PETER DONALD SERSHON (M.D.) – Urology Physician, NPI 1104813138
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
284 UROLOGY in MN
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Provider Addresses for PETER DONALD SERSHON (M.D.)
CornerStone Medical Specialty Centre, 6025, Lake Road, Woodbury, Washington County, Minnesota, 55125, United States
SUITE 200
WOODBURY, MN 551251712
Phone: (651) 999-6800
Fax: (651) 999-6830
Type: Mailing
360, Sherman Street, West Seventh - Fort Road, Saint Paul, Ramsey County, Minnesota, 55102, United States
SUITE 450
SAINT PAUL, MN 551022564
Phone: (651) 999-6800
Fax: (651) 999-6810
Type: Location
300 E MCBEE AVE FL 4
GREENVILLE, SC 296012842
Phone:
Type: Mailing
425 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 378045807
Phone: (865) 980-5260
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $864.
Total Amount is formed as General ($864) + Research ($0) + Ownership ($0) = $864.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Boston Scientific Corporation ($168).
Total Amount
$864
General + Research + Ownership
Payments
39
Total payment records
General Amount
$864
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-11-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200423000864 | I | Urology | TN | TBD |
| I20251126001009 | I | Urology | FL | 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 |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 369 | 217 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 164 | 128 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 155 | 113 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 118 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 93 | 68 | $0 |
Insurance plans in this area (ZIP 55125)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | MN | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| General Surgery, Vascular Surgery | SC | |
| - | TN | |
| N E U R O L O G Y | CA | |
| Physician Assistant | SC | |
| Nurse Practitioner | TN |
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