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PRIYA SHARMA MD
NPI 1629369590
Surgery in Sebring, FL

Active since April 27, 2011PECOS EnrolledAccepts Medicare Assignment
4301 SUN N LAKE BLVD STE 102, SEBRING, FL 33872(863) 402-3161(863) 402-8244 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2025, Feb 11, 2019, Feb 27, 2018 (3 updates tracked since 2018).

About Priya Sharma Md NPPES

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

PRIYA SHARMA MD (NPI 1629369590) is an individual surgery provider in Sebring, Florida, licensed in Florida (ME138796) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1629369590
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NamePRIYA SHARMACredential: MD
Location Address4301 SUN N LAKE BLVD STE 102Sebring, FL 33872
Mailing Address4301 Sun N Lake Blvd Ste 102Sebring, FL 33872-2138 · (863) 402-3161 · Fax (863) 402-8244
Phone(863) 402-3161
Fax(863) 402-8244
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 27, 2011
Last NPPES UpdateOctober 2, 20253 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1629369590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in FL · ME138796✔ Licensed in MO · 2017016670✔ Licensed in PA · MT199022
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4301 SUN N LAKE BLVD STE 102, Sebring, FL 33872
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Secondary Practice Locations 4

Location 1701 W Cocoa Beach CswyCocoa Beach, FL 32931-5595 · Phone (321) 434-8078
Location 28745 N Wickham RdMelbourne, FL 32940-5997 · Phone (321) 434-8078
Location 33400 Spruce StPhiladelphia, PA 19104 · Phone (215) 662-6156
Location 41425 Malabar Rd NEPalm Bay, FL 32907-2506 · Phone (321) 434-8078

Other Identifiers 2

OtherV8481FL · Hfmg
Medicaid125371000FL

Accepted Insurance

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

Priya 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 ID3577869478
PECOS Enrollment IDI20190219002356
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 Priya Sharma reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health System-Sunbelt Inc
9.8 mi
Rural Health
1006 W PLEASANT ST
Avon Park, FL 33825
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1396046637 (Florida)
  • 105 clinicians in this Medicare group
NPI 1881850956 (863) 453-3121
Health First Medical Group, LLC
67 mi
General Practice
1223 GATEWAY DR
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 773 clinicians in this Medicare group
NPI 1750626495 (321) 434-5055
Florida Hospital Physician Group Inc
72 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766
Florida Hospital Medical Group Inc
75 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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 2

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.

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.
48 services46 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.
35 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100316
Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 6

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

MR. ARMIN KAMYAB MD
Surgery
4301 SUN N LAKE BLVD STE 102
SEBRING, FL 33872
Highlands County (863) 402-3161
DR. MICHAEL PATRICK LATZKO M.D.
Surgery
4301 SUN N LAKE BLVD STE 102
SEBRING, FL 33872
Highlands County (863) 402-3161
DR. JOSE L RUIZ M.D.
Otolaryngology
4301 SUN N LAKE BLVD STE 102
SEBRING, FL 33872
Highlands County (863) 402-3161
NHORA ADAMS APRN
Nurse Practitioner (Acute Care)
4301 SUN N LAKE BLVD STE 102
SEBRING, FL 33872
Highlands County (863) 402-3161
ADVENTIST HEALTH SYSTEM-SUNBELT INC
General Acute Care Hospital
4301 SUN N LAKE BLVD STE 102
SEBRING, FL 33872
Highlands County (863) 402-3161
DAVID CHRISTOPHER CUMMINGS MD
Surgery
4301 SUN N LAKE BLVD STE 102
SEBRING, FL 33872
Highlands County (863) 402-3161

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 Priya Sharma's NPI number?

The NPI number for Priya Sharma is 1629369590. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Priya Sharma located?

Priya Sharma practices at 4301 Sun N Lake Blvd Ste 102, Sebring, FL 33872. The listed phone number is (863) 402-3161.

What is Priya Sharma's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Priya Sharma enrolled in Medicare?

Yes. Priya 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 Priya Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Sharma reassigns Medicare benefits to 4 organizations: Adventist Health System-Sunbelt Inc (Avon Park, FL), Health First Medical Group, LLC (Melbourne, FL), Florida Hospital Physician Group Inc (Tampa, FL) and Florida Hospital Medical Group Inc (Orlando, FL). 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 Priya Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priya Sharma accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Priya 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 Priya Sharma affiliated with any hospitals?

According to CMS data, Priya Sharma is affiliated with Adventhealth Sebring and Palm Bay Hospital.

When was this NPI record last updated?

The NPPES record for Priya Sharma was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.