DR. JON R SHERECK MD
NPI 1316931702
Orthopaedic Surgery - Orthopaedic Trauma in Flagstaff, AZ

Q: What is Jon Shereck's NPI number?

The NPI number for Jon Shereck is 1316931702. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Q: What is Jon Shereck's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Q: When was this NPI record last updated?

The NPPES record for Jon Shereck was last updated on November 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 31, 2005PECOS Enrolled

77.01/100

CMS Quality Rating

107 E OAK AVE, FLAGSTAFF, AZ 86001(928) 779-7880(928) 913-8801 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2019, Jul 23, 2018 (2 updates tracked since 2018).

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About Dr. Jon R Shereck Md NPPES

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

DR. JON R SHERECK MD (NPI 1316931702) is an individual orthopaedic trauma provider in Flagstaff, Arizona, licensed in Arizona (59429) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1316931702

Entity TypeIndividualMale

Primary Taxonomy207XX0801X

Provider Legal NameDR. JON R SHERECKCredential: MD

Location Address107 E OAK AVEFlagstaff, AZ 86001

Mailing Address107 E Oak AveFlagstaff, AZ 86001 · (928) 779-7880 · Fax (928) 913-8801

Phone(928) 779-7880

Fax(928) 913-8801

Sole ProprietorNo

Enumeration DateAugust 31, 2005

Last NPPES UpdateNovember 26, 20192 updates tracked since enumeration

✔ NPI 1316931702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians

Taxonomy Code207XX0801X

License✔ Licensed in AZ · 59429

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License C153955 (CA), 7631 (ND), 23059 (NE)

107 E OAK AVE, Flagstaff, AZ 86001

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Secondary Practice Location 1

Location 1200 W Arbor DrSan Diego, CA 92103 · Phone (858) 657-8200 · Fax (858) 657-8235

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jon R Shereck Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

77.01/100

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

Scored as part of a group practice

Quality

59.66

Promoting Interoperability

100

Improvement Activities

Cost

63.71

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.

NITZA L GLICK PA-C

Physician Assistant (Medical)

107 E OAK AVE, SUITE 202
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2560

KEITH T RYAN MD

Internal Medicine

107 E OAK AVE, SUITE 202
FLAGSTAFF, AZ 86001

Coconino County (928) 213-8633

ARIZONA ALLERGY AND ARTHRITIS P C

Internal Medicine (Rheumatology)

107 E OAK AVE, SUITE 202
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2560

MRS. ELAINE MARIE LAEMMRICH FNP, MSN, RN

Nurse Practitioner (Family)