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JOHN M SHEARMAN MD
NPI 1689661498
Internal Medicine - Rheumatology in Portsmouth, NH

Active since October 06, 2005PECOS Enrolled
56.99/100
CMS Quality Rating
278 LAFAYETTE RD, PORTSMOUTH, NH 03801(603) 431-0835(603) 431-1346 Get Directions Write a Review

NPPES record last updated: August 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John M Shearman Md NPPES

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

JOHN M SHEARMAN MD (NPI 1689661498) is an individual rheumatology provider in Portsmouth, New Hampshire, licensed in New Hampshire (5354) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689661498
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJOHN M SHEARMANCredential: MD
Location Address278 LAFAYETTE RDPortsmouth, NH 03801-5455
Mailing Address278 Lafayette RdPortsmouth, NH 03801-5455 · (603) 431-0835 · Fax (603) 431-1346
Phone(603) 431-0835
Fax(603) 431-1346
Sole ProprietorYes
Enumeration DateOctober 6, 2005
Last NPPES UpdateAugust 8, 2007
✔ NPI 1689661498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in NH · 5354✔ Licensed in ME · 011696✔ Licensed in MA · 60527
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
278 LAFAYETTE RD, Portsmouth, NH 03801
Open in Google Maps ↗

Other Identifiers 5

Other139180000ME · Maine Care
Medicare ID-Type UnspecifiedNH0509
Medicaid81110509NH
Other0100509Y0NH01NH · Anthem Bcbs
Medicare UPINC65802

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John M Shearman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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 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.
900 services213 patients
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.
86 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

56.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.92
Improvement Activities40
Cost44.8

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
99%199 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
100%96 patients5/55-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.

Other Providers at the Same Location NPPES 13

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

DR. DELFIN M FAUSTINO D.D.S.
Dentist (General Practice)
278 LAFAYETTE RD
PORTSMOUTH, NH 03801
Rockingham County (603) 436-5444
COASTAL GENERAL SURGICAL ASSOCIATES, PC
Surgery
278 LAFAYETTE RD, SUITE 6
PORTSMOUTH, NH 03801
Rockingham County (603) 431-1551
DR. ANITA REMIG ED.D.
Psychologist
278 LAFAYETTE RD, BLDG E
PORTSMOUTH, NH 03801
Rockingham County (603) 781-3892
MS. APRIL WEEKS RN, MA
Registered Nurse (Psychiatric/Mental Health)
278 LAFAYETTE RD, BUILDING E
PORTSMOUTH, NH 03801
Rockingham County (603) 430-9644
DR. STEPHEN ERIC ANANIAN D.M.D.
Dentist (General Practice)
278 LAFAYETTE RD
PORTSMOUTH, NH 03801
Rockingham County (603) 436-3889
DR. LAURA MARIE CONNOR ED D
Psychologist
278 LAFAYETTE RD, BLDG E WEST ENTRY
PORTSMOUTH, NH 03801
Rockingham County (603) 436-6887
DR. JUANITA MARGO FONSECA D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
278 LAFAYETTE RD, BUILDING E
PORTSMOUTH, NH 03801
Rockingham County (603) 436-7787
STEPHEN E. ANANIAN D.M.D., LLC
Dentist
278 LAFAYETTE RD
PORTSMOUTH, NH 03801
Rockingham County (603) 436-3889

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 John Shearman's NPI number?

The NPI number for John Shearman is 1689661498. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is John Shearman located?

John Shearman practices at 278 Lafayette Rd, Portsmouth, NH 03801. The listed phone number is (603) 431-0835.

What is John Shearman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is John Shearman enrolled in Medicare?

Yes. John Shearman is registered in the Medicare PECOS enrollment system.

What insurance does John Shearman accept?

Health plans from Anthem Blue Cross and Blue Shield list John Shearman 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 John Shearman was last updated on August 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.