SERGEI SHUMASTER – Family Medicine Physician, NPI 1366830606
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for SERGEI SHUMASTER
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 496847823
Phone: (231) 935-8000
Fax: (231) 935-8099
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 145 Open Payments records for all available years, with a total value of $2,183.
Total Amount is formed as General ($2,183) + Research ($0) + Ownership ($0) = $2,183.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($465).
Total Amount
$2,183
General + Research + Ownership
Payments
145
Total payment records
General Amount
$2,183
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $465 |
| Lilly USA, LLC | $288 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $209 |
| Novo Nordisk Inc | $167 |
| PFIZER INC. | $158 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170710002869 | I | Family Practice | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 308 | 57 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 291 | 147 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 238 | 169 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 180 | 39 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 172 | 140 | $0 |
Insurance plans in this area (ZIP 49684)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Family Practice | MI | |
| Osteopathic Manipulative Medicine, Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI |
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