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MARK D SHERMAN MD
NPI 1326056235
Ophthalmology in San Luis Obispo, CA

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
95.6/100
CMS Quality Rating
628 CALIFORNIA BLVD, STE D, SAN LUIS OBISPO, CA 93401(805) 545-7881(805) 548-8785 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark D Sherman Md NPPES

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

MARK D SHERMAN MD (NPI 1326056235) is an individual ophthalmology provider in San Luis Obispo, California, licensed in California (H69829) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1985).

NPPES Registry Identity

NPI1326056235
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARK D SHERMANCredential: MD
Location Address628 CALIFORNIA BLVD, STE DSan Luis Obispo, CA 93401
Mailing Address628 California Blvd, Ste DSan Luis Obispo, CA 93401 · (805) 545-8100 · Fax (805) 548-8785
Phone(805) 545-7881
Fax(805) 548-8785
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1985
Enumeration DateAugust 4, 2006
Last NPPES UpdateFebruary 18, 2015
✔ NPI 1326056235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · H69829
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
628 CALIFORNIA BLVD, San Luis Obispo, CA 93401
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Other Identifiers 2

Medicaid00G698290CA
Medicare UPINF19887

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Mark D 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 ID547224552
PECOS Enrollment IDI20041118000397
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 2

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
19 services11 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

95.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost85.36

Other Providers at the Same Location NPPES 9

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

BRIAN BOLENBAUGH
Hearing Instrument Specialist
628 CALIFORNIA BLVD, SUITE F
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-3277
KIMBERLY D JOHNSON O.D.
Optometrist
628 CALIFORNIA BLVD, STE D
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-7881
DUISTERMARS OPTOMETRIC CORPORATION
Optometrist
628 CALIFORNIA BLVD, STE. C
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 546-1988
LAWRENCE J FOGEL MD
Psychiatry & Neurology (Neurology)
628 CALIFORNIA BLVD, SUITE A-3
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-1683
STEVEN C JOHNSON MD
Ophthalmology
628 CALIFORNIA BLVD, STE C
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 547-2090
RANDALL L LONSBROUGH DDS
Dentist (Prosthodontics)
628 CALIFORNIA BLVD, STE F1
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-3204
RETINA SPECIALISTS OF THE CENTRAL COAST INC
Ophthalmology
628 CALIFORNIA BLVD, SUITE C
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 547-2090
CENTRAL COAST EYE ASSOCIATES INC
Ophthalmology
628 CALIFORNIA BLVD, STE C
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-0102

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 Mark Sherman's NPI number?

The NPI number for Mark Sherman is 1326056235. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Mark Sherman located?

Mark Sherman practices at 628 California Blvd Ste D, San Luis Obispo, CA 93401. The listed phone number is (805) 545-7881.

What is Mark Sherman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Sherman enrolled in Medicare?

Yes. Mark 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 Mark Sherman accept?

Health plans from Providence Health Plan list Mark 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 Mark Sherman was last updated on February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.