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SHARON SETH M.D.
NPI 1922329465
Allergy & Immunology in Sterling, VA

Active since June 18, 2010PECOS EnrolledAccepts Medicare Assignment
46400 BENEDICT DR STE 3, STERLING, VA 20164(703) 430-0833 Get Directions Write a Review

NPPES record last updated: May 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 4, 2024, Oct 7, 2021, May 23, 2019 (3 updates tracked since 2019).

About Sharon Seth M.d. NPPES

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

SHARON SETH M.D. (NPI 1922329465) is an individual allergy & immunology provider in Sterling, Virginia, licensed in Virginia (0101271887) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mc Lean, and is a graduate of Drexel University College Of Medicine (2010).

NPPES Registry Identity

NPI1922329465
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameSHARON SETHCredential: M.D.
Location Address46400 BENEDICT DR STE 3Sterling, VA 20164-6604
Mailing Address46400 Benedict Dr Ste 3Sterling, VA 20164-6604
Phone(703) 430-0833
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 2010
Enumeration DateJune 18, 2010
Last NPPES UpdateMay 4, 20243 updates tracked since enumeration
NPPES CertifiedMay 4, 2024
✔ NPI 1922329465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Licenses✔ Licensed in VA · 0101271887✔ Licensed in TX · Q4937
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125058367 (IL)
46400 BENEDICT DR STE 3, Sterling, VA 20164
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Secondary Practice Location 1

Location 11360 Beverly RdMc Lean, VA 22101-3643 · Phone (703) 356-8290

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Sharon Seth 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 ID8022307446
PECOS Enrollment IDI20211119001716, I20211119001835
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 Reassignment

Medicare enrollment records show Sharon Seth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC
18 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 9

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
679 services19 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.
72 services61 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.
65 services56 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
54 services45 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.
36 services32 patients
Test to measure the level of nitric oxide gas 95012
A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.
27 services23 patients

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
3 suppliers13 claims52 services$18.32 avg. paid by Medicare
Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater E0779
DME-Other DME · category DE000N
2 suppliers13 claims13 services$13.21 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
3 suppliers13 claims57 services$2.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sharon Seth's NPI number?

The NPI number for Sharon Seth is 1922329465. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Sharon Seth located?

Sharon Seth practices at 46400 Benedict Dr Ste 3, Sterling, VA 20164. The listed phone number is (703) 430-0833.

What is Sharon Seth's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Sharon Seth enrolled in Medicare?

Yes. Sharon Seth 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 organization bills Medicare for Sharon Seth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Seth reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). The 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 Sharon Seth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharon Seth accept?

Health plans from Oscar Health list Sharon Seth 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.

When was this NPI record last updated?

The NPPES record for Sharon Seth was last updated on May 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.