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DR. VERONICA KEMERKO SESI D.O.
NPI 1801007620
Psychiatry & Neurology - Neurology in Shelby Township, MI

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
50505 SCHOENHERR RD STE 290, SHELBY TOWNSHIP, MI 48315(586) 314-0080(586) 731-6257 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2023, Oct 22, 2020 (2 updates tracked since 2020).

About Dr. Veronica Kemerko Sesi D.o. NPPES

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

DR. VERONICA KEMERKO SESI D.O. (NPI 1801007620) is an individual neurology provider in Shelby Township, Michigan, licensed in Michigan (5101016443) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801007620
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. VERONICA KEMERKO SESICredential: D.O.
Location Address50505 SCHOENHERR RD STE 290Shelby Township, MI 48315-3141
Mailing Address50505 Schoenherr Rd Ste 290Shelby Township, MI 48315-3141 · (586) 314-0800 · Fax (586) 731-6257
Phone(586) 314-0080
Fax(586) 731-6257
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2005
Enumeration DateMay 24, 2007
Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1801007620 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 MI · 5101016443
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.
50505 SCHOENHERR RD STE 290, Shelby Township, MI 48315
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Secondary Practice Locations 2

Location 115959 Hall Rd Ste 100Macomb, MI 48044-5364 · Phone (586) 416-5940
Location 21701 South Blvd ERochester Hills, MI 48307-6122 · Phone (810) 245-6965 · Fax (574) 212-0510

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

Dr. Veronica Kemerko Sesi D.o. 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 ID5193911899
PECOS Enrollment IDI20101119000953
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 9

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.
299 services260 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.
126 services96 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
44 services42 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.
37 services37 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
32 services31 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
25 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Mclaren Lapeer Region

Acute Care Hospitals · Lapeer, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230193
Location1375 N Main StLapeer, MI 48446 · Lapeer County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48315 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%57 patients5/55-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
1%849 patients1/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%882 patients1/55-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…
9%2,619 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 14% · 773 patients
15%773 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
25%882 patients2/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 849 patients
0%849 patients5/55-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 19

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
39 suppliers753 claims753 services$30.63 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
36 suppliers458 claims458 services$70.03 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
35 suppliers417 claims995 services$25.70 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
25 suppliers270 claims1,414 services$13.93 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
26 suppliers208 claims1,099 services$12.28 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
38 suppliers618 claims619 services$43.77 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 5

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

KELSEY JOA
Nurse Practitioner (Acute Care)
50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 314-0080
LAURA MARIE FRANCIS PA-C
Physician Assistant (Medical)
50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 314-0080
DR. JOSEPH MARDELLI M.D.
Internal Medicine (Pulmonary Disease)
50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 314-0080
DR. KELLY ANNE TERNES D.O.
Internal Medicine (Pulmonary Disease)
50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 314-0080
DR. JOHN PATRICK WILLOUGHBY M.D.
Internal Medicine (Pulmonary Disease)
50505 SCHOENHERR RD STE 290
SHELBY TWP, MI 48315
Macomb County (586) 314-0080

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 Veronica Sesi's NPI number?

The NPI number for Veronica Sesi is 1801007620. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Veronica Sesi located?

Veronica Sesi practices at 50505 Schoenherr Rd Ste 290, Shelby Township, MI 48315. The listed phone number is (586) 314-0080.

What is Veronica Sesi's specialty?

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

Is Veronica Sesi enrolled in Medicare?

Yes. Veronica Sesi 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.

What insurance does Veronica Sesi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Veronica Sesi 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.

Is Veronica Sesi affiliated with any hospitals?

According to CMS data, Veronica Sesi is affiliated with Beaumont Hospital - Grosse Pointe, Mclaren Lapeer Region and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Veronica Sesi was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.