DR. VISHAL SHARMA MD
NPI 1750464004
Internal Medicine in Bradenton, FL

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
93.63/100
CMS Quality Rating
6400 MANATEE AVE W, SUITE A, BRADENTON, FL 34209(941) 761-8505(941) 761-8240 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vishal Sharma Md NPPES

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

DR. VISHAL SHARMA MD (NPI 1750464004) is an individual internal medicine provider in Bradenton, Florida, licensed in Florida (ME0071428) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1750464004
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. VISHAL SHARMACredential: MD
Location Address6400 MANATEE AVE W, SUITE ABradenton, FL 34209-2378
Mailing Address6400 Manatee Ave W, Suite ABradenton, FL 34209-2378 · (941) 761-8505 · Fax (941) 761-8240
Fax(941) 761-8240
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 23, 2006
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
NPI 1750464004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME0071428
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6400 MANATEE AVE W, Bradenton, FL 34209

Other Identifiers 8

Medicaid253745100FL
Other2594605Ghi
Other7829784017Cigna
OtherDG5864Railroad Medicare
Other32972B Cross B Shield
Other32972TMedicare
Other2093901Aetna
Other32972Bc/bs

Accepted 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. Vishal 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 ID5193788628
PECOS Enrollment IDI20120125000364
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 21

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.
1,253 services600 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.
671 services386 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.
592 services182 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
417 services417 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
361 services361 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
339 services339 patients

Hospital Affiliations CMS Care Compare 4

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

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100035
Location206 2nd St EBradenton, FL 34208 · Manatee County
Emergency services Birthing friendly

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Hca Florida Sarasota Doctors Hospital

Acute Care Hospitals · Sarasota, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100166
Location5731 Bee Ridge RdSarasota, FL 34233 · Sarasota County
Emergency services

Hca Florida Blake Hospital

Acute Care Hospitals · Bradenton, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100213
Location2020 59th St WBradenton, FL 34209 · Manatee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34209 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

93.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.39
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
55%53 patients2/55-star benchmark: 100%
Advance Care Plan
62%1,756 patients3/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
12%25 patients1/55-star benchmark: 100%
Cervical Cancer Screening
34%495 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
25%668 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
38%1,308 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
81%904 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
18%327 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
28%327 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
76%8,196 patients3/55-star benchmark: 100%
e-Prescribing
99%4,481 patients4/55-star benchmark: 100%
HIV Screening
3%1,146 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%2,380 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%3,449 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
79%1,949 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%954 patients4/55-star benchmark: 91%
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.

Referred Medical Equipment & Supplies CMS DME claims 25

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers59 claims170 services$6.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers31 claims48 services$1.08 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers13 claims13 services$34.05 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers21 claims21 services$82.61 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers20 claims60 services$31.95 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers12 claims68 services$19.38 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 9

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

Counselor (Mental Health)
6400 MANATEE AVE W
BRADENTON, FL 34209
Counselor (Mental Health)
6400 MANATEE AVE W
BRADENTON, FL 34209
Dentist (General Practice)
6400 MANATEE AVE W, STE. L
BRADENTON, FL 34209
Internal Medicine (Cardiovascular Disease)
6400 MANATEE AVE W, SUITE A
BRADENTON, FL 34209
Internal Medicine (Cardiovascular Disease)
6400 MANATEE AVE W, STE A
BRADENTON, FL 34209
Counselor (Mental Health)
6400 MANATEE AVE W, SUITE E
BRADENTON, FL 34209
Internal Medicine
6400 MANATEE AVE W, SUITE A
BRADENTON, FL 34209
Day Training, Developmentally Disabled Services
6400 MANATEE AVE W, SUITE I
BRADENTON, FL 34209

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 Vishal Sharma's NPI number?

The NPI number for Vishal Sharma is 1750464004. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Vishal Sharma located?

Vishal Sharma practices at 6400 Manatee Ave W Suite A, Bradenton, FL 34209. The listed phone number is (941) 761-8505.

What is Vishal Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vishal Sharma enrolled in Medicare?

Yes. Vishal 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 Vishal Sharma accept?

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

According to CMS data, Vishal Sharma is affiliated with Manatee Memorial Hospital, Sarasota Memorial Hospital, Hca Florida Sarasota Doctors Hospital and Hca Florida Blake Hospital.

When was this NPI record last updated?

The NPPES record for Vishal Sharma was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.