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DR. ISHWARA SHARMA M.D.
NPI 1912960741
Internal Medicine - Cardiovascular Disease in Webster, MA

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
94.31/100
CMS Quality Rating
72 CUDWORTH RD, WEBSTER, MA 01570(508) 461-0011(508) 949-8104 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ishwara Sharma M.d. NPPES

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

DR. ISHWARA SHARMA M.D. (NPI 1912960741) is an individual cardiovascular disease provider in Webster, Massachusetts, licensed in Massachusetts (36016) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (1967).

NPPES Registry Identity

NPI1912960741
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ISHWARA SHARMACredential: M.D.
Location Address72 CUDWORTH RDWebster, MA 01570-3157
Mailing Address72 Cudworth RdWebster, MA 01570-3157 · (508) 949-8118 · Fax (508) 461-0013
Phone(508) 461-0011
Fax(508) 949-8104
Sole ProprietorNo
Medical School CMSOtherGraduated 1967
Enumeration DateApril 11, 2006
Last NPPES UpdateJanuary 5, 2010
✔ NPI 1912960741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MA · 36016
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
72 CUDWORTH RD, Webster, MA 01570
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Other Identifiers 2

Medicare PINM08506MA
Medicare UPINA66102MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Ishwara Sharma M.d. 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 ID1254371297
PECOS Enrollment IDI20110208000623
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 11

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.
376 services156 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.
118 services81 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.
87 services87 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.
78 services78 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
75 services11 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01570 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
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.

94.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.74
Improvement Activities40
Cost85.7

Reported Quality Measures

Breast Cancer Screening
54%153 patients3/55-star benchmark: 93%
Cervical Cancer Screening
15%170 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
15%568 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
45%525 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
67%227 patients3/55-star benchmark: 91%
Dementia: Cognitive Assessment
24%21 patients
Diabetes: Eye Exam
10%119 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
19%136 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%3,002 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
36%337 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
74%691 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
38%717 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%493 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 54% · 733 patients
Patients screened: 58% · 791 patients
36%460 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 6

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
10 suppliers29 claims61 services$6.21 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier14 claims27 services$1.25 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$3.32 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
2 suppliers18 claims2,160 services$0.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers16 claims16 services$184.52 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier18 claims18 services$23.25 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 5

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

INTER MED ASSOCIATES, P.C.
Internal Medicine (Cardiovascular Disease)
72 CUDWORTH RD
WEBSTER, MA 01570
Worcester County (508) 461-0011
SHEENA SHARMA M.D.
Internal Medicine (Cardiovascular Disease)
72 CUDWORTH RD, INTER MED ASSOCIATES, PC
WEBSTER, MA 01570
Worcester County (508) 461-0011
LINDSEY JAE GIROUX
Internal Medicine
72 CUDWORTH RD
WEBSTER, MA 01570
Worcester County (508) 461-0011
DR. KENNETH FRANK GUARNIERI M.D.
Internal Medicine
72 CUDWORTH RD
WEBSTER, MA 01570
Worcester County (508) 461-0011
DR. KRZYSZTOF KACPRZAK M.D.
Internal Medicine
72 CUDWORTH RD
WEBSTER, MA 01570
Worcester County (508) 461-0011

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 Ishwara Sharma's NPI number?

The NPI number for Ishwara Sharma is 1912960741. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Ishwara Sharma located?

Ishwara Sharma practices at 72 Cudworth Rd, Webster, MA 01570. The listed phone number is (508) 461-0011.

What is Ishwara Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ishwara Sharma enrolled in Medicare?

Yes. Ishwara 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 Ishwara Sharma accept?

Health plans from Anthem Blue Cross and Blue Shield list Ishwara 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 Ishwara Sharma affiliated with any hospitals?

According to CMS data, Ishwara Sharma is affiliated with Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Ishwara Sharma was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.