DR. SHERI L ROWEN MD
NPI 1548203904
Ophthalmology in Newport Beach, CA
About Dr. Sheri L Rowen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHERI L ROWEN MD (NPI 1548203904) is an individual ophthalmology provider in Newport Beach, California, licensed in California (C131504) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sheri L Rowen 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sheri Rowen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newport Beach, CA 92660
- Reassigned Medicare billing, California enrollment
- 48 clinicians in this Medicare group
Aliso Viejo, CA 92656
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Fullerton, CA 92835
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Jeffrey V. Winston, M.D., A Professional Corp.
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 14
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Sheri Rowen's NPI number?
The NPI number for Sheri Rowen is 1548203904. It was assigned to this individual provider in the NPPES registry on June 14, 2006.
Where is Sheri Rowen located?
Sheri Rowen practices at 4220 Von Karman Ave Suite 100, Newport Beach, CA 92660. The listed phone number is (949) 854-7400.
What is Sheri Rowen's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Sheri Rowen enrolled in Medicare?
Yes. Sheri Rowen 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.
Which organizations bill Medicare for Sheri Rowen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheri Rowen reassigns Medicare benefits to 3 organizations: Thomas S Tooma M D A Professional Corporation (Newport Beach, CA), Shahla Abedi M D A Professional Corporation (Aliso Viejo, CA) and Jeffrey V. Winston, MD A Professional Corp (Fullerton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheri Rowen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheri Rowen accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Sheri Rowen 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 Sheri Rowen was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Sheri L Rowen, MD · NPI 1548203904
Ophthalmology physician in Newport Beach, California. Individual provider, active in the CMS NPPES registry since June 14, 2006.
## Identity
- **NPI:** 1548203904 (Entity type: Individual)
- **Enumerated:** June 14, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** C131504 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4220 VON KARMAN AVE, SUITE 100, Newport Beach, CA 92660-2044
- **Phone:** (949) 854-7400 · **Fax:** (949) 234-8295
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Thomas S Tooma M D A Professional Corporation (NPI 1922129865, Newport Beach, CA); Shahla Abedi M D A Professional Corporation (NPI 1760579379, Aliso Viejo, CA); Jeffrey V. Winston, MD A Professional Corp (NPI 1477687135, Fullerton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 1982
## Record status
- **NPPES last updated:** June 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1548203904) · Data from the CMS NPPES public registry.