DR. STEVEN ADAM SHANBOM MD
NPI 1265433742
Ophthalmology in Berkley, MI
About Dr. Steven Adam Shanbom Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEVEN ADAM SHANBOM MD (NPI 1265433742) is an individual ophthalmology provider in Berkley, Michigan, licensed in Michigan (4301054486) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Accepted 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
Dr. Steven Adam Shanbom Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Steven Shanbom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berkley, MI 48072
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 1,030 clinicians in this Medicare group
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 15
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48072 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BERKLEY, MI 48072
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 Steven Shanbom's NPI number?
The NPI number for Steven Shanbom is 1265433742. It was assigned to this individual provider in the NPPES registry on August 9, 2005.
Where is Steven Shanbom located?
Steven Shanbom practices at 28747 Woodward Ave, Berkley, MI 48072. The listed phone number is (248) 546-2133.
What is Steven Shanbom's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Steven Shanbom enrolled in Medicare?
Yes. Steven Shanbom 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.
Which organizations bill Medicare for Steven Shanbom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Steven Shanbom reassigns Medicare benefits to 2 organizations: Spiro And Shanbom MD PC (Berkley, MI) and Beaumont Medical Group- Specialty Services (Royal Oak, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Steven Shanbom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Steven Shanbom accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Steven Shanbom 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 Steven Shanbom was last updated on March 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Steven Adam Shanbom, MD · NPI 1265433742
Ophthalmology physician in Berkley, Michigan. Individual provider, active in the CMS NPPES registry since August 9, 2005.
## Identity
- **NPI:** 1265433742 (Entity type: Individual)
- **Enumerated:** August 9, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 4301054486 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 28747 WOODWARD AVE, Berkley, MI 48072-0914
- **Phone:** (248) 546-2133 · **Fax:** (248) 546-6036
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Spiro And Shanbom MD PC (NPI 1184845331, Berkley, MI); Beaumont Medical Group- Specialty Services (NPI 1578072906, Royal Oak, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** March 27, 2008
- **Other identifiers:** Other 18-0-63-8385-1; Other 0980023; Other 5888141; and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1265433742) · Data from the CMS NPPES public registry.