Active NPI 1629369590 Individual Practitioner Female Practitioner

Dr. Priya Sharma , MD

Surgery • Sebring, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Priya Sharma, MD is a certified Surgery practicing in Sebring, FL. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Sharma delivers high-quality medical care to the local community at 4301 SUN N LAKE BLVD STE 102.

Dr. Sharma maintains professional affiliations with Florida Hospital Physician Group Inc, Adventist Health System-Sunbelt Inc, Health First Medical Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4301 Sun N Lake Blvd Ste 102

Sebring, FL 33872

Telephone 8634023161

Fax 8634028244

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sebring, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -9.3 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

13 Specialists

Practicing in Sebring, FL (2030 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sharma (18 Years) 18 Yrs

Sebring Specialty Average (27.3 Years) 27.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	46	$396.00	$133.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	19	$240.00	$80.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$395.57	$130.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$239.29	$79.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$151.36	$50.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	133	61	$215.00	$71.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$507.00	$135.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	41	$118.00	$38.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	52	$383.29	$98.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	22	$309.00	$102.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$410.00	$135.55
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$273.00	$67.42
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	26	26	$2316.00	$763.93
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$307.00	$97.06
76937 Ultrasonic guidance for blood vessel access	21	20	$42.00	$12.60
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$58.00	$19.01
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1042.00	$347.01
49650 Repair of groin hernia using an endoscope	12	12	$1489.33	$442.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	154	73	$311.06	$103.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$507.33	$139.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	53	$217.10	$72.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	36	$116.00	$37.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	38	$388.00	$101.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	41	$604.43	$198.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$411.00	$138.19
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	27	27	$58.00	$19.36
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$308.00	$103.49
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	26	26	$2306.00	$730.58
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	26	26	$3221.00	$344.86
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$274.00	$69.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$671.00	$189.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$168.00	$36.75
76937 Ultrasonic guidance for blood vessel access	15	15	$43.00	$14.22
49650 Repair of groin hernia using an endoscope	14	14	$1623.07	$512.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	198	82	$320.00	$107.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$500.00	$133.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$622.00	$208.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	44	$425.00	$142.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	26	$222.00	$74.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	25	$441.00	$114.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$328.00	$81.52
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$2331.00	$740.19
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$3214.44	$356.68
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$58.00	$19.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	16	$122.00	$40.53
76937 Ultrasonic guidance for blood vessel access	17	17	$45.00	$14.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$151.69	$26.97
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$226.00	$53.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	123	52	$223.00	$73.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$138.38	$130.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	23	$319.00	$105.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$620.00	$205.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$421.00	$139.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	17	$121.00	$40.10
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	27	27	$58.00	$19.20
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	27	27	$3222.00	$348.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$81.00	$79.86
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$53.00	$51.87
76937 Ultrasonic guidance for blood vessel access	17	17	$45.00	$14.81
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$2316.00	$735.11

Medical Specialties & State Licenses

CMS Verified: 2025-10-02

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME138796

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License MO 2017016670

Surgery

NUCC Taxonomy Code: 208600000X

State License PA MT199022

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

125371000 (FL)

Commercial Insurance / Payer ID Hfmg

V8481 (FL)

Hospital & Practice Group Affiliations

Adventist Health System-Sunbelt Inc

4200 Sun N Lake Blvd, Sebring, FL 338721986

Phone: 8633144466

Florida Hospital Physician Group Inc

13901 Bruce B Downs Blvd, Tampa, FL 336133905

Phone: 8136157260

Health First Medical Group, Llc

1425 Malabar Rd Ne, Palm Bay, FL 329072506

Phone: 3214348121

Health First Medical Group, Llc

699 W Cocoa Beach Cswy, Cocoa Beach, FL 329313562

Adventist Health System-Sunbelt Inc

4301 Sun N Lake Blvd, Sebring, FL 338722138

Adventist Health System-Sunbelt Inc

1210 Us Hwy 27 N, Lake Placid, FL 338527948

Phone: 8634653777

Secondary Practice Locations

3400 Spruce St

Philadelphia, PA 19104

Phone: 2156626156

1425 Malabar Rd Ne

Palm Bay, FL 329072506

Phone: 3214348078

8745 N Wickham Rd

Melbourne, FL 329405997

Phone: 3214348078

701 W Cocoa Beach Cswy

Cocoa Beach, FL 329315595

Phone: 3214348078

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Armin Kamyab , MD

Surgery

NPI 1043469455

Doctor of Medicine (M.D.)

Dr. Michael Latzko , MD

Surgery

NPI 1093940710

Doctor of Medicine (M.D.)

Dr. Jose Ruiz , MD

Otolaryngology

NPI 1134319783

Doctor of Medicine (M.D.)

Nhora Adams , APRN

Nurse Practitioner - Acute Care

NPI 1215546460

Advanced Practice Registered Nurse

Dr. David Cummings , MD

Surgery

NPI 1881951804

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2025

Surgery (License #2017016670 in MO)

📍

Updated Practice Location February 11, 2019

Registered at 4301 SUN N LAKE BLVD STE 102, SEBRING, FL 33872 (Tel: 8634023161)

📍

Updated Business Mailing Address February 11, 2019

Registered at 4301 SUN N LAKE BLVD STE 102, SEBRING, FL 338722138 (Tel: 8634023161)

📍

Updated Business Mailing Address February 27, 2018

Registered at PO BOX 843966, KANSAS CITY, MO 641843966 (Tel: 5738823300)

✅

NPI Profile Active April 27, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2011

Registered at 3400 SPRUCE ST, PHILADELPHIA, PA 191044206 (Tel: 2156626156)

📍

Updated Business Mailing Address April 27, 2011

Registered at 3400 SPRUCE ST, PHILADELPHIA, PA 191044206 (Tel: 2156626156)

👤

Provider Name / Credentials Updated April 27, 2011

Recorded as PRIYA SHARMA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2011

Surgery (License #MT199022 in PA)

🟢

Initial NPI Registration & Enumeration April 27, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629369590

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 27, 2011

Last Update: October 02, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4301 Sun N Lake Blvd Ste 102

Sebring, FL 338722138

Phone: 8634023161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.