What is Ketan Sharma's NPI number?

Ketan Sharma's National Provider Identifier (NPI) is 1376982686, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ketan Sharma's specialty?

Ketan Sharma is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).

Where is Ketan Sharma located?

Ketan Sharma's practice location on file with NPPES is 1201 S Grand Blvd, Saint Louis, MO 63104-1016.

What is Ketan Sharma's phone number?

The practice phone number listed in the NPPES registry for Ketan Sharma is (314) 257-8000.

Does Ketan Sharma accept Medicare?

Ketan Sharma is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Ketan Sharma's NPI active?

Yes — Ketan Sharma's NPI (1376982686) is active in the NPPES registry as of the last update on 2021-03-17.

IndividualActiveAccepts Medicare

Ketan Sharma, MD

NPI 1376982686 · Plastic Surgery Physician · Saint Louis, MO

Ketan Sharma, MD is a Plastic Surgery Physician provider in Saint Louis, MO (NPI 1376982686).

Provider details

NPI number: 1376982686
Entity type: Individual
Primary specialty: Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 2013018519 (MO)

Practice location

1201 S Grand Blvd

Saint Louis, MO 63104-1016

Phone: (314) 257-8000

Street-level locationGet directions

More MO providers

Mailing address

1201 S Grand Blvd

Saint Louis, MO 63104-1016

Specialties & taxonomies

Plastic Surgery PhysicianPrimary208200000XLicense 2013018519 (MO)
Allopathic & Osteopathic Physicians

Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure25% of score
13 yrs in NPPES registry
Profile completeness25% of score
100% of core fields populated
Practice footprint15% of score
1 documented practice location
Medicare service volume (vs. specialty peers)25% of score
152 Medicare services, 2024 (ranked within specialty)
Open Payments transparency10% of score
Has Open Payments disclosures (2024)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214	63	$90
New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204	30	$123
Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213	23	$61
Injection Into Tendon Or Ligament20550	18	$35
New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205	18	$167

Typical Medicare-allowed amounts for these services range $35–$167 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Oxycodone Hcl	66	58
Ondansetron Hcl	64	57
Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass	11	11

Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do not include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$1,602 across 6 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Enumerated: 2013-06-19
Last updated: 2021-03-17
Certified: 2021-03-17

Frequently asked questions

What is Ketan Sharma's NPI number?: Ketan Sharma's National Provider Identifier (NPI) is 1376982686, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Ketan Sharma's specialty?: Ketan Sharma is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
Where is Ketan Sharma located?: Ketan Sharma's practice location on file with NPPES is 1201 S Grand Blvd, Saint Louis, MO 63104-1016.
What is Ketan Sharma's phone number?: The practice phone number listed in the NPPES registry for Ketan Sharma is (314) 257-8000.
Does Ketan Sharma accept Medicare?: Ketan Sharma is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Ketan Sharma's NPI active?: Yes — Ketan Sharma's NPI (1376982686) is active in the NPPES registry as of the last update on 2021-03-17.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214	63	$90
New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204	30	$123
Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213	23	$61
Injection Into Tendon Or Ligament20550	18	$35
New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205	18	$167

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Oxycodone Hcl	66	58
Ondansetron Hcl	64	57
Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass	11	11

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$1,602 across 6 records (Open Payments 2024)

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

What this provider does (Medicare)

What this provider prescribes (Medicare Part D)

Transparency — industry payments

Registry dates

Frequently asked questions

Specialties & taxonomies

Frequently asked questions

Profile Score

What this provider does (Medicare)

What this provider prescribes (Medicare Part D)

Transparency — industry payments