Active NPI 1134147812 Individual Practitioner Male Practitioner

Dr. Mark Jason Sherman , MD

Surgery • La Jolla, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mark Sherman, MD is a certified Surgery practicing in La Jolla, CA. With approximately 37 years of clinical experience since graduating from University Of California, San Diego School Of Medicine in 1989, Dr. Sherman delivers high-quality medical care to the local community at 9850 GENESEE AVE.

Dr. Sherman is affiliated with Surgical Associates Of La Jolla Medical Group, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9850 Genesee Ave
Suite 660

La Jolla, CA 920371224

Telephone 8584525054

Fax 8584525097

Associated Practice Facility / Clinic

🏢 Rhona H. Fink, Md & Julie A. Papatheofanis, Md Facility NPI 1073514915

Medicare Profile & Education

Medical School

University Of California, San Diego School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in La Jolla, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +15.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

44 Specialists

Practicing in La Jolla, CA (3346 Statewide)

Telehealth Adoption Rate

31.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sherman (37 Years) 37 Yrs

La Jolla Specialty Average (21.1 Years) 21.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	309	269	$185.00	$136.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$285.00	$176.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	126	120	$249.00	$191.60
49650 Repair of groin hernia using an endoscope	63	63	$2199.05	$563.87
99213 Established patient office or other outpatient visit, typically 15 minutes	63	56	$122.00	$97.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	62	62	$357.00	$232.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	22	$129.00	$79.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$351.00	$167.15
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	13	13	$65.00	$16.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	200	194	$249.00	$188.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	150	$185.00	$135.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$285.00	$177.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	89	89	$357.00	$230.44
99213 Established patient office or other outpatient visit, typically 15 minutes	64	46	$122.00	$96.57
49650 Repair of groin hernia using an endoscope	57	57	$2378.07	$596.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	19	$129.00	$81.80
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$812.50	$238.10
49594 Initial repair of entrapped hernia of abdomen, 3-10 cm in length	12	12	$1383.25	$744.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	84	$185.00	$136.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	89	$249.00	$190.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	82	82	$357.00	$237.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$285.00	$176.99
49650 Repair of groin hernia using an endoscope	33	33	$2048.48	$551.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	14	$129.00	$74.08
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$122.00	$98.55
49568 Placement of mesh to repair incisional or abdominal hernia	16	13	$496.00	$271.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	106	94	$249.00	$193.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	80	$185.00	$139.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	80	80	$357.00	$237.74
49650 Repair of groin hernia using an endoscope	42	42	$2414.29	$638.67
99213 Established patient office or other outpatient visit, typically 15 minutes	42	34	$122.00	$99.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$287.00	$180.34
49587 Repair of trapped hernia at navel patient age 5 years or older	13	13	$1650.00	$311.73
49568 Placement of mesh to repair incisional or abdominal hernia	12	12	$496.00	$273.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	74	$185.00	$116.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	108	91	$250.00	$154.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	78	78	$357.00	$221.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	23	$129.00	$76.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$281.45	$166.31
49650 Repair of groin hernia using an endoscope	28	28	$2391.07	$615.20
99213 Established patient office or other outpatient visit, typically 15 minutes	27	22	$120.00	$75.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$351.00	$213.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	112	97	$250.61	$152.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	74	74	$357.03	$214.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	59	$187.86	$114.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	12	$129.00	$74.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$285.00	$171.40
49650 Repair of groin hernia using an endoscope	16	16	$2193.75	$579.23
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$496.00	$269.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	80	$186.72	$108.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	57	$250.41	$146.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$285.00	$163.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	46	46	$354.65	$207.90
49650 Repair of groin hernia using an endoscope	33	33	$2324.24	$552.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	14	$129.00	$72.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	101	$185.00	$111.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	100	100	$357.16	$210.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	17	$129.00	$73.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	33	$249.00	$149.54
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$122.00	$75.82
49650 Repair of groin hernia using an endoscope	25	25	$2340.00	$588.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$285.00	$168.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$351.00	$206.54
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2300.00	$682.34
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	13	13	$160.00	$18.66

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G69934

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Surgical Associates Of La Jolla Medical Group, Inc.

9850 Genesee Ave, La Jolla, CA 920371231

Phone: 8584525054

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Cheryl Olson , MD

Surgery

NPI 1043238728

Doctor of Medicine (M.D.)

Dr. Paul Hyde , MD

Surgery

NPI 1225056906

Doctor of Medicine (M.D.)

Dr. Samuel Zuber , MD

Surgery

NPI 1346634219

Doctor of Medicine (M.D.)

Anna Spain

Physician Assistant - Surgical

NPI 1790530152

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 26, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2007

Registered at 9850 GENESEE AVE, SUITE 660, LA JOLLA, CA 920371224 (Tel: 8584525054)

📍

Updated Business Mailing Address September 26, 2007

Registered at 9850 GENESEE AVE, SUITE 660, LA JOLLA, CA 920371224 (Tel: 8584525054)

👤

Provider Name / Credentials Updated September 26, 2007

Recorded as MARK SHERMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2007

Surgery (License #G69934 in CA)

🟢

Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1134147812

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 18, 2006

Last Update: September 26, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9850 Genesee Ave, Suite 660

La Jolla, CA 920371224

Phone: 8584525054

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.