NEAL SHERAN
NPI 1386074524
Family Medicine in Martinez, CA

Q: What is Neal Sheran's NPI number?

The NPI number for Neal Sheran is 1386074524. It was assigned to this individual provider in the NPPES registry on November 26, 2013.

Q: What is Neal Sheran's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Neal Sheran was last updated on August 25, 2014. 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.

Active since November 26, 2013PECOS EnrolledAccepts Medicare Assignment

90.25/100

CMS Quality Rating

2500 ALHAMBRA AVE, MARTINEZ, CA 94553(925) 370-2500 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Neal Sheran NPPES

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

NEAL SHERAN (NPI 1386074524) is an individual family medicine provider in Martinez, California, licensed in California (A131815) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2013).

NPPES Registry Identity

NPI1386074524

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNEAL SHERAN

Location Address2500 ALHAMBRA AVEMartinez, CA 94553-3156

Mailing Address2500 Alhambra AveMartinez, CA 94553-3156 · (925) 370-2500

Phone(925) 370-2500

Sole ProprietorNo

Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2013

Enumeration DateNovember 26, 2013

Last NPPES UpdateAugust 25, 2014

✔ NPI 1386074524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A131815

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.

2500 ALHAMBRA AVE, Martinez, CA 94553

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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

Neal Sheran 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 ID1355649500

PECOS Enrollment IDI20200707001033

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

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 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.

48 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94553 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

90.25/100

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

Scored as part of a group practice

Quality

70.03

Promoting Interoperability

Improvement Activities

Cost

81.64

Referred Medical Equipment & Supplies CMS DME claims 2

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

5 suppliers12 claims40 services$5.26 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers11 claims13 services$0.95 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.

JOHN S HAWKINS

Family Medicine