DR. SHARON HORESH BERGQUIST MD
NPI 1275548018
Internal Medicine in Decatur, GA

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
2801 N DECATUR RD, SUITE 295, DECATUR, GA 30033(404) 778-6124 Get Directions Write a Review

NPPES record last updated: October 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sharon Horesh Bergquist Md NPPES

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

DR. SHARON HORESH BERGQUIST MD (NPI 1275548018) is an individual internal medicine provider in Decatur, Georgia, licensed in Georgia (048900) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Harvard Medical School (1997).

NPPES Registry Identity

NPI1275548018
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHARON HORESH BERGQUISTCredential: MD
Location Address2801 N DECATUR RD, SUITE 295Decatur, GA 30033-5949
Mailing Address2801 N Decatur Rd, Suite 295Decatur, GA 30033-5949 · (404) 778-6124
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1997
Enumeration DateJuly 30, 2006
Last NPPES UpdateOctober 30, 2009
NPI 1275548018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 048900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2801 N DECATUR RD, Decatur, GA 30033

Other Identifiers 1

Medicare UPINH23401

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. Sharon Horesh Bergquist 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 ID9638207178
PECOS Enrollment IDI20100504000783
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.

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.
59 services50 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.
53 services53 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.
24 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapist
2801 N DECATUR RD, SUITE 230
DECATUR, GA 30033
Family Medicine
2801 N DECATUR RD, SUITE 295
DECATUR, GA 30033
Surgery
2801 N DECATUR RD, SUITE 180
DECATUR, GA 30033
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2801 N DECATUR RD, STE 200
DECATUR, GA 30033
Emergency Medical Technician, Intermediate
2801 N DECATUR RD
DECATUR, GA 30033
Physical Therapist
2801 N DECATUR RD, SUITE 230
DECATUR, GA 30033
Internal Medicine
2801 N DECATUR RD, SUITE 295
DECATUR, GA 30033
Physician Assistant
2801 N DECATUR RD
DECATUR, GA 30033

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 Sharon Bergquist's NPI number?

The NPI number for Sharon Bergquist is 1275548018. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Sharon Bergquist located?

Sharon Bergquist practices at 2801 N Decatur Rd Suite 295, Decatur, GA 30033. The listed phone number is (404) 778-6124.

What is Sharon Bergquist's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sharon Bergquist enrolled in Medicare?

Yes. Sharon Bergquist 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 Sharon Bergquist accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sharon Bergquist 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 Sharon Bergquist affiliated with any hospitals?

According to CMS data, Sharon Bergquist is affiliated with Emory University Hospital, Emory Decatur Hospital, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Sharon Bergquist was last updated on October 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.