NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1376604272 MD
Verify on CMS → Sunil Sharma, MD
Family Medicine Physician in Opelika, Alabama.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
41K
Medicare Part D claims · 2K beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.1/100
▲ 9 pts above national avg 83.5 · Exceptional
Industry payments
$1.8K
112 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Sunil Sharma, MD reported a CMS MIPS final score of 92.1/100 - above the 83.5 national average - and filed 40,930 Medicare Part D claims in 2023.
- 92.1/100
- MIPS score · +9 vs avg
- 41K
- Part D claims, 2023
- 89%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
CMS NPPES provider registry desk
NPI 1376604272 · Family Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ABOVE · RX-HEAVY · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1376604272
- ENUM-LEGACY 2006
- TAX-MEGA 148K Family Medicine
- MIPS-ABOVE 92.1/100
- RX-HEAVY 41K claims
- BOOK-LIGHT 1,856 in Alabama
- PHOTO-FINISH Michael Duncan · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Sharma · this pr…
Sharma · this provider
92.1 MIPS pts
- Timothy Farrell …
Timothy Farrell
92.1 MIPS pts
- Ayesha Siddiqui …
Ayesha Siddiqui
92.1 MIPS pts
- Michael Duncan ·…
Michael Duncan
92.1 MIPS pts
- Marc Harwood · n…
Marc Harwood
92.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Sunil Sharma, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
92 ≥ 66th percentile 66% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Sunil Sharma, MD sits
This provider among family medicine physician peers
Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sunil Sharma, MD writes more Part D claims than 100% of them and scores higher on MIPS quality than 66% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Sunil Sharma, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sunil Sharma, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Sunil Sharma, MD?
High performer (top quartile)Primary specialty
Family Medicine Physician
Medicare Part D claims
40,930 12× vs specialty avg
MIPS final score
92.1/100 8.6 pts vs avg
Specialty distribution in Alabama
How Family Medicine Physician compares to other specialties among Alabama providers
Medicare quality performance, MIPS
Sunil Sharma, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 92.1/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1376604272 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 12/13/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
92.0868
Final Score
Measured-score avg: 83.5
100
Quality
67.1764
Cost
Reporting: Individual
Hospital and facility affiliations
Facilities where Sunil Sharma, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Sharma Family Medicine And Consulting, P.C.
Opelika, AL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Sunil Sharma, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.8K
Largest payer
GlaxoSmithKline, LLC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Sunil Sharma, MD - brand share 11.0%
Family Medicine Physician average
11% brand-name claims vs 89% generic, on 40,930 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
40,930
Total Claims
$2.8M
Total Drug Cost
1,697
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 59,373
- Total Day Supply
- 1,403,660
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $2.1M
- Generic Drug Cost
- $717K
- Opioid Claims
- 1,966 (4.8% rate)
- Antibiotic Claims
- 763
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.32
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 303, 65-74: 766, 75-84: 482, 85+: 146
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sunil Sharma, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
1,559 claims
- Amlodipine Besylate
Amlodipine Besylate
1,202 claims
- Pantoprazole Sodium
Pantoprazole Sodium
1,126 claims
- Gabapentin
Gabapentin
1,088 claims
- Levothyroxine Sodium
Levothyroxine Sodium
1,059 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
1,051 claims
- Losartan Potassium
Losartan Potassium
980 claims
- Potassium Chloride
Potassium Chloride
962 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 1,559 |
| Amlodipine Besylate | 1,202 |
| Pantoprazole Sodium | 1,126 |
| Gabapentin | 1,088 |
| Levothyroxine Sodium | 1,059 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 1,051 |
| Losartan Potassium | 980 |
| Potassium Chloride | 962 |
| Famotidine | 843 |
| Donepezil Hcl | 771 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Sunil Sharma, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Sunil Sharma, MD's 40,930 claims are above the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Sharma, both outside Alabama so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (92.1 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Alabama
Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as Sharma.
One of 1,856 Family Medicine Physician providers enrolled in Alabama, 5 are shown here.
Dr. Bahaa Abdelqader
DO
Mobile, AL
Dr. Sumayah Abed
MD
Hoover, AL
Dr. Charles Abney
M.D.
Tuscaloosa, AL
Dr. Jennifer Abt
DO
Montgomery, AL
Dr. Dakota Acton Jones
M.D.
Fayette, AL
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sunil Sharma, MD's specialty? ▼
Sunil Sharma, MD specializes in Family Medicine Physician and practices in Opelika, Alabama. Credentials: MD.
How much does Sunil Sharma, MD prescribe under Medicare Part D? ▼
In 2023, Sunil Sharma, MD wrote 40,930 Medicare Part D claims totaling $2.8M in drug costs for 1,697 beneficiaries.
What is Sunil Sharma, MD's Medicare quality score? ▼
Sunil Sharma, MD has a CMS MIPS Final Score of 92.1/100 (Quality: 100, Cost: 67.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sunil Sharma, MD located? ▼
Sunil Sharma, MD is located at 101 24TH ST, Opelika, AL, 36801. Phone: (334) 610-2222.
What is Sunil Sharma, MD's NPI number? ▼
Sunil Sharma, MD's National Provider Identifier (NPI) is 1376604272, issued on 12/13/2006.
Does Sunil Sharma, MD prescribe more brand-name or generic drugs? ▼
Sunil Sharma, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $2.1M in brand drug costs.
Does Sunil Sharma, MD prescribe opioids? ▼
Yes, Sunil Sharma, MD had 1,966 opioid claims in 2023 with an opioid prescribing rate of 4.8%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Sunil Sharma, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sunil Sharma, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sunil Sharma, MD accept Medicare? ▼
Sunil Sharma, MD appears in CMS Medicare data with 40,930 Part D claims and 1,697 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sunil Sharma, MD's credentials? ▼
Sunil Sharma, MD's NPI is 1376604272 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.