SERGEI SHUMASTER
NPI 1366830606
Family Medicine in Traverse City, MI

Active since January 08, 2015PECOS EnrolledAccepts Medicare Assignment
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684(231) 935-8000(231) 935-8099 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sergei Shumaster NPPES

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

SERGEI SHUMASTER (NPI 1366830606) is an individual family medicine provider in Traverse City, Michigan, licensed in Michigan (4301106592) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Cadillac Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1366830606
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSERGEI SHUMASTER
Location Address1400 MEDICAL CAMPUS DRTraverse City, MI 49684-7823
Mailing Address1400 Medical Campus DrTraverse City, MI 49684-7823 · (231) 935-8000 · Fax (231) 935-8099
Fax(231) 935-8099
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 8, 2015
Last NPPES UpdateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
NPI 1366830606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301106592
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1400 MEDICAL CAMPUS DR, Traverse City, MI 49684

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

Sergei Shumaster 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 ID8325317167
PECOS Enrollment IDI20170710002869
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 21

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
388 services72 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
312 services228 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
300 services146 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
158 services134 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
142 services32 patients
Annual depression screening, 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
121 services121 patients

Hospital Affiliations CMS Care Compare

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

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230081
Location400 Hobart StCadillac, MI 49601 · Wexford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers36 claims114 services$5.80 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers16 claims20 services$0.99 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers42 claims42 services$196.99 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$212.78 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 20

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

Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Nurse Practitioner (Family)
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684
Family Medicine
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684

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 Sergei Shumaster's NPI number?

The NPI number for Sergei Shumaster is 1366830606. It was assigned to this individual provider in the NPPES registry on January 8, 2015.

Where is Sergei Shumaster located?

Sergei Shumaster practices at 1400 Medical Campus Dr, Traverse City, MI 49684. The listed phone number is (231) 935-8000.

What is Sergei Shumaster's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sergei Shumaster enrolled in Medicare?

Yes. Sergei Shumaster 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 Sergei Shumaster accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Sergei Shumaster 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.

Is Sergei Shumaster affiliated with any hospitals?

According to CMS data, Sergei Shumaster is affiliated with Munson Healthcare Cadillac Hospital.

When was this NPI record last updated?

The NPPES record for Sergei Shumaster was last updated on December 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.