DR. VINAY KUMAR SHARMA MD
NPI 1609984517
Internal Medicine - Critical Care Medicine in Cumberland, MD

Q: What is Vinay Sharma's NPI number?

The NPI number for Vinay Sharma is 1609984517. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Vinay Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Vinay Sharma was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment

78.87/100

CMS Quality Rating

12500 WILLOWBROOK RD, CUMBERLAND, MD 21502(240) 964-7000 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Vinay Kumar Sharma Md NPPES

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

DR. VINAY KUMAR SHARMA MD (NPI 1609984517) is an individual critical care medicine provider in Cumberland, Maryland, licensed in Washington (MD61514916) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609984517

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. VINAY KUMAR SHARMACredential: MD

Location Address12500 WILLOWBROOK RDCumberland, MD 21502-6393

Mailing Address1708 Yakima Ave Ste 300Tacoma, WA 98405-5309 · (253) 363-8700 · Fax (253) 272-0419

Phone(240) 964-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateAugust 29, 2006

Last NPPES UpdateNovember 13, 2025

NPPES CertifiedNovember 13, 2025

✔ NPI 1609984517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in WA · MD61514916

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License D66176 (MD), MD61514916 (WA), MD420438 (PA)

12500 WILLOWBROOK RD, Cumberland, MD 21502

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Secondary Practice Locations 2

Location 1500 Upper Chesapeake DrBel Air, MD 21014-4324 · Phone (443) 643-1000

Location 21401 Johnston Willis DrNorth Chesterfield, VA 23235-4789 · Phone (804) 483-5000

Other Identifiers 3

Medicaid2280835WA

Medicaid035477500MD

Other590887WA · Labor & Industries

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Vinay Kumar 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 ID6204920531

PECOS Enrollment IDI20070918000374, I20101203000925, I20251031000651

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 9

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

132 services109 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

88 services88 patients

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.

28 services18 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.

19 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services16 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210027

Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County

Emergency services Birthing friendly

Umd Upper Chesapeake Medical Center

Acute Care Hospitals · Bel Air, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210049

Location500 Upper Chesapeake DriveBel Air, MD 21014 · Harford County

Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number490112

Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

78.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.2

Promoting Interoperability

Improvement Activities

Cost

57.04

Referred Medical Equipment & Supplies CMS DME claims 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

10 suppliers97 claims97 services$33.96 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers76 claims76 services$79.09 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers75 claims223 services$29.72 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers36 claims189 services$18.20 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

8 suppliers45 claims267 services$13.04 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

9 suppliers82 claims82 services$47.06 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

9 suppliers82 claims82 services$15.48 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers52 claims52 services$10.94 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

10 suppliers139 claims776 services$1.94 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

3 suppliers15 claims15 services$5.36 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

8 suppliers67 claims67 services$11.14 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers139 claims148 services$15.39 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$39.42 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

4 suppliers38 claims38 services$778.33 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers11 claims11 services$65.80 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

2 suppliers15 claims15 services$871.28 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier57 claims57 services$12.52 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers50 claims53 services$4.41 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers178 claims178 services$28.39 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers245 claims254 services$69.19 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers55 claims62 services$35.52 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

6 suppliers38 claims2,220 services$4.66 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

10 suppliers60 claims13,826 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

10 suppliers80 claims7,356 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

6 suppliers46 claims2,732 services$0.80 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

15 suppliers129 claims129 services$24.04 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. FEIYU HONG M.D.

Internal Medicine

12500 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-7000

JADE LIN BEAN LGSW

Social Worker

12500 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-8585

MEHMET SAYINER M.D.

Internal Medicine

12500 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-7000

JARED LAMP

Nurse Anesthetist, Certified Registered

12500 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-7000

OBHG MARYLAND PC

Obstetrics & Gynecology

12500 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (864) 908-3530

MRS. CHRISTINE MARIE STURTZ CRNA

Nurse Anesthetist, Certified Registered

12500 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-3306

DR. IFEOLUWA ADABONYAN M.D.

Emergency Medicine

12500 WILLOWBROOK RD, EMERGENCY DEPARTMENT
CUMBERLAND, MD 21502

Allegany County (240) 964-1200

FRANK MBOROGO LMSW

Social Worker

12500 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (301) 876-2613

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 Vinay Sharma's NPI number?

The NPI number for Vinay Sharma is 1609984517. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Vinay Sharma located?

Vinay Sharma practices at 12500 Willowbrook Rd, Cumberland, MD 21502. The listed phone number is (240) 964-7000.

What is Vinay Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Vinay Sharma enrolled in Medicare?

Yes. Vinay 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 Vinay Sharma accept?

Health plans from Providence Health Plan list Vinay 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.

Is Vinay Sharma affiliated with any hospitals?

According to CMS data, Vinay Sharma is affiliated with Western Maryland Regional Medical Center, Umd Upper Chesapeake Medical Center and Cjw Medical Center.

When was this NPI record last updated?

The NPPES record for Vinay Sharma was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.