MICHAEL SHERAN MD
NPI 1609828250
Internal Medicine in Kingston, NY

Q: What is Michael Sheran's NPI number?

The NPI number for Michael Sheran is 1609828250. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Michael Sheran's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Sheran was last updated on April 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 16, 2006PECOS EnrolledAccepts Medicare Assignment

360 WASHINGTON AVE, KINGSTON, NY 12401(845) 338-7140(845) 338-7141 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Michael Sheran Md NPPES

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

MICHAEL SHERAN MD (NPI 1609828250) is an individual internal medicine provider in Kingston, New York, licensed in New York (179414) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of University Of Connecticut School Of Medicine (1988).

NPPES Registry Identity

NPI1609828250

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMICHAEL SHERANCredential: MD

Location Address360 WASHINGTON AVEKingston, NY 12401-3702

Mailing Address360 Washington AveKingston, NY 12401-3702 · (845) 338-7140 · Fax (845) 338-7141

Phone(845) 338-7140

Fax(845) 338-7141

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1988

Enumeration DateMay 16, 2006

Last NPPES UpdateApril 27, 2010

✔ NPI 1609828250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 179414

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

360 WASHINGTON AVE, Kingston, NY 12401

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Other Identifiers 3

Medicare UPINF32053NY

Medicaid01356858NY

Medicare ID-Type UnspecifiedMS065K1710NY

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

Michael Sheran 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 ID7719082205

PECOS Enrollment IDI20070411000232

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 Billing Reassignment

Medicare enrollment records show Michael Sheran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Associates Of The Hudson Valley

Same address

Infectious Disease

360 WASHINGTON AVE
Kingston, NY 12401

Reassigned Medicare billing, New York enrollment
36 clinicians in this Medicare group

NPI 1700966801 (845) 338-7140

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 11

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 low level od decision making, if using time, 20 minutes or more 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.

578 services245 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

294 services175 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

275 services275 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

87 services11 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

42 services32 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

36 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330023

Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County

Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330049

Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County

Emergency services Birthing friendly

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330224

Location105 Mary's AvenueKingston, NY 12401 · Ulster County

Emergency services Birthing friendly

Margaretville Memorial Hospital

Critical Access Hospitals · Margaretville, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331304

Location42084 State Highway 28Margaretville, NY 12455 · Delaware County

Emergency services

Ellenville Regional Hospital

Critical Access Hospitals · Ellenville, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331310

Location10 Healthy WayEllenville, NY 12428 · Ulster County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12401 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

$141.77 typical visit price

range $61.88 – $187.05

Typical copayment $35.44 (range $15.47 – $46.76)

Most-billed visit code 99204

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

95%279 patients4/55-star benchmark: 100%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

92%60 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

96%316 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

99%426 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

96%145 patients4/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

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

17 suppliers59 claims153 services$6.25 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers18 claims19 services$1.01 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers18 claims18 services$51.68 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers16 claims16 services$17.04 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers17 claims17 services$13.27 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers23 claims129 services$2.07 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 16

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

ANDROMEDA RAINDANCE

Nurse Practitioner (Family)