PHILLIP T. SHERIDAN (M.D.) – Ophthalmology Physician, NPI 1205898004

PHILLIP T. SHERIDAN (M.D.) is a healthcare provider. based in Woodbury, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 37238 (MN). The NPI Number for PHILLIP T. SHERIDAN (M.D.) is 1205898004

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP T. SHERIDAN (M.D.)
NPI
1205898004
Phone
(651) 738-6600
Address
2080 WOODWINDS DR
Enumeration Date
5 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MAYO MEDICAL SCHOOL
Secondary Phone
6515786949
Graduation Year
1993 (33 years ago)
PAC ID
0547157596
Group Practice PAC ID
6709773823
Professional Enrollment ID
I20100213000050
Address ID
MN551252539WO2080XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

415 OPHTHALMOLOGY in MN

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Provider Addresses for PHILLIP T. SHERIDAN (M.D.)

  • Woodwinds Drive, Woodbury, Washington County, Minnesota, 55125, United States

    SUITE 110

    WOODBURY, MN 551252523

    Phone: (651) 738-6600

    Fax: (651) 738-6804

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-08-30 • Largest payer in this snapshot: Alcon Vision LLC ($33).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$33
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100213000050IOphthalmologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system489485$0
99213Established patient office or other outpatient visit, 20-29 minutes114110$0
92083Exam of visual field with extended testing111110$0
92133Imaging of optic nerve110109$0
99214Established patient office or other outpatient visit, 30-39 minutes8278$0
View full utilization report →

Insurance plans in this area (ZIP 55125)

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Provider's Procedures

PHILLIP T. SHERIDAN (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMN92012Eye and medical examination for diagnosis and treatment, established patient160133

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709773823View full group profile
NameSpecialtyState
O P H T H A L M O L O G YKS
O P H T H A L M O L O G YIA
Ophthalmology, Plastic And Reconstructive SurgeryMI
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
-MN

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Frequently asked questions

What is the standard ID for PHILLIP T. SHERIDAN (M.D.) in the U.S.?
In the U.S., PHILLIP T. SHERIDAN (M.D.) is identified by NPI 1205898004.
Quick check: is PHILLIP T. SHERIDAN (M.D.) active?
Public NPPES data shows PHILLIP T. SHERIDAN (M.D.) with an active NPI status right now.
Which specialty label fits PHILLIP T. SHERIDAN (M.D.)?
NPPES ties PHILLIP T. SHERIDAN (M.D.) to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PHILLIP T. SHERIDAN (M.D.)?
PHILLIP T. SHERIDAN (M.D.) is associated with Woodbury, Minnesota in the same public data insurers reference.
Why is information missing for PHILLIP T. SHERIDAN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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