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PARTH SHARMA
NPI 1639568421
Surgery in Springfield, MA

Active since January 15, 2015PECOS EnrolledAccepts Medicare Assignment
71.17/100
CMS Quality Rating
759 CHESTNUT ST, SPRINGFIELD, MA 01199(413) 794-0000 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2018, Mar 17, 2018, Dec 7, 2017 (3 updates tracked since 2017).

About Parth Sharma NPPES

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

PARTH SHARMA (NPI 1639568421) is an individual surgery provider in Springfield, Massachusetts, licensed in Pennsylvania (MD472995) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Penn State Health St. Joseph, and is a graduate of Northwestern University Feinberg Medical School (2016).

NPPES Registry Identity

NPI1639568421
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePARTH SHARMA
Location Address759 CHESTNUT STSpringfield, MA 01199-4074
Mailing Address500 University DrHershey, PA 17033-2360 · (413) 794-0000
Phone(413) 794-0000
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2016
Enumeration DateJanuary 15, 2015
Last NPPES UpdateAugust 31, 20213 updates tracked since enumeration
NPPES CertifiedAugust 31, 2021
✔ NPI 1639568421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD472995
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.
759 CHESTNUT ST, Springfield, MA 01199
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Parth Sharma 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 ID9931493327
PECOS Enrollment IDI20210909000611
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 6

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 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.
24 services20 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.
21 services15 patients
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.
19 services17 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.
19 services19 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.
18 services18 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.
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.

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01199 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

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.

DENNIS ZAMBRANO
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
CHARLES E BROWN
Nurse Anesthetist, Certified Registered
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-3520
RAISA KHAN
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
VICTORIA YOUNES
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (418) 794-0000
MR. ROBERT J RUSSELL PCNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-3376
DR. BENJAMIN J BARNES MD
Psychiatry & Neurology (Neurology)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-4440
BAYSTATE MEDICAL CENTER INC
Pharmacy (Community/Retail Pharmacy)
759 CHESTNUT ST, DALY 3 PHARMACY
SPRINGFIELD, MA 01199
Hampden County (413) 794-3291
JEFFREY WALBRIDGE DO
Pediatrics
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000

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 Parth Sharma's NPI number?

The NPI number for Parth Sharma is 1639568421. It was assigned to this individual provider in the NPPES registry on January 15, 2015.

Where is Parth Sharma located?

Parth Sharma practices at 759 Chestnut St, Springfield, MA 01199. The listed phone number is (413) 794-0000.

What is Parth Sharma's specialty?

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

Is Parth Sharma enrolled in Medicare?

Yes. Parth 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 Parth Sharma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Parth 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 Parth Sharma affiliated with any hospitals?

According to CMS data, Parth Sharma is affiliated with Penn State Health St. Joseph, Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Parth Sharma was last updated on August 31, 2021. 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.