DR. SANJAY KUMAR SHARMA M.D.
NPI 1083703656
Plastic Surgery - Surgery of the Hand in Austin, TX

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1400 N IH 35, SUITE 320, AUSTIN, TX 78701(512) 324-8320(512) 324-8323 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sanjay Kumar Sharma M.d. NPPES

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

DR. SANJAY KUMAR SHARMA M.D. (NPI 1083703656) is an individual surgery of the hand provider in Austin, Texas, licensed in Texas (K6503) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Dell Seton Med Center At The University Of Tx, and is a graduate of Baylor College Of Medicine (1996).

NPPES Registry Identity

NPI1083703656
Entity TypeIndividualMale
Primary Taxonomy2082S0105X
Provider Legal NameDR. SANJAY KUMAR SHARMACredential: M.D.
Location Address1400 N IH 35, SUITE 320Austin, TX 78701-1926
Mailing Address1400 N Ih 35, Sutie 320Austin, TX 78701-1926 · (512) 324-8320 · Fax (512) 324-8323
Fax(512) 324-8323
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1996
Enumeration DateOctober 12, 2006
Last NPPES UpdateNovember 15, 2011
NPI 1083703656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2082S0105X
License Licensed in TX · K6503
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
1400 N IH 35, Austin, TX 78701

Other Identifiers 4

Medicaid162500602TX
Medicare UPINH83846TX
Other8AJ353TX · Bcbs Individual Number
Medicare PIN8F1409TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sanjay Kumar Sharma M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547240087
PECOS Enrollment IDI20040723000861
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 4

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.

Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
37 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Advance Care Plan
26%121 patients2/55-star benchmark: 100%
Breast Cancer Screening
37%115 patients2/55-star benchmark: 93%
Cervical Cancer Screening
17%179 patients1/55-star benchmark: 98%
Chlamydia Screening for Women
0%30 patients
Closing the Referral Loop: Receipt of Specialist Report
19%111 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
27%242 patients2/55-star benchmark: 88%
Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
0%25 patients1/55-star benchmark: 100%
Controlling High Blood Pressure
54%69 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
5%37 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
70%37 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%759 patients4/55-star benchmark: 100%
e-Prescribing
100%147 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
8%112 patients1/55-star benchmark: 100%
HIV Screening
1%411 patients1/55-star benchmark: 60%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
3%114 patients1/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%458 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
10%456 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%599 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 70% · 386 patients
Patients screened: 77% · 386 patients
22%36 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 26% · 114 patients
23%114 patients
Provide Patients Electronic Access to Their Health Information
83%332 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
41%63 patients2/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%74 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 117 patients
Patients totalRate: 5% · 118 patients
6%118 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Occupational Therapist
1400 N IH 35
AUSTIN, TX 78701
Student in an Organized Health Care Education/Training Program
1400 N IH 35, SUITE 301
AUSTIN, TX 78701
Social Worker (Clinical)
1400 N IH 35
AUSTIN, TX 78701
Podiatrist (Foot & Ankle Surgery)
1400 N IH 35
AUSTIN, TX 78701
Occupational Therapist
1400 N IH 35, SUITE 320
AUSTIN, TX 78701
Physical Medicine & Rehabilitation
1400 N IH 35, SUITE 2.230
AUSTIN, TX 78701
Physician Assistant (Surgical)
1400 N IH 35, SUITE 320
AUSTIN, TX 78701
Physician Assistant (Surgical)
1400 N IH 35, STE 300
AUSTIN, TX 78701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanjay Sharma's NPI number?

The NPI number for Sanjay Sharma is 1083703656. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Sanjay Sharma located?

Sanjay Sharma practices at 1400 N Ih 35 Suite 320, Austin, TX 78701. The listed phone number is (512) 324-8320.

What is Sanjay Sharma's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Is Sanjay Sharma enrolled in Medicare?

Yes. Sanjay Sharma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sanjay Sharma accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Sanjay Sharma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sanjay Sharma affiliated with any hospitals?

According to CMS data, Sanjay Sharma is affiliated with Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Sanjay Sharma was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.