Physician

Garth Sherman, MD

According to 2025 Medicare claims, Garth Sherman, MD (NPI: 1225699408) practices urology in the Grand Junction, CO market, with the plurality of this provider's patient population coming from Mesa, CO. This provider's primary affiliated billing organization is COLORADO SURGICAL AFFILIATES, LLC (NPI: 1043663594; TIN: 813228396) and primary practice location at 81505-1006. Sherman is affiliated with the Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Sherman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 134 traditional Medicare patients, billed 695 HCPCS/CPT codes, and received $35,282 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 176 prescription claims across 95 beneficiaries totaling $8,826 in drug costs, led by Myrbetriq (Mirabegron). Open Payments data shows 14 records totaling $729. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $4,658 to $8,826. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$18K$35K2024 Medicare payment: $35,282 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024134695$35,282

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$6.8K$14K2019 Drug cost: $4,658 (USD; Tot_Drug_Cst)2020 Drug cost: $13,638 (USD; Tot_Drug_Cst)2021 Drug cost: $5,949 (USD; Tot_Drug_Cst)2022 Drug cost: $2,254 (USD; Tot_Drug_Cst)2023 Drug cost: $1,153 (USD; Tot_Drug_Cst)2024 Drug cost: $8,826 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
201968137$4,658
202090194$13,638
202182163$5,949
202274120$2,254
20234071$1,153
202495176$8,826

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more5050$123
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4750$103
51798Ultrasound measurement of bladder capacity after voiding4043$9
81001Manual urinalysis test with examination using microscope, automated3845$3
81003Automated urinalysis test4144$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron12372$5,925
Tamsulosin HclTamsulosin Hcl231,395$284
Alfuzosin Hcl ErAlfuzosin Hcl15810$189
FinasterideFinasteride11930$154
Oxybutynin ChlorideOxybutynin Chloride12289$69

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.14$729PROCEPT BioRobotics Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Garth Sherman, MD?

Tedicare shows public-source Medicare data for Garth Sherman, MD (NPI 1225699408), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Garth Sherman, MD have ACO affiliation data?

Garth Sherman, MD is shown with ACO affiliation data for Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Garth Sherman, MD?

Garth Sherman, MD is linked to COLORADO SURGICAL AFFILIATES, LLC (billing NPI 1043663594) in the available physician profile data.

Does Garth Sherman, MD have Open Payments data?

Garth Sherman, MD has 14 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.