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SHERWIN G IBARRA MD
NPI 1952344491
Family Medicine in Anderson, IN

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
1030 S SCATTERFIELD RD, ANDERSON, IN 46012(765) 644-5025(765) 643-4534 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sherwin G Ibarra Md NPPES

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

SHERWIN G IBARRA MD (NPI 1952344491) is an individual family medicine provider in Anderson, Indiana, licensed in Indiana (01057952A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Indiana University School Of Medicine (1999).

NPPES Registry Identity

NPI1952344491
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHERWIN G IBARRACredential: MD
Location Address1030 S SCATTERFIELD RDAnderson, IN 46012-4235
Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2805
Phone(765) 644-5025
Fax(765) 643-4534
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1999
Enumeration DateJune 13, 2006
Last NPPES UpdateApril 14, 2017
✔ NPI 1952344491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01057952A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1030 S SCATTERFIELD RD, Anderson, IN 46012
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Other Identifiers 5

Medicare PINM400053853IN
Medicaid200456740IN
OtherP01456890IN · Medicare Rr
Medicare UPINH55267IN
OtherP01027009IN · Rr Medicare Ptan

Accepted Insurance

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

Sherwin G Ibarra 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 ID7911962816
PECOS Enrollment IDI20041119000575
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 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.

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.
88 services87 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 services72 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
48 services46 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
44 services44 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
30 services30 patients
Detection test by immunoassay technique for influenza virus 87400
An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.
30 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46012 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 3

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

NORA D MITICHE NP
Nurse Practitioner
1030 S SCATTERFIELD RD
ANDERSON, IN 46012
Madison County (765) 644-5025
OCCUAPTIONAL HEALTH CENTER ANDERSON
Clinic/Center (Occupational Medicine)
1030 S SCATTERFIELD RD
ANDERSON, IN 46012
Madison County (765) 648-2412
COMMUNITY HOSPITALS OF INDIANA, INC
Family Medicine
1030 S SCATTERFIELD RD
ANDERSON, IN 46012
Madison County (765) 644-5025

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 Sherwin Ibarra's NPI number?

The NPI number for Sherwin Ibarra is 1952344491. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Sherwin Ibarra located?

Sherwin Ibarra practices at 1030 S Scatterfield Rd, Anderson, IN 46012. The listed phone number is (765) 644-5025.

What is Sherwin Ibarra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sherwin Ibarra enrolled in Medicare?

Yes. Sherwin Ibarra 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 Sherwin Ibarra accept?

Health plans from CareSource list Sherwin Ibarra 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 Sherwin Ibarra affiliated with any hospitals?

According to CMS data, Sherwin Ibarra is affiliated with Community Hospital East and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Sherwin Ibarra was last updated on April 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.