VIVEKANAND SHARMA MD
NPI 1528298809
Hospitalist in New Bedford, MA
Quality Rating: 100 out of 100 score
NPI Status: Active since July 21, 2009
Contact Information
101 PAGE ST
NEW BEDFORD, MA
ZIP 02740
Phone: (508) 973-5919
Fax: (508) 973-5916
- Individual
- Male
- Years of Experience 22
- Hospitalist
- Accepts Medicare Approved Payment
- PECOS Enrolled
About VIVEKANAND SHARMA
This page provides the complete NPI Profile along with additional information for Vivekanand Sharma, a provider established in New Bedford, Massachusetts with a medical specialization in Hospitalist and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1528298809 assigned on July 2009. The practitioner's primary taxonomy code is 208M00000X with license number 247661 (MA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1528298809
- Provider Name
- VIVEKANAND SHARMA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 101 PAGE ST NEW BEDFORD, MA 02740
- Location Phone
- (508) 973-5919
- Location Fax
- (508) 973-5916
- Mailing Address
- 200 MILL RD SUITE 180 FAIRHAVEN, MA 02719
- Mailing Phone
- (508) 973-2000
- Mailing Fax
- (508) 973-5916
- Medical School Name
- OTHER
- Graduation Year
- 2004
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-21-2009
- Last Update Date
- 04-27-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 247661
- License State
- MA
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
110090337A | MEDICAID (05) | MA |
Medicare Participation & PECOS Enrollment Status
Vivekanand Sharma is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Vivekanand Sharma is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2466623491
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110922000305
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Initial hospital inpatient care per day, typically 70 minutes
Initial hospital observation care per day, typically 70 minutes
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 223 times for 215 patientsThis service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
This service was performed 49 times for 49 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.61 for a new patient copayment and $25.87 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02740 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.47
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.61
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
-
Final Score: 100 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
-
Quality Score: 85.14
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Vivekanand Sharma is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
SOUTHCOAST HOSPITALS GROUP | 363 HIGHLAND AVENUE FALL RIVER, MA 02720 | (508) 679-3131 | Acute Care Hospitals |
Reviews for VIVEKANAND SHARMA MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 2 | 8 | 2 | 9 | 8 | 8 | 0 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 4 | 8 | 4 | 9 | 16 | 8 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 4 + 8 + 4 + 9 + 1 + 6 + 8 + 0 + 24 = 71 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 71 = 9 | 9 |
The NPI number 1528298809 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JOSEPH A SCOTT ATC
Specialist/Technologist
(Athletic Trainer)
101 PAGE ST
NEW BEDFORD, MA
ZIP 02740
MISS LORI KARINA JOHANNESSEN ATC, LAT
Specialist/Technologist
(Athletic Trainer)
101 PAGE ST
NEW BEDFORD, MA
ZIP 02740
DR. MICHAEL DAVID POPITZ M.D.
Anesthesiology
101 PAGE ST
NEW BEDFORD, MA
ZIP 02740
DR. DANIEL JOSEPH SHEA M.D.
Emergency Medicine
101 PAGE ST
NEW BEDFORD, MA
ZIP 02740
DR. WALTER F BARNES MD
Radiology
(Diagnostic Radiology)
101 PAGE ST
ST. LUKE'S HOSPITAL
NEW BEDFORD, MA
ZIP 02740
ROBERT S RONAN MD
Radiology
(Diagnostic Radiology)
101 PAGE ST
RADIOLOGY DEPARTMENT
NEW BEDFORD, MA
ZIP 02740
DR. WILLIAM ELLIOT HARDING M.D.
Emergency Medicine
101 PAGE ST
ST. LUKE'S HOSPITAL
NEW BEDFORD, MA
ZIP 02740
JOANNE D CAMERON M.D.
Emergency Medicine
101 PAGE ST
ST LUKE'S HOSPITAL EMERG DEPT
NEW BEDFORD, MA
ZIP 02740
SALMAN BASHIR MD
Radiology
(Diagnostic Radiology)
101 PAGE ST
RADIOLOGY DEPARTMENT
NEW BEDFORD, MA
ZIP 02740
DR. RICHARD F. WHITTEN-STOVALL M.D.
Psychiatry & Neurology
(Psychiatry)
101 PAGE ST
SNEPA
NEW BEDFORD, MA
ZIP 02740
ALLAN CURTIS NORDGREN MD
Pathology
(Anatomic Pathology & Clinical Pathology)
101 PAGE ST
PATHOLOGY DEPARTMENT
NEW BEDFORD, MA
ZIP 02740
NICHOLAS P SPENCER MD
Radiology
(Diagnostic Radiology)
101 PAGE ST
RADIOLOGY DEPARTMENT
NEW BEDFORD, MA
ZIP 02740
PAUL K WESTFALL MD
Radiology
(Diagnostic Radiology)
101 PAGE ST
RADIOLOGY DEPARTMENT
NEW BEDFORD, MA
ZIP 02740
AMY L STEIN MD
Pathology
(Anatomic Pathology & Clinical Pathology)
101 PAGE ST
PATHOLOGY DEPARTMENT
NEW BEDFORD, MA
ZIP 02740
DAVID E ZIEMBA MD
Pathology
(Anatomic Pathology & Clinical Pathology)
101 PAGE ST
PATHOLOGY DEPARTMENT
NEW BEDFORD, MA
ZIP 02740
ARTHUR D BURKE MD
Radiology
(Diagnostic Radiology)
101 PAGE ST
RADIOLOGY DEPARTMENT
NEW BEDFORD, MA
ZIP 02740
SOUTHCOAST HOSPITALS GROUP, INC
General Acute Care Hospital
101 PAGE ST
NEW BEDFORD, MA
ZIP 02740
KENNETH R. EUGENIO PHARM.D.
Pharmacist
(Pharmacotherapy)
101 PAGE ST
NEW BEDFORD, MA
ZIP 02740
SOUTHERN NEW ENGLAND PHYSICIANS ASSOCIATES
Psychiatry & Neurology
(Psychiatry)
101 PAGE ST
NEW BEDFORD, MA
ZIP 02740
DR. KEVIN M REBELLO PHARM.D.
Pharmacist
(Pharmacotherapy)
101 PAGE ST
NEW BEDFORD, MA
ZIP 02740
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528298809, enumerated as an "individual" on July 21, 2009.
The provider is located at 101 PAGE ST NEW BEDFORD, MA 02740 and the phone number is (508) 973-5919.
Hospitalist with taxonomy code 208M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Vivekanand Sharma is affiliated with: SOUTHCOAST HOSPITALS GROUP.