Active NPI 1225070378 Individual Practitioner Male Practitioner

Dr. Scott B Sheren , MD

Ophthalmology • Riverhead, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Sheren, MD is a certified Ophthalmology practicing in Riverhead, NY. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Sheren delivers high-quality medical care to the local community at 937 E MAIN ST.

Dr. Sheren is affiliated with North Shore-Lij Medical Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

937 E Main St

Riverhead, NY 119012564

Telephone 6313690777

Fax 6313690976

Associated Practice Facility / Clinic

🏢 Prohealth Care Associates, Llp Facility NPI 1811935943

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Riverhead, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +13.3 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Riverhead, NY (1980 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheren (40 Years) 40 Yrs

Riverhead Specialty Average (26.7 Years) 26.7 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
92014 Established patient complete exam of visual system	2,490	1,833	$679.00	$144.98
92134 Imaging of retina	1,489	1,027	$238.94	$46.45
99213 Established patient office or other outpatient visit, typically 15 minutes	965	565	$494.13	$105.37
92133 Imaging of optic nerve	938	664	$239.00	$40.09
92083 Exam of visual field with extended testing	584	547	$407.00	$74.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	564	524	$689.51	$147.58
92136 Measurement of corneal curvature and depth of eye	465	318	$335.75	$45.29
66984 Removal of cataract with insertion of lens	453	298	$3373.00	$618.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	273	273	$917.00	$194.52
92020 Examination of cornea and iris using lens device and slit lamp	136	118	$133.00	$31.37
76514 Ultrasound scan of cornea to determine thickness	91	91	$66.00	$12.75
92250 Photography of the retina	86	84	$402.00	$42.98
92004 New patient complete exam of visual system	73	73	$647.00	$171.49
66821 Removal of recurring cataract in lens capsule using a laser	69	63	$1456.00	$379.33
92201 Extended exam of the back part of the eye with retinal drawing	38	25	$133.00	$28.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$622.00	$130.79
65855 Laser repair to improve eye fluid flow	15	13	$1699.20	$290.12
66982 Complex removal of cataract with insertion of prosthetic lens	13	13	$4716.00	$821.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,490	1,761	$679.10	$146.58
92134 Imaging of retina	1,524	992	$239.00	$46.91
92133 Imaging of optic nerve	973	698	$239.00	$40.71
99213 Established patient office or other outpatient visit, typically 15 minutes	959	576	$494.00	$105.88
92083 Exam of visual field with extended testing	689	617	$407.00	$73.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	578	524	$689.79	$149.41
92136 Measurement of corneal curvature and depth of eye	424	289	$334.14	$46.31
66984 Removal of cataract with insertion of lens	408	272	$3373.00	$624.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	312	312	$917.00	$195.68
92020 Examination of cornea and iris using lens device and slit lamp	169	144	$133.00	$31.80
92250 Photography of the retina	136	136	$402.00	$43.50
76514 Ultrasound scan of cornea to determine thickness	86	86	$66.00	$13.30
92004 New patient complete exam of visual system	82	82	$647.00	$172.69
66821 Removal of recurring cataract in lens capsule using a laser	61	52	$1456.00	$385.90
92201 Extended exam of the back part of the eye with retinal drawing	33	24	$133.00	$28.36
65855 Laser repair to improve eye fluid flow	23	19	$1593.00	$288.27
67820 Removal of eyelashes using forceps	22	15	$252.00	$22.26
92012 Established patient problem focused exam of visual system	22	20	$483.00	$101.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$622.00	$133.49
92025 Ct scan of cornea	20	15	$158.00	$41.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,430	1,647	$679.00	$149.19
92134 Imaging of retina	1,392	915	$239.00	$47.82
99213 Established patient office or other outpatient visit, typically 15 minutes	935	563	$494.00	$108.52
92133 Imaging of optic nerve	872	635	$239.00	$41.39
92083 Exam of visual field with extended testing	604	546	$407.00	$75.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	516	473	$688.34	$151.43
92136 Measurement of corneal curvature and depth of eye	416	284	$339.39	$49.33
66984 Removal of cataract with insertion of lens	378	250	$3373.00	$635.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	299	299	$917.00	$200.92
92250 Photography of the retina	153	152	$402.00	$44.22
92020 Examination of cornea and iris using lens device and slit lamp	149	132	$133.00	$32.61
76514 Ultrasound scan of cornea to determine thickness	70	70	$66.00	$13.86
92201 Extended exam of the back part of the eye with retinal drawing	60	42	$133.00	$28.69
92004 New patient complete exam of visual system	52	52	$647.00	$172.21
66821 Removal of recurring cataract in lens capsule using a laser	49	47	$1456.00	$399.56
92012 Established patient problem focused exam of visual system	31	31	$483.00	$104.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$622.00	$136.37
67820 Removal of eyelashes using forceps	22	16	$252.00	$22.54
92025 Ct scan of cornea	19	17	$158.00	$43.09
65855 Laser repair to improve eye fluid flow	13	11	$1593.00	$293.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,566	1,723	$472.09	$152.34
92134 Imaging of retina	1,178	779	$199.58	$49.32
92133 Imaging of optic nerve	820	611	$190.75	$42.48
99213 Established patient office or other outpatient visit, typically 15 minutes	685	428	$342.96	$111.27
92083 Exam of visual field with extended testing	636	552	$326.85	$77.34
66984 Removal of cataract with insertion of lens	375	261	$2923.77	$654.90
92136 Measurement of corneal curvature and depth of eye	364	270	$318.34	$56.07
92012 Established patient problem focused exam of visual system	317	263	$316.86	$108.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	313	302	$425.03	$156.99
92250 Photography of the retina	251	247	$274.64	$47.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	243	243	$685.93	$206.25
92020 Examination of cornea and iris using lens device and slit lamp	136	109	$117.35	$33.00
76514 Ultrasound scan of cornea to determine thickness	76	76	$56.33	$14.32
66821 Removal of recurring cataract in lens capsule using a laser	47	42	$1325.83	$409.45
92201 Extended exam of the back part of the eye with retinal drawing	46	30	$113.37	$29.68
92004 New patient complete exam of visual system	38	38	$573.11	$179.66
67820 Removal of eyelashes using forceps	33	17	$190.67	$25.80
92025 Ct scan of cornea	19	14	$150.74	$44.42
65855 Laser repair to improve eye fluid flow	12	12	$1121.00	$297.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$575.50	$220.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,615	1,833	$445.00	$150.03
92134 Imaging of retina	1,043	740	$145.00	$48.62
92012 Established patient problem focused exam of visual system	893	512	$310.00	$105.73
92133 Imaging of optic nerve	748	583	$130.00	$42.37
92083 Exam of visual field with extended testing	545	502	$230.00	$76.42
92250 Photography of the retina	373	353	$180.00	$54.57
92136 Measurement of corneal curvature and depth of eye	339	244	$250.00	$59.25
66984 Removal of cataract with insertion of lens	337	242	$2300.00	$660.18
92004 New patient complete exam of visual system	138	138	$530.00	$178.10
92020 Examination of cornea and iris using lens device and slit lamp	122	102	$95.00	$32.63
76514 Ultrasound scan of cornea to determine thickness	77	74	$45.00	$14.27
66821 Removal of recurring cataract in lens capsule using a laser	47	44	$1190.00	$395.18
67820 Removal of eyelashes using forceps	32	20	$160.00	$32.55
92201 Extended exam of the back part of the eye with retinal drawing	31	22	$90.00	$29.78
0191T Internal insertion of eye fluid drainage device	18	13	$2000.00	$396.82
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$260.00	$90.55
92002 New patient problem focused exam of visual system	15	15	$295.00	$99.98
65855 Laser repair to improve eye fluid flow	13	13	$885.00	$300.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	3,271	2,089	$372.97	$148.00
92134 Imaging of retina	1,226	815	$148.79	$47.89
92012 Established patient problem focused exam of visual system	962	554	$265.03	$103.55
92133 Imaging of optic nerve	878	687	$145.15	$41.13
92083 Exam of visual field with extended testing	701	643	$263.38	$76.20
92250 Photography of the retina	395	390	$228.80	$60.20
66984 Removal of cataract with insertion of lens	369	273	$2222.76	$740.68
92136 Measurement of corneal curvature and depth of eye	368	285	$250.00	$65.88
92004 New patient complete exam of visual system	179	179	$450.22	$176.35
92020 Examination of cornea and iris using lens device and slit lamp	133	116	$135.94	$31.89
76514 Ultrasound scan of cornea to determine thickness	118	116	$88.35	$14.83
66821 Removal of recurring cataract in lens capsule using a laser	57	50	$1067.72	$382.27
67820 Removal of eyelashes using forceps	31	18	$158.71	$39.11
76519 Ultrasound of eye for determination of lens power	27	27	$244.44	$78.57
92225 Examination of eye by ophthalmoscope with retinal drawing	20	20	$170.00	$35.11
92226 Examination of eye by ophthalmoscope with retinal drawing	14	14	$171.43	$29.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	3,375	2,178	$350.00	$146.15
92134 Imaging of retina	1,157	795	$150.00	$47.96
92012 Established patient problem focused exam of visual system	938	577	$250.00	$101.83
92133 Imaging of optic nerve	774	647	$150.00	$41.14
92083 Exam of visual field with extended testing	684	618	$275.00	$75.58
66984 Removal of cataract with insertion of lens	468	348	$2200.00	$738.04
92136 Measurement of corneal curvature and depth of eye	454	342	$250.00	$70.35
92250 Photography of the retina	370	360	$255.00	$67.52
92004 New patient complete exam of visual system	187	187	$425.00	$173.65
92020 Examination of cornea and iris using lens device and slit lamp	134	117	$150.00	$30.65
76514 Ultrasound scan of cornea to determine thickness	95	94	$100.00	$17.59
66821 Removal of recurring cataract in lens capsule using a laser	56	54	$1020.00	$389.75
67820 Removal of eyelashes using forceps	36	25	$160.00	$51.92
92225 Examination of eye by ophthalmoscope with retinal drawing	21	21	$150.00	$36.90
76519 Ultrasound of eye for determination of lens power	20	20	$250.00	$87.66
92226 Examination of eye by ophthalmoscope with retinal drawing	12	12	$150.00	$28.72
66982 Complex removal of cataract with insertion of prosthetic lens	12	11	$3025.00	$928.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	3,273	2,194	$350.00	$142.56
92012 Established patient problem focused exam of visual system	1,018	610	$250.00	$98.82
92134 Imaging of retina	770	550	$150.00	$46.89
92133 Imaging of optic nerve	699	646	$150.00	$40.33
92083 Exam of visual field with extended testing	691	645	$275.00	$75.45
92250 Photography of the retina	588	562	$255.00	$77.68
66984 Removal of cataract with insertion of lens	453	337	$2200.00	$739.65
92136 Measurement of corneal curvature and depth of eye	447	345	$250.00	$77.89
92004 New patient complete exam of visual system	179	179	$425.00	$171.28
92020 Examination of cornea and iris using lens device and slit lamp	162	151	$150.00	$30.64
76514 Ultrasound scan of cornea to determine thickness	133	131	$100.00	$17.41
66821 Removal of recurring cataract in lens capsule using a laser	80	77	$1020.00	$381.39
76519 Ultrasound of eye for determination of lens power	36	36	$250.00	$99.47
0191T Internal insertion of eye fluid drainage device	21	17	$2625.00	$527.01
92226 Examination of eye by ophthalmoscope with retinal drawing	21	21	$150.00	$28.30
92225 Examination of eye by ophthalmoscope with retinal drawing	21	21	$150.00	$30.57
65855 Laser repair to improve eye fluid flow	20	17	$1040.00	$285.27
66982 Complex removal of cataract with insertion of prosthetic lens	18	16	$3025.00	$924.34
92002 New patient problem focused exam of visual system	18	18	$225.00	$93.66
67820 Removal of eyelashes using forceps	17	12	$160.00	$59.67

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY 181162

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01436777 (NY)

Hospital & Practice Group Affiliations

North Shore-Lij Medical Pc

75 N Country Rd, Port Jefferson, NY 117772119

Phone: 6314731320

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Andrew Bontempo , OD

Optometrist

NPI 1336187889

Doctor of Optometry

Dr. Seema Khanna , OD

Optometrist

NPI 1467494583

Doctor of Optometry

Dr. Daniel Hamou , MD

Ophthalmology

NPI 1548208473

Doctor of Medicine (M.D.)

Dr. Marc Dinowitz , MD

Ophthalmology

NPI 1578582466

Doctor of Medicine (M.D.)

Dr. Lewis Roberts , MD

Ophthalmology

NPI 1588606602

Doctor of Medicine (M.D.)

Dr. Tami Lapp , OD

Optometrist

NPI 1669517918

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 14, 2016

Registered at 937 E MAIN ST, RIVERHEAD, NY 119012564 (Tel: 6313690777)

📍

Updated Business Mailing Address December 14, 2016

Registered at 937 E MAIN ST, RIVERHEAD, NY 119012564 (Tel: 6313690777)

👤

Provider Name / Credentials Updated December 14, 2016

Recorded as SCOTT SHEREN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2016

Ophthalmology (License #181162 in NY)

🟢

Initial NPI Registration & Enumeration June 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225070378

Entity Type:

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

Enumeration Date: June 12, 2006

Last Update: December 14, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

937 E Main St

Riverhead, NY 119012564

Phone: 6313690777

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.