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DR. RAJEEV SHARMA M.D.
NPI 1174757652
Surgery in Morgantown, WV

Active since May 12, 2009PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL CENTER DRIVE, PO BOX 9238, MORGANTOWN, WV 26506(304) 293-1253 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2024, Nov 24, 2020, Oct 28, 2020 and 4 more (7 updates tracked since 2016).

About Dr. Rajeev Sharma M.d. NPPES

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

DR. RAJEEV SHARMA M.D. (NPI 1174757652) is an individual surgery provider in Morgantown, West Virginia, licensed in Michigan (4301503086) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1174757652
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RAJEEV SHARMACredential: M.D.
Location Address1 MEDICAL CENTER DRIVE, PO BOX 9238Morgantown, WV 26506
Mailing Address1 Medical Center Drive, Po Box 9238Morgantown, WV 26506
Phone(304) 293-1253
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 12, 2009
Last NPPES UpdateMay 14, 20247 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1174757652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MI · 4301503086✔ Licensed in NV · 18736
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedTransplant SurgeryTaxonomy 204F00000X · License 33019 (WV), 18736 (NV)
1 MEDICAL CENTER DRIVE, Morgantown, WV 26506
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Other Identifiers 4

Medicaid03581615NY
OtherJ400093814NY · Medicare Upstate
OtherV58384NV · Medicare - Nv
Medicaid250001243NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rajeev 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 ID3375777626
PECOS Enrollment IDI20231117001914
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rajeev Sharma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Virginia University Medical Corporation
Same address
Family Medicine
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
NPI 1275504508 (304) 598-4800
University Physician Group
246 mi
Internal Medicine
400 MACK AVE STE 2
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
NPI 1447299797 (313) 448-9006
Signify Health Medical Associates, PLLC
1,048 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers127 claims29,910 services$0.36 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers63 claims9,450 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers68 claims13,260 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers29 claims4,080 services$1.05 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers114 claims114 services$17.70 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers189 claims207 services$12.19 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 20

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

DR. DORIAN J WILLIAMS M.D.
Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-6900
MEGHAN METCALFE PT
Physical Therapist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4118
MRS. HOLLY BETH HARTMAN-ADAMS M.D.
Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-6900
DR. SWAPNA GAYAM M.D
Internal Medicine (Gastroenterology)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 293-4123
DR. JAMES ROBERT WELTY M.D.
Hospitalist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
ANDREW VUCELIK MD
Emergency Medicine
1 MEDICAL CENTER DRIVE, ROOM 4601
MORGANTOWN, WV 26506
Monongalia County (304) 293-7215
RYAN CODDINGTON TURNER M.D., PH.D.
Neurological Surgery
1 MEDICAL CENTER DRIVE, ROOM 4300
MORGANTOWN, WV 26506
Monongalia County (304) 293-5041
PENNY CULLEY RN
Nurse Practitioner (Family)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800

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 Rajeev Sharma's NPI number?

The NPI number for Rajeev Sharma is 1174757652. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Where is Rajeev Sharma located?

Rajeev Sharma practices at 1 Medical Center Drive PO Box 9238, Morgantown, WV 26506. The listed phone number is (304) 293-1253.

What is Rajeev Sharma's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rajeev Sharma enrolled in Medicare?

Yes. Rajeev 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.

Which organizations bill Medicare for Rajeev Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajeev Sharma reassigns Medicare benefits to 3 organizations: West Virginia University Medical Corporation (Morgantown, WV), University Physician Group (Detroit, MI) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rajeev Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajeev Sharma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Rajeev 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 Rajeev Sharma affiliated with any hospitals?

According to CMS data, Rajeev Sharma is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Rajeev Sharma was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.