NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1538504949 MD
Verify on CMS → Vipul Sharma, MD
Sports Medicine (Family Medicine) Physician in Hamburg, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,236 in Sports Medicine (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
772
Medicare Part D claims · 262 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Industry payments
$1.1K
16 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Vipul Sharma, MD filed 772 Medicare Part D claims in 2024 as a Sports Medicine (Family Medicine) Physician in Hamburg, Pennsylvania.
- 772
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥70th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Vipul Sharma, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1538504949), first enumerated 04/30/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 772 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$1.1K in reported industry payments (16 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Vipul Sharma, MD's individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1538504949 · Sports Medicine (Family Medicine) Physician
NPI-10 · ENUM-MID · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1538504949
- ENUM-MID 2013
- TAX-NARROW 2,236
- RX-LIGHT 772
- BOOK-THIN 150 in Pennsylvania
- PHOTO-ENUM Kendrick Watkins · 2013
Vipul Sharma, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
772 ≥ 70th percentile 70% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Vipul Sharma, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations - 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 Vipul Sharma, MD?
Quality data not reportedPrimary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
772 41% vs specialty avg
Specialty distribution in Pennsylvania
How Sports Medicine (Family Medicine) Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Sports Medicine (Family Medicine) Physician. Verify directly:
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 | 1538504949 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/30/2013 |
Hospital and facility affiliations
Facilities where Vipul 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.
According to CMS billing records, Vipul Sharma, MD is affiliated with 3 Medicare-billing facilities.
Integrated Medical Group P C
Pottsville, PA
Phoenix Rehabilitation And Health Services Inc
Cranberry Twp, PA
Premier Pain Professionals PC
Pottsville, PA
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 Vipul Sharma, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.1K
Largest payer
Medtronic, Inc.
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.
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Vipul Sharma, MD. To verify Vipul Sharma, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
772
Total Claims
$42K
Total Drug Cost
262
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,234.667
- Total Day Supply
- 34,198
- Generic Drug Cost
- $19K
- Opioid Claims
- 177 (22.9% rate)
- Antibiotic Claims
- 23
Patient Demographics
- Average Patient Age
- 69.0 years
- Avg HCC Risk Score
- 1.73
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 79, 65-74: 107, 75-84: 60, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Vipul Sharma, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Gabapentin
Gabapentin
129 claims
- Pregabalin 51
Pregabalin
51 claims
- Cyclobenzaprine Hcl 43
Cyclobenzaprine Hcl
43 claims
- Buprenorphine-Nalo… 42
Buprenorphine-Naloxone
42 claims
- Tramadol Hcl 41
Tramadol Hcl
41 claims
- Oxycodone-Acetamin… 35
Oxycodone-Acetaminophen
35 claims
- Acetaminophen-Code… 26
Acetaminophen-Codeine
26 claims
- Meloxicam 26
Meloxicam
26 claims
| Drug | Claims |
|---|---|
| Gabapentin | 129 |
| Pregabalin | 51 |
| Cyclobenzaprine Hcl | 43 |
| Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl | 42 |
| Tramadol Hcl | 41 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 35 |
| Acetaminophen-Codeine Acetaminophen With Codeine | 26 |
| Meloxicam | 26 |
| Baclofen | 25 |
| Tizanidine Hcl | 25 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Family Medicine) Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Vipul Sharma, MD fits within the Sports Medicine (Family Medicine) Physician landscape nationally.
2,236
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,299
Avg Claims per Provider
Vipul Sharma, MD's 772 claims are below the specialty average of 1,299.
Nationwide Sports Medicine (Family Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Sharma, both outside Pennsylvania so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Sports Medicine (Family Medicine) Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Sharma.
One of 150 Sports Medicine (Family Medicine) Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Mia Adkins
M.D.
Pittsburgh, PA
Dr. Samuel Adkins
M.D.
Pittsburgh, PA
Dr. Faisal Al-Alim
M.D
Bethlehem, PA
Dr. Marco Alcala
M.D.
Canonsburg, PA
Dr. Kunal Anandpara
DO
Philadelphia, PA
Compare Sports Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Vipul Sharma, MD's specialty? ▼
Vipul Sharma, MD specializes in Sports Medicine (Family Medicine) Physician and practices in Hamburg, Pennsylvania. Credentials: MD.
How much does Vipul Sharma, MD prescribe under Medicare Part D? ▼
In 2024, Vipul Sharma, MD wrote 772 Medicare Part D claims totaling $42K in drug costs for 262 beneficiaries.
Where is Vipul Sharma, MD located? ▼
Vipul Sharma, MD is located at 61 INDUSTRIAL DR, Hamburg, PA, 19526. Phone: (570) 875-8035.
What is Vipul Sharma, MD's NPI number? ▼
Vipul Sharma, MD's National Provider Identifier (NPI) is 1538504949, issued on 04/30/2013.
Does Vipul Sharma, MD prescribe opioids? ▼
Yes, Vipul Sharma, MD had 177 opioid claims in 2024 with an opioid prescribing rate of 22.9%.
How many Sports Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 2,236 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,299 Medicare Part D claims per year.
What drugs does Vipul Sharma, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Vipul Sharma, MD's most frequently prescribed drugs include Gabapentin, Pregabalin, Cyclobenzaprine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Vipul Sharma, MD accept Medicare? ▼
Vipul Sharma, MD appears in CMS Medicare data with 772 Part D claims and 262 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Vipul Sharma, MD's credentials? ▼
Vipul Sharma, MD's NPI is 1538504949 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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 August 2026.