Individual provider Active NPI

Sheron Buckland Marshall, MD

  • Ophthalmology Physician
  • Colorado Springs, CO
National Provider Identifier
1669462164
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
43913 Issued in CO
Practice address
2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1120
Phone
(719) 471-2020
Fax
(719) 265-5685
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 43913 CO Primary

Addresses

Primary practice location

2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1120

Mailing address

2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1120
Phone (719) 471-2020

Other identifiers 1

IdentifierTypeStateIssuer
05567557MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060710000186 CO Practitioner - Ophthalmology 6305859505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Colorado Springs, PC.Group PAC ID 6305735952, 16 clinicians

Practice addresses (Care Compare)

2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1193
Phone (719) 471-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.88 of 100Reported as group
Quality
99.09
Improvement activities
40
Cost
77.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43913COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Colorado Springs, PC Ophthalmology CurrentSince Jun 1, 2006 Accepting new patients
Eye Associates of Colorado Springs, PC Ophthalmology CurrentSince Jun 1, 2006 Accepting new patients

Locations

2770 N Union Blvd
Ste 240
Colorado Springs, CO 80909
Phone (719) 471-2020

10035 Pearl Pass Vw
Ste 200
Colorado Springs, CO 80924
Phone (719) 265-5663

Interoperability endpoints

  • Direct secure messaging: sheron.marshallmd.p2@direct.eyeassoc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1669462164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD",
            "address_2": "SUITE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091120",
            "telephone_number": "719-471-2020",
            "fax_number": "719-265-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD",
            "address_2": "SUITE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091120",
            "telephone_number": "719-471-2020",
            "fax_number": "719-265-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "SHERON",
        "middle_name": "BUCKLAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "43913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05567557",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.