DR. DANIEL WAYNE SHERBENOU MD, PHD
NPI 1104053438
Internal Medicine - Hematology & Oncology in Aurora, CO

Active since June 12, 2009PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1665 AURORA CT, 1665 AURORA COURT MAIL STOP F754, AURORA, CO 80045(803) 213-2731 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2018, Jan 27, 2016 (2 updates tracked since 2016).

About Dr. Daniel Wayne Sherbenou Md, Phd NPPES

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

DR. DANIEL WAYNE SHERBENOU MD, PHD (NPI 1104053438) is an individual hematology & oncology provider in Aurora, Colorado, licensed in Colorado (DR.0055891) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2009).

NPPES Registry Identity

NPI1104053438
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. DANIEL WAYNE SHERBENOUCredential: MD, PHD
Location Address1665 AURORA CT, 1665 AURORA COURT MAIL STOP F754Aurora, CO 80045-2517
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2009
Enumeration DateJune 12, 2009
Last NPPES UpdateApril 17, 20232 updates tracked since enumeration
NPPES CertifiedApril 17, 2023
NPI 1104053438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in CO · DR.0055891
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License DR.0055891 (CO)
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License 0050375 (CO)
1665 AURORA CT, Aurora, CO 80045

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. Daniel Wayne Sherbenou Md, Phd 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 ID8628379971
PECOS Enrollment IDI20151210002771
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 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
296 services132 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
130 services35 patients
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.
27 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

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 suppliers14 claims14 services$68.87 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$31.75 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 20

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

Dermatology (Procedural Dermatology)
1665 AURORA CT
AURORA, CO 80045
Radiology (Radiation Oncology)
1665 AURORA CT, SUITE 1032, MSF706
AURORA, CO 80045
Psychologist (Clinical)
1665 AURORA CT
AURORA, CO 80045
Physician Assistant (Medical)
1665 AURORA CT
AURORA, CO 80045
Radiology (Radiation Oncology)
1665 AURORA CT, SUITE 1032
AURORA, CO 80045
Nurse Practitioner (Adult Health)
1665 AURORA CT
AURORA, CO 80045
Internal Medicine (Hematology & Oncology)
1665 AURORA CT
AURORA, CO 80045
Physician Assistant
1665 AURORA CT
AURORA, CO 80045

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 Daniel Sherbenou's NPI number?

The NPI number for Daniel Sherbenou is 1104053438. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Where is Daniel Sherbenou located?

Daniel Sherbenou practices at 1665 Aurora Ct 1665 Aurora Court Mail Stop F754, Aurora, CO 80045. The listed phone number is (803) 213-2731.

What is Daniel Sherbenou's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Daniel Sherbenou enrolled in Medicare?

Yes. Daniel Sherbenou 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 Daniel Sherbenou accept?

Health plans from Medica and UnitedHealthcare list Daniel Sherbenou 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.

When was this NPI record last updated?

The NPPES record for Daniel Sherbenou was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.