- Jessica Decker, NP
- Laura Bohn, APRNCNP
- Amy Kacho, CNP
- Mary Tankersley, CNP
- Stephanie Harris, APRN-CNP
Mailing Address
3131 Newmark Dr Ste 220
Miamisburg, OH 453425400
Phone: 9374364658