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T WANGDI SHERPA M.D.
NPI 1124021845
Family Medicine in Myerstown, PA

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
89.33/100
CMS Quality Rating
431 W LINCOLN AVE, MYERSTOWN, PA 17067(717) 866-5755(717) 866-7120 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About T Wangdi Sherpa M.d. NPPES

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

T WANGDI SHERPA M.D. (NPI 1124021845) is an individual family medicine provider in Myerstown, Pennsylvania, licensed in Pennsylvania (MD065527L) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Indiana University School Of Medicine (1993).

NPPES Registry Identity

NPI1124021845
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameT WANGDI SHERPACredential: M.D.
Location Address431 W LINCOLN AVEMyerstown, PA 17067-2328
Mailing Address431 W Lincoln AveMyerstown, PA 17067-2328 · (717) 866-5755 · Fax (717) 866-7120
Phone(717) 866-5755
Fax(717) 866-7120
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1993
Enumeration DateMay 27, 2005
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1124021845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD065527L
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.
431 W LINCOLN AVE, Myerstown, PA 17067
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Other Identifiers 1

Medicare UPING80706PA

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

T Wangdi Sherpa 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 ID9537152301
PECOS Enrollment IDI20040407000160
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
372 services229 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
339 services339 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.
295 services200 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
264 services132 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services36 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
28 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17067 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

89.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost64.44

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
9%364 patients
Breast Cancer Screening
47%595 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
39%1,466 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
61%1,114 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
24%362 patients4/55-star benchmark: 91%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%3,898 patients2/55-star benchmark: 61%
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers62 claims131 services$5.43 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers32 claims46 services$1.03 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$91.48 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims33 services$27.24 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers11 claims11 services$58.41 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$18.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

BRUCE E YEAMANS M.D.
Family Medicine
431 W LINCOLN AVE
MYERSTOWN, PA 17067
Lebanon County (717) 866-5755
MYERSTOWN FAMILY PRACTICE PC
Family Medicine
431 W LINCOLN AVE
MYERSTOWN, PA 17067
Lebanon County (717) 866-5755
THOMAS B FREY PAC
Physician Assistant
431 W LINCOLN AVE
MYERSTOWN, PA 17067
Lebanon County (717) 866-5755
DR. SONAM TSHERING SHERPA DO
Family Medicine
431 W LINCOLN AVE
MYERSTOWN, PA 17067
Lebanon County (717) 866-5755

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 T Sherpa's NPI number?

The NPI number for T Sherpa is 1124021845. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is T Sherpa located?

T Sherpa practices at 431 W Lincoln Ave, Myerstown, PA 17067. The listed phone number is (717) 866-5755.

What is T Sherpa's specialty?

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

Is T Sherpa enrolled in Medicare?

Yes. T Sherpa 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.

Is T Sherpa affiliated with any hospitals?

According to CMS data, T Sherpa is affiliated with Reading Hospital, Wellspan Good Samaritan Hospital and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for T Sherpa was last updated on February 7, 2012. 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.