DR. ASHWINI SHARMA MD
NPI 1386085793
Internal Medicine - Interventional Cardiology in Montgomery, AL

Active since July 13, 2013PECOS EnrolledAccepts Medicare Assignment
78.94/100
CMS Quality Rating
273 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117(334) 280-1511(334) 280-1600 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 31, 2023, Mar 10, 2021, Oct 13, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Ashwini Sharma Md NPPES

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

DR. ASHWINI SHARMA MD (NPI 1386085793) is an individual interventional cardiology provider in Montgomery, Alabama, licensed in Alabama (40551) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386085793
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. ASHWINI SHARMACredential: MD
Location Address273 WINTON M BLOUNT LOOPMontgomery, AL 36117-3507
Mailing AddressPo Box 241587Montgomery, AL 36124-1587 · (334) 280-1500 · Fax (334) 280-1600
Fax(334) 280-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 13, 2013
Last NPPES UpdateOctober 31, 20234 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1386085793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in AL · 40551
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

273 WINTON M BLOUNT LOOP, Montgomery, AL 36117

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. Ashwini 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 ID8820309842
PECOS Enrollment IDI20201124002278
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 54

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.

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.
385 services366 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
338 services332 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
238 services221 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.
177 services176 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
132 services33 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
115 services114 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

78.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.72
Promoting Interoperability99
Improvement Activities40
Cost66.92

Reported Quality Measures

Advance Care Plan
92%1,898 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
59%162 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
55%1,832 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
80%946 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
81%104 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
99%595 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
92%3,200 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
17%1,581 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
31%2,534 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%636 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 1,527 patients
Patients screened: 99% · 1,527 patients
26%200 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 48% · 212 patients
48%212 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%1,888 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,656 patients
Patients totalRate: 0% · 1,656 patients
0%1,656 patients5/55-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.

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.

Nurse Practitioner (Family)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Internal Medicine (Clinical Cardiac Electrophysiology)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Internal Medicine (Interventional Cardiology)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Nurse Practitioner (Family)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Nurse Practitioner (Family)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Internal Medicine (Interventional Cardiology)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Physician Assistant (Surgical)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Internal Medicine (Interventional Cardiology)
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117

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 Ashwini Sharma's NPI number?

The NPI number for Ashwini Sharma is 1386085793. It was assigned to this individual provider in the NPPES registry on July 13, 2013.

Where is Ashwini Sharma located?

Ashwini Sharma practices at 273 Winton M Blount Loop, Montgomery, AL 36117. The listed phone number is (334) 280-1511.

What is Ashwini Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Ashwini Sharma enrolled in Medicare?

Yes. Ashwini 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.

What insurance does Ashwini Sharma accept?

Health plans from Blue Cross and Blue Shield of Alabama list Ashwini 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.

When was this NPI record last updated?

The NPPES record for Ashwini Sharma was last updated on October 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.