DR. SHUSHIL SAGAR M.D.
NPI 1376816314
Internal Medicine in Parkville, MD

Active since February 22, 2012PECOS EnrolledAccepts Medicare Assignment
86.91/100
CMS Quality Rating
8813 WALTHAM WOODS RD, PARKVILLE, MD 21234(410) 661-3866 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Shushil Sagar M.d. NPPES

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

DR. SHUSHIL SAGAR M.D. (NPI 1376816314) is an individual internal medicine provider in Parkville, Maryland, licensed in Maryland (D0073841) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1376816314
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHUSHIL SAGARCredential: M.D.
Location Address8813 WALTHAM WOODS RDParkville, MD 21234-2450
Mailing Address8813 Waltham Woods RdParkville, MD 21234-2450
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 22, 2012
Last NPPES UpdateJuly 10, 2013
✔ NPI 1376816314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0073841
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.
8813 WALTHAM WOODS RD, Parkville, MD 21234

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. Shushil Sagar 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 ID7618132317
PECOS Enrollment IDI20120703000045, I20231117001677
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

5

Medicare enrollment records show Shushil Sagar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8901 CLEMENT AVE
Baltimore, MD 21234
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Maryland Medical First PA
  • 77 clinicians in this Medicare group
Internal Medicine
2700 N CHARLES ST
Baltimore, MD 21218
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1780056168 (District of Columbia)
  • 94 clinicians in this Medicare group
Internal Medicine
2434 W BELVEDERE AVE
Baltimore, MD 21215
  • Reassigned Medicare billing, Maryland enrollment
  • 52 clinicians in this Medicare group
Internal Medicine
5801 ALLENTOWN RD STE 400
Camp Springs, MD 20746
  • Reassigned Medicare billing, District of Columbia enrollment
  • 22 clinicians in this Medicare group
Geriatric Medicine
5 RESEARCH DR
Shelton, CT 06484
  • Reassigned Medicare billing, Maryland enrollment
  • 34 clinicians in this Medicare group

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 5

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,395 services133 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
120 services102 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
71 services36 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
47 services14 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21234 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

86.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.86
Improvement Activities40
Cost41.63

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
15%165 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
42%389 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier17 claims170 services$5.86 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier17 claims170 services$2.62 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier12 claims12 services$43.79 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier106 claims106 services$41.22 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers47 claims47 services$35.65 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier13 claims13 services$10.26 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.

Clinic/Center (Physical Therapy)
8813 WALTHAM WOODS RD, SUITE 103
BALTIMORE, MD 21234
Obstetrics & Gynecology
8813 WALTHAM WOODS RD, STE 101
PARKVILLE, MD 21234
Internal Medicine
8813 WALTHAM WOODS RD, SUITE 204
PARKVILLE, MD 21234
Counselor (Mental Health)
8813 WALTHAM WOODS RD, SUITE310
BALTIMORE, MD 21234
Acupuncturist
8813 WALTHAM WOODS RD, SUITE 201
PARKVILLE, MD 21234
Prosthetist
8813 WALTHAM WOODS RD
PARKVILLE, MD 21234
Pediatrics
8813 WALTHAM WOODS RD, SUITE 102
PARKVILLE, MD 21234
Counselor (Mental Health)
8813 WALTHAM WOODS RD, 302
BALTIMORE, MD 21234

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 Shushil Sagar's NPI number?

The NPI number for Shushil Sagar is 1376816314. It was assigned to this individual provider in the NPPES registry on February 22, 2012.

Where is Shushil Sagar located?

Shushil Sagar practices at 8813 Waltham Woods Rd, Parkville, MD 21234. The listed phone number is (410) 661-3866.

What is Shushil Sagar's specialty?

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

Is Shushil Sagar enrolled in Medicare?

Yes. Shushil Sagar 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 Shushil Sagar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shushil Sagar reassigns Medicare benefits to 5 organizations: Maryland Medical First P.A. (Baltimore, MD), M Medical Group, Inc. (Baltimore, MD), Post Acute Physician Partners, LLC (Baltimore, MD), Southern Maryland Medical Group LLC (Camp Springs, MD) and Sage Hollow Health PC (Shelton, CT). 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 Shushil Sagar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shushil Sagar was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.