DR. SANDEEP SHARMA MD
NPI 1225332133
Internal Medicine - Pulmonary Disease in Corbin, KY

Q: What is Sandeep Sharma's NPI number?

The NPI number for Sandeep Sharma is 1225332133. It was assigned to this individual provider in the NPPES registry on January 6, 2011.

Q: What is Sandeep Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Sandeep Sharma was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 06, 2011PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

120 N COMMONWEALTH AVE STE 1, CORBIN, KY 40701(606) 258-2160(606) 258-2162 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Sandeep Sharma Md NPPES

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

DR. SANDEEP SHARMA MD (NPI 1225332133) is an individual pulmonary disease provider in Corbin, Kentucky, licensed in Kentucky (47833) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1225332133

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. SANDEEP SHARMACredential: MD

Location Address120 N COMMONWEALTH AVE STE 1Corbin, KY 40701

Mailing AddressPo Box 1325Corbin, KY 40702-1325 · (606) 526-8131 · Fax (606) 528-8664

Phone(606) 258-2160

Fax(606) 258-2162

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJanuary 6, 2011

Last NPPES UpdateMay 31, 2018

✔ NPI 1225332133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in KY · 47833

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT192025 (PA)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 47833 (KY)

120 N COMMONWEALTH AVE STE 1, Corbin, KY 40701

Open in Google Maps ↗

Other Identifiers 2

OtherP01489824KY · Rr Medicare

Medicaid7100353810KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.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. Sandeep Sharma Md 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 ID7618297219

PECOS Enrollment IDI20150521002485

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

Medicare enrollment records show Sandeep Sharma reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pineville Community Health Center Inc

24 mi

Nurse Anesthetist, Certified Registered

850 RIVERVIEW AVE
Pineville, KY 40977

Reassigned Medicare billing, Kentucky enrollment
25 clinicians in this Medicare group

NPI 1275192924 (606) 337-3051

Yalinie Medics LLC

24 mi

General Practice

850 RIVERVIEW AVE
Pineville, KY 40977

Reassigned Medicare billing, Kentucky enrollment
13 clinicians in this Medicare group

NPI 1992964944 (606) 277-0224

Baptist Health Medical Group Inc

73 mi

Nurse Practitioner

100 PROVIDENCE WAY STE 200
Nicholasville, KY 40356

Reassigned Medicare billing, Kentucky enrollment
Also billed through NPI 1093338527 (Kentucky)
999 clinicians in this Medicare group

NPI 1255805586 (859) 260-5370

Baptist Health Deaconess Medical Group Inc

171 mi

Rural Health

1010 MEDICAL CENTER DR
Powderly, KY 42367

Reassigned Medicare billing, Kentucky enrollment
325 clinicians in this Medicare group

NPI 1558942011 (270) 377-1600

Critical Care Physicians Of Pennsylvania PC

520 mi

Critical Care Medicine

1500 LANSDOWNE AVE
Darby, PA 19023

Reassigned Medicare billing, Pennsylvania enrollment
84 clinicians in this Medicare group

NPI 1952670085 (610) 237-4000

Montgomery County Pulmonary And Sleep Consultants PC

522 mi

Pulmonary Disease

325 W GERMANTOWN PIKE STE 301
East Norriton, PA 19403

Reassigned Medicare billing, Pennsylvania enrollment
44 clinicians in this Medicare group

NPI 1932156791 (610) 275-2446

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

Areas of Expertise CMS Part B claims 21

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,453 services111 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

607 services47 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

482 services50 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

403 services108 patients

Critical care, first 30-74 minutes 99291

331 services55 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

120 services31 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

117 services116 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

112 services111 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

110 services109 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

64 services62 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

54 services15 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

52 services49 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

52 services51 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

38 services23 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

34 services34 patients

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.

29 services24 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.

26 services26 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652

This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.

18 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 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.

14 services14 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180010

LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County

Emergency services

Saint Joseph London

Acute Care Hospitals · London, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180011

Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County

Emergency services Birthing friendly

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180020

Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County

Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180080

LocationOne Trillium WayCorbin, KY 40701 · Whitley County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers17 claims17 services$923.33 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers20 claims20 services$53.80 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

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

KRISTEN MORAN WELLS PA-C

Physician Assistant

120 N COMMONWEALTH AVE STE 1
CORBIN, KY 40701

Whitley County (606) 258-2160

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 Sandeep Sharma's NPI number?

The NPI number for Sandeep Sharma is 1225332133. It was assigned to this individual provider in the NPPES registry on January 6, 2011.

Where is Sandeep Sharma located?

Sandeep Sharma practices at 120 N Commonwealth Ave Ste 1, Corbin, KY 40701. The listed phone number is (606) 258-2160.

What is Sandeep Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sandeep Sharma enrolled in Medicare?

Yes. Sandeep 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 Sandeep Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Sharma reassigns Medicare benefits to 6 organizations: Pineville Community Health Center Inc (Pineville, KY), Yalinie Medics LLC (Pineville, KY), Baptist Health Medical Group Inc (Nicholasville, KY), Baptist Health Deaconess Medical Group Inc (Powderly, KY), Critical Care Physicians Of Pennsylvania PC (Darby, PA) and 1 more organization, listed in the Medicare section above. 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 Sandeep Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandeep Sharma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Sandeep 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 Sandeep Sharma affiliated with any hospitals?

According to CMS data, Sandeep Sharma is affiliated with Saint Joseph Hospital, Saint Joseph London, Middlesboro Arh Hospital and Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Sandeep Sharma was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.