SHEPHALI SHARMA DO
NPI 1073076584
Family Medicine in Mckinney, TX

Q: What is Shephali Sharma's NPI number?

The NPI number for Shephali Sharma is 1073076584. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Q: What is Shephali Sharma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shephali Sharma was last updated on February 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2019PECOS Enrolled

1400 N COIT RD STE 302, MCKINNEY, TX 75071(877) 868-2528 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2025, Oct 13, 2024, Aug 18, 2022 and 1 more (4 updates tracked since 2019).

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About Shephali Sharma Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEPHALI SHARMA DO (NPI 1073076584) is an individual family medicine provider in Mckinney, Texas, licensed in Texas (T9244) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073076584

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHEPHALI SHARMACredential: DO

Location Address1400 N COIT RD STE 302Mckinney, TX 75071-6656

Mailing Address1400 N Coit Rd Ste 302Mckinney, TX 75071-6656 · (877) 868-2528

Phone(877) 868-2528

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 11, 2019

Last NPPES UpdateFebruary 12, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2025

✔ NPI 1073076584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · T9244

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1400 N COIT RD STE 302, Mckinney, TX 75071

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shephali Sharma Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436519741

PECOS Enrollment IDI20230718004255

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

664 services664 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

445 services384 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

316 services316 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

212 services187 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

184 services165 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

177 services139 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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