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SHARON O AVGUSH M.D.
NPI 1609221985
Hospitalist in Garnerville, NY

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
9 DENOYELLE CIR, GARNERVILLE, NY 10923(845) 826-5176 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2024, Feb 3, 2020 (2 updates tracked since 2020).

About Sharon O Avgush M.d. NPPES

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

SHARON O AVGUSH M.D. (NPI 1609221985) is an individual hospitalist provider in Garnerville, New York, licensed in New York (302368) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Healthalliance Hospital Marys Avenue Campus, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609221985
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSHARON O AVGUSHCredential: M.D.
Location Address9 DENOYELLE CIRGarnerville, NY 10923-1930
Mailing Address9 Denoyelle CirGarnerville, NY 10923-1930 · (845) 826-5176 · Fax (845) 826-5176
Phone(845) 826-5176
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 25, 2016
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1609221985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 302368
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 302368 (NY)
9 DENOYELLE CIR, Garnerville, NY 10923
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Sharon O Avgush 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 ID5890124648
PECOS Enrollment IDI20200331001427
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

4

Medicare enrollment records show Sharon Avgush reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Westchester Medical Center Advanced Physician Services PC
13 mi
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
NPI 1740687458 (914) 493-2844
New York Medical Physician Associates PC
36 mi
Hospitalist
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 304 clinicians in this Medicare group
NPI 1578316501 (845) 483-5000
Dhhs Ihs Phoenix Area
1,994 mi
Critical Access
HIGHWAY 264 MILEPOST 388
Polacca, AZ 86042
  • Reassigned Medicare billing, Texas enrollment
  • 199 clinicians in this Medicare group
NPI 1356628028 (928) 737-6000
Governor Juan F. Luis Hospital & Medical Center
General Acute Care Hospital
#4007 ESTATE DIAMOND RUBY
Christiansted, St. Croix, VI 00821
  • Reassigned Medicare billing, U.S. Virgin Islands enrollment
  • 331 clinicians in this Medicare group
NPI 1972503647 (340) 778-6311

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
116 services58 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
68 services66 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
67 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
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.
30 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330224
Location105 Mary's AvenueKingston, NY 12401 · Ulster County
Emergency services Birthing friendly

Margaretville Memorial Hospital

Critical Access Hospitals · Margaretville, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331304
Location42084 State Highway 28Margaretville, NY 12455 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10923 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Sharon Avgush's NPI number?

The NPI number for Sharon Avgush is 1609221985. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Sharon Avgush located?

Sharon Avgush practices at 9 Denoyelle Cir, Garnerville, NY 10923. The listed phone number is (845) 826-5176.

What is Sharon Avgush's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sharon Avgush enrolled in Medicare?

Yes. Sharon Avgush 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 Sharon Avgush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Avgush reassigns Medicare benefits to 4 organizations: Westchester Medical Center Advanced Physician Services PC (Valhalla, NY), New York Medical Physician Associates PC (Poughkeepsie, NY), Dhhs Ihs Phoenix Area (Polacca, AZ) and Governor Juan F. Luis Hospital & Medical Center (Christiansted, St. Croix, VI). 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 Sharon Avgush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharon Avgush accept?

Health plans from Blue Cross and Blue Shield of Texas list Sharon Avgush 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.

Is Sharon Avgush affiliated with any hospitals?

According to CMS data, Sharon Avgush is affiliated with Healthalliance Hospital Marys Avenue Campus and Margaretville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sharon Avgush was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.