DR. MITHLESH C. SHARMA M.D.
NPI 1528052719
Ophthalmology in Clackamas, OR
About Dr. Mithlesh C. Sharma M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MITHLESH C. SHARMA M.D. (NPI 1528052719) is an individual ophthalmology provider in Clackamas, Oregon, licensed in Oregon (MD221852) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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. Mithlesh C. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mithlesh Sharma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,105 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 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLACKAMAS, OR 97086
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 Mithlesh Sharma's NPI number?
The NPI number for Mithlesh Sharma is 1528052719. It was assigned to this individual provider in the NPPES registry on September 2, 2005.
Where is Mithlesh Sharma located?
Mithlesh Sharma practices at 12100 SE Stevens Ct Ste 106, Clackamas, OR 97086. The listed phone number is (800) 813-2000.
What is Mithlesh Sharma's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Mithlesh Sharma enrolled in Medicare?
Yes. Mithlesh 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 Mithlesh Sharma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mithlesh Sharma reassigns Medicare benefits to 3 organizations: Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR), Permanente Medical Group Inc (Vallejo, CA) and Unm Medical Group Inc (Albuquerque, NM). 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 Mithlesh Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mithlesh Sharma accept?
Health plans from Kaiser Permanente list Mithlesh 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 Mithlesh Sharma was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Dr. Mithlesh C. Sharma, M.D. · NPI 1528052719
Ophthalmology physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since September 2, 2005.
## Identity
- **NPI:** 1528052719 (Entity type: Individual)
- **Enumerated:** September 2, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MD221852 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 12100 SE STEVENS CT STE 106, Clackamas, OR 97086-4707
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of The Northwest (NPI 1174851505, Clackamas, OR); Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA); Unm Medical Group Inc (NPI 1831218627, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** June 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1528052719) · Data from the CMS NPPES public registry.