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SHELDON SAUL STOFFER MD
NPI 1801897814
Internal Medicine - Endocrinology, Diabetes & Metabolism in Troy, MI

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
80.53/100
CMS Quality Rating
750 STEPHENSON HWY, 235 BBC, TROY, MI 48083(248) 577-3522(248) 577-3526 Get Directions Write a Review

NPPES record last updated: January 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sheldon Saul Stoffer Md NPPES

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

SHELDON SAUL STOFFER MD (NPI 1801897814) is an individual endocrinology, diabetes & metabolism provider in Troy, Michigan, licensed in Michigan (4301026998) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Wayne State University School Of Medicine (1965).

NPPES Registry Identity

NPI1801897814
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameSHELDON SAUL STOFFERCredential: MD
Location Address750 STEPHENSON HWY, 235 BBCTroy, MI 48083-1103
Mailing Address29355 Northwestern Hwy, 120Southfield, MI 48034-1053
Phone(248) 577-3522
Fax(248) 577-3526
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1965
Enumeration DateAugust 2, 2005
Last NPPES UpdateJanuary 18, 2010
✔ NPI 1801897814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MI · 4301026998
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301026998 (MI)
750 STEPHENSON HWY, Troy, MI 48083
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIND83213MI
Medicare ID-Type Unspecified0F36477065MI
Medicaid409490910MI

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

Sheldon Saul Stoffer 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 ID244210847
PECOS Enrollment IDI20040723000578
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 3

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.
329 services198 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.
65 services54 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48083 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.

80.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.56
Promoting Interoperability100
Improvement Activities40
Cost61.55

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
33%637 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
20%650 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
31%838 patients2/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
14%28 patients
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
20%69 patients1/55-star benchmark: 100%
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.
98%2,353 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%283 patients5/55-star benchmark: 100%
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.
98%1,504 patients5/55-star benchmark: 97%
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…
61%1,497 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%267 patients5/55-star benchmark: 100%
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…
87%1,504 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
17%1,504 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
37%1,504 patients
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 6

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

MICHAEL F PARSLOW JR. PA
Physician Assistant
750 STEPHENSON HWY, BEAUMONT PAYOR CONTRACT SERVICES
TROY, MI 48083
Oakland County (248) 577-3519
LISA SINISHTAJ NP
Nurse Practitioner
750 STEPHENSON HWY, 235 BBC
TROY, MI 48083
Oakland County (248) 577-3522
KRISTEN PELSHAW
Nurse Anesthetist, Certified Registered
750 STEPHENSON HWY
TROY, MI 48083
Oakland County (248) 577-3520
CRISTINA MAIURI CRNA
Nurse Anesthetist, Certified Registered
750 STEPHENSON HWY
TROY, MI 48083
Oakland County (248) 577-3519
MRS. MEGAN ELIZABETH SPEARIN PA-C
Physician Assistant
750 STEPHENSON HWY
TROY, MI 48083
Oakland County (248) 577-3520
ALAN JOSEPH ROSS MD
Internal Medicine
750 STEPHENSON HWY, 235 BBC
TROY, MI 48083
Oakland County (248) 577-3522

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 Sheldon Stoffer's NPI number?

The NPI number for Sheldon Stoffer is 1801897814. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Sheldon Stoffer located?

Sheldon Stoffer practices at 750 Stephenson Hwy 235 Bbc, Troy, MI 48083. The listed phone number is (248) 577-3522.

What is Sheldon Stoffer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sheldon Stoffer enrolled in Medicare?

Yes. Sheldon Stoffer 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 Sheldon Stoffer 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 2 other insurers list Sheldon Stoffer 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 Sheldon Stoffer affiliated with any hospitals?

According to CMS data, Sheldon Stoffer is affiliated with Ascension Providence Hospital, Southfield And Novi and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Sheldon Stoffer was last updated on January 18, 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.