MICHAEL A SERMERSHEIM MD
NPI 1770587487
Psychiatry & Neurology - Neurology in Indianapolis, IN

Q: What is Michael Sermersheim's NPI number?

The NPI number for Michael Sermersheim is 1770587487. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Michael Sermersheim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment

76.74/100

CMS Quality Rating

8402 HARCOURT RD STE 615, INDIANAPOLIS, IN 46260(317) 806-6991(317) 806-6990 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2021, Oct 21, 2019 (2 updates tracked since 2019).

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About Michael A Sermersheim Md NPPES

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

MICHAEL A SERMERSHEIM MD (NPI 1770587487) is an individual neurology provider in Indianapolis, Indiana, licensed in Indiana (01036350A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Indiana University School Of Medicine (1986).

NPPES Registry Identity

NPI1770587487

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMICHAEL A SERMERSHEIMCredential: MD

Location Address8402 HARCOURT RD STE 615Indianapolis, IN 46260-2055

Mailing Address6983 Hillsdale CtIndianapolis, IN 46250-2054 · (317) 849-8350 · Fax (317) 576-6311

Phone(317) 806-6991

Fax(317) 806-6990

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1986

Enumeration DateJune 9, 2005

Last NPPES UpdateMarch 24, 20212 updates tracked since enumeration

NPPES CertifiedMarch 24, 2021

✔ NPI 1770587487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in IN · 01036350A

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

8402 HARCOURT RD STE 615, Indianapolis, IN 46260

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Other Identifiers 2

Other000000089470IN · Anthem Bxbs

Medicaid100262400IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Michael A Sermersheim 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 ID9830232537

PECOS Enrollment IDI20100203000393

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 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.

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.

444 services316 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.

151 services113 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.

145 services134 patients

Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional 95983

This procedure involves a medical professional using electronic equipment to analyze and adjust your implanted neurostimulator, which helps manage nerve activity in your brain, spinal cord, or peripheral nerves. The process typically takes 15 minutes.

142 services40 patients

Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional 95984

This procedure involves the evaluation of implanted neurostimulators in the brain, spinal cord, or peripheral nerves. It includes programming adjustments to optimize its function. A qualified health professional performs this every additional 15 minutes to ensure proper functioning.

106 services27 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

90 services90 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

71 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

54 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

46 services41 patients

Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator 95970

This procedure involves using electronic devices to analyze the function of a neurostimulator - a device implanted in your brain, spinal cord, or peripheral nerves. It helps monitor and adjust the device's settings for optimal performance and patient comfort.

39 services25 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

37 services26 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

27 services26 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

22 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

20 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Community Hospital East

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150074

Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County

Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150084

Location2001 W 86th StIndianapolis, IN 46260 · Marion County

Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150128

Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County

Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150162

Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

76.74/100

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

Scored as part of a group practice

Quality

63.45

Promoting Interoperability

Improvement Activities

Cost

64.23

Reported Quality Measures

Dementia: Functional Status Assessment

Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months

3%312 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

96%1,685 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

22%478 patients1/55-star benchmark: 99%

MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK

Percentage of patients age 12 years and older with a diagnosis of migraine who were prescribed a guideline recommended medication for acute migraine attacks within the 12 month measurement period.

55%268 patients3/55-star benchmark: 90%

Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease

Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for psychiatric symptoms** in the past 12 months

30%157 patients2/55-star benchmark: 100%

Screening for Psychiatric or Behavioral Health Disorders

Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders.

18%334 patients1/55-star benchmark: 100%

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 10

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers11 claims11 services$31.07 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers16 claims16 services$61.17 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers15 claims40 services$26.90 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers16 claims16 services$15.63 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers14 claims14 services$10.70 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers26 claims151 services$1.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 18

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

CYNTHIA K MCGARVEY MD

Psychiatry & Neurology (Neurology)