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AMIT SHARMA MD
NPI 1629210836
Colon & Rectal Surgery in Erie, PA

Active since April 02, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
300 STATE ST STE 401, ERIE, PA 16507(814) 877-8680(814) 456-9613 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2022, Feb 20, 2020, Jan 12, 2018 (3 updates tracked since 2018).

About Amit Sharma Md NPPES

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

AMIT SHARMA MD (NPI 1629210836) is an individual colon & rectal surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (MD450019) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Santa Rosa Medical Center, and maintains a secondary practice location in Pensacola.

NPPES Registry Identity

NPI1629210836
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameAMIT SHARMACredential: MD
Location Address300 STATE ST STE 401Erie, PA 16507-1438
Mailing Address2130 E Johnson Ave Ste 130Pensacola, FL 32514-6065 · (850) 494-3749
Phone(814) 877-8680
Fax(814) 456-9613
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 2, 2009
Last NPPES UpdateJanuary 4, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2020
✔ NPI 1629210836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in PA · MD450019
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
300 STATE ST STE 401, Erie, PA 16507
Open in Google Maps ↗

Secondary Practice Location 1

Location 12130 E Johnson Ave Ste 130Pensacola, FL 32514-6065 · Phone (850) 494-3749

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Amit 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 ID6002042447
PECOS Enrollment IDI20190605002989
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 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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
96 services74 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
77 services77 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.
63 services40 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.
52 services50 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.
33 services33 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
22 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Santa Rosa Medical Center

Acute Care Hospitals · Milton, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100124
Location6002 Berryhill RdMilton, FL 32570 · Santa Rosa County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100223
Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County
Emergency services Birthing friendly

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100231
Location8383 N Davis HwyPensacola, FL 32514 · Escambia County
Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
98%40 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%162 patients5/55-star benchmark: 100%
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 16

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

MATTHEW HEITZENRATER DO
Family Medicine
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-5333
CHRISTA MARY ALLEN CRNP
Nurse Practitioner (Family)
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-5330
ELENA KOVALEVICH CRNP
Nurse Practitioner
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-5330
HALEY MICHELLE ENGLERT PA-C
Physician Assistant (Surgical)
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-8680
KATHRYN CAWLEY
Physician Assistant (Surgical)
300 STATE ST STE 401, 4TH FLOOR, SUITE 401
ERIE, PA 16507
Erie County (814) 877-8370
RAFAEL ENRIQUE PEREZ D.O.
Surgery
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-4577
GREGORY N BOWDEN M.D,
Neurological Surgery
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-5330
JEREMY GUY STONE M.D.
Neurological Surgery
300 STATE ST STE 401
ERIE, PA 16507
Erie County (814) 877-5330

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 Amit Sharma's NPI number?

The NPI number for Amit Sharma is 1629210836. It was assigned to this individual provider in the NPPES registry on April 2, 2009.

Where is Amit Sharma located?

Amit Sharma practices at 300 State St Ste 401, Erie, PA 16507. The listed phone number is (814) 877-8680.

What is Amit Sharma's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Amit Sharma enrolled in Medicare?

Yes. Amit 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 Amit Sharma accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Amit 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 Amit Sharma affiliated with any hospitals?

According to CMS data, Amit Sharma is affiliated with Santa Rosa Medical Center, Cape Canaveral Hospital, Hca Florida Fort Walton-Destin Hospital, Hca Florida West Hospital and Viera Hospital.

When was this NPI record last updated?

The NPPES record for Amit Sharma was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.