SCOTT J SHERMAN MD
NPI 1265486179
Psychiatry & Neurology - Neurology in Tucson, AZ

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
2800 E AJO WAY, TUCSON, AZ 85713(520) 874-4700(520) 874-3425 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Scott J Sherman Md NPPES

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

SCOTT J SHERMAN MD (NPI 1265486179) is an individual neurology provider in Tucson, Arizona, licensed in Arizona (19692) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (1985).

NPPES Registry Identity

NPI1265486179
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSCOTT J SHERMANCredential: MD
Location Address2800 E AJO WAYTucson, AZ 85713-6204
Mailing Address575 E River RdTucson, AZ 85704-5822 · (520) 874-3500 · Fax (520) 874-3484
Fax(520) 874-3425
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1985
Enumeration DateMay 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1265486179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in AZ · 19692
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2800 E AJO WAY, Tucson, AZ 85713

Other Identifiers 3

Medicare ID-Type Unspecified13WCGCR22AZ
Medicaid006446AZ
Medicare UPINE53782

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

Scott J Sherman 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.

PECOS PAC ID8628089000
PECOS Enrollment IDI20060523000146
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 8

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 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.
239 services153 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.
136 services97 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.
77 services68 patients
Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616
This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.
43 services17 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
32 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85713 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

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.

Psychologist (Clinical)
2800 E AJO WAY
TUCSON, AZ 85713
Hospitalist
2800 E AJO WAY, FAMILY AND COMMUNITY MEDICINE AT KINO
TUCSON, AZ 85713
Social Worker (Clinical)
2800 E AJO WAY
TUCSON, AZ 85713
Emergency Medicine
2800 E AJO WAY
TUCSON, AZ 85713
Psychiatry & Neurology (Psychiatry)
2800 E AJO WAY
TUCSON, AZ 85713
Psychiatry & Neurology (Psychiatry)
2800 E AJO WAY
TUCSON, AZ 85713
Psychiatry & Neurology (Addiction Medicine)
2800 E AJO WAY
TUCSON, AZ 85713
Emergency Medicine
2800 E AJO WAY
TUCSON, AZ 85713

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 Scott Sherman's NPI number?

The NPI number for Scott Sherman is 1265486179. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Scott Sherman located?

Scott Sherman practices at 2800 E Ajo Way, Tucson, AZ 85713. The listed phone number is (520) 874-4700.

What is Scott Sherman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Scott Sherman enrolled in Medicare?

Yes. Scott Sherman 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 Scott Sherman accept?

Health plans from Ambetter from Arizona Complete Health and Oscar Health Plan, Inc. list Scott Sherman 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 Scott Sherman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.