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STEFANIE DENISE SHERMAN M.D.
NPI 1912385154
Ophthalmology in Clarkston, MI

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment
63.16/100
CMS Quality Rating
5825 S MAIN ST STE 100, CLARKSTON, MI 48346(248) 620-3000(248) 620-0110 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2020, Jun 26, 2016, Feb 12, 2016 (3 updates tracked since 2016).

About Stefanie Denise Sherman M.d. NPPES

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

STEFANIE DENISE SHERMAN M.D. (NPI 1912385154) is an individual ophthalmology provider in Clarkston, Michigan, licensed in Illinois (125066577) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2015).

NPPES Registry Identity

NPI1912385154
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSTEFANIE DENISE SHERMANCredential: M.D.
Location Address5825 S MAIN ST STE 100Clarkston, MI 48346-2983
Mailing Address5825 S Main St Ste 100Clarkston, MI 48346-2983 · (248) 620-3000 · Fax (248) 620-0110
Phone(248) 620-3000
Fax(248) 620-0110
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2015
Enumeration DateMay 7, 2015
Last NPPES UpdateOctober 25, 20213 updates tracked since enumeration
NPPES CertifiedOctober 25, 2021
✔ NPI 1912385154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in IL · 125066577✔ Licensed in MI · 4301119198
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5825 S MAIN ST STE 100, Clarkston, MI 48346
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stefanie Denise Sherman M.d. 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 ID9436454204
PECOS Enrollment IDI20190711001856
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 Stefanie Sherman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oakland Eye Care, P.C.
Same address
Ophthalmology
5825 S MAIN ST, SUITE 100
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1245332980 (248) 620-3000

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
283 services262 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
185 services169 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
167 services83 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.
132 services132 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
98 services75 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
79 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

63.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.48
Promoting Interoperability0
Improvement Activities40
Cost68.06

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 Stefanie Sherman's NPI number?

The NPI number for Stefanie Sherman is 1912385154. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Stefanie Sherman located?

Stefanie Sherman practices at 5825 S Main St Ste 100, Clarkston, MI 48346. The listed phone number is (248) 620-3000.

What is Stefanie Sherman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Stefanie Sherman enrolled in Medicare?

Yes. Stefanie Sherman 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.

Which organization bills Medicare for Stefanie Sherman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefanie Sherman reassigns Medicare benefits to Oakland Eye Care, P.C. (Clarkston, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stefanie Sherman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stefanie Sherman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 14 other insurers list Stefanie Sherman 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 Stefanie Sherman was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.