DR. SHEETAL SHARMA M.D.
NPI 1396984597
Obstetrics & Gynecology in Winchester, VA

Q: What is Sheetal Sharma's NPI number?

The NPI number for Sheetal Sharma is 1396984597. It was assigned to this individual provider in the NPPES registry on February 11, 2009.

Q: What is Sheetal Sharma's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Sheetal Sharma was last updated on June 4, 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 February 11, 2009PECOS EnrolledAccepts Medicare Assignment

1705 AMHERST ST STE 203, WINCHESTER, VA 22601(540) 662-0711(540) 722-3269 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Sheetal Sharma M.d. NPPES

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

DR. SHEETAL SHARMA M.D. (NPI 1396984597) is an individual obstetrics & gynecology provider in Winchester, Virginia, licensed in Virginia (0101246312) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains a secondary practice location in Winchester.

NPPES Registry Identity

NPI1396984597

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. SHEETAL SHARMACredential: M.D.

Location Address1705 AMHERST ST STE 203Winchester, VA 22601

Mailing Address1705 Amherst St Ste 203Winchester, VA 22601-3346 · (540) 662-0711 · Fax (540) 722-3269

Phone(540) 662-0711

Fax(540) 722-3269

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateFebruary 11, 2009

Last NPPES UpdateJune 4, 2018

✔ NPI 1396984597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in VA · 0101246312

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1705 AMHERST ST STE 203, Winchester, VA 22601

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Secondary Practice Location 1

Location 11705 Amherst St Ste 203Winchester, VA 22601-3346 · Phone (540) 662-0711 · Fax (540) 722-3269

Other Identifiers 2

Medicaid1396984597VA

Medicaid3810016127WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.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. Sheetal 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 ID1759428493

PECOS Enrollment IDI20091028000631

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

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.

23 services18 patients

Hospital Affiliations CMS Care Compare

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

90%1,774 patients3/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

97%740 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

52%3,001 patients3/55-star benchmark: 97%

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…

100%2,921 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

62%2,921 patients3/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

65%2,921 patients

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 9

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

MRS. NICOLE ELIZABETH CAMPBELL CMA

Nurse Practitioner (Obstetrics & Gynecology)