PETER DONALD SERSHON M.D.
NPI 1104813138
Urology in Maryville, TN

Q: What is Peter Sershon's NPI number?

The NPI number for Peter Sershon is 1104813138. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is Peter Sershon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Sershon was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment

79.29/100

CMS Quality Rating

425 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804(865) 980-5260 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Peter Donald Sershon M.d. NPPES

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

PETER DONALD SERSHON M.D. (NPI 1104813138) is an individual urology provider in Maryville, Tennessee, licensed in Tennessee (60706) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Medical College Of Ohio (1989).

NPPES Registry Identity

NPI1104813138

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NamePETER DONALD SERSHONCredential: M.D.

Location Address425 BMH PHYSICIANS OFFICE BLDGMaryville, TN 37804-5807

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842

Phone(865) 980-5260

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 1989

Enumeration DateOctober 4, 2005

Last NPPES UpdateDecember 18, 2025

NPPES CertifiedDecember 18, 2025

✔ NPI 1104813138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in TN · 60706✔ Licensed in MN · 33642

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

425 BMH PHYSICIANS OFFICE BLDG, Maryville, TN 37804

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Other Identifiers 2

MedicaidQ056401TN

Medicaid565205700MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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

Peter Donald Sershon 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 ID244314268

PECOS Enrollment IDI20200423000864

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 Peter Sershon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blount Memorial Physician Group, Inc

1.4 mi

Family Medicine

266 JOULE ST
Alcoa, TN 37701

Reassigned Medicare billing, Tennessee enrollment
295 clinicians in this Medicare group

NPI 1699710194 (865) 984-3864

Santa Rosa Hma Physician Management, LLC

402 mi

Family Medicine

4225 WOODBINE RD STE A
Milton, FL 32571

Reassigned Medicare billing, Florida enrollment
81 clinicians in this Medicare group

NPI 1447365366 (850) 994-6575

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 11

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.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

349 services224 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.

182 services129 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

156 services125 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.

112 services96 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

111 services81 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

92 services92 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440011

Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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.

79.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.55

Promoting Interoperability

Improvement Activities

Cost

63.09

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers13 claims2,810 services$5.25 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier13 claims57 services$6.32 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

2 suppliers13 claims76 services$1.42 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 5

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

DR. REBECCA S LAVELLE M.D.

Urology