SUSAN M SHARP – Family Medicine Physician, NPI 1366401580

SUSAN M SHARP is a healthcare provider. based in Corona, California. specializing in FAMILY PRACTICE. They hold a License No. 20A7109 (CA). The NPI Number for SUSAN M SHARP is 1366401580

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN M SHARP
NPI
1366401580
Phone
(951) 278-5590
Address
PO BOX 77790
Enumeration Date
17 March 2006
Last Update Date
16 October 2015

Doctor Profile

Medical School Name
COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Secondary Phone
3059846612
Graduation Year
1996 (30 years ago)
PAC ID
6204922735
Group Practice PAC ID
8325551997
Professional Enrollment ID
I20071015000437
Address ID
CA91355XXXXVAXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for SUSAN M SHARP

  • PO BOX 77790

    CORONA, CA 928770126

    Phone: (951) 278-5590

    Fax: (951) 272-9924

    Type: Mailing

  • Irvine Boulevard, Browning, Tustin, Orange County, California, 92705, United States

    TUSTIN, CA 927803030

    Phone: (714) 542-5988

    Fax: (951) 272-9924

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071015000437IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13212$0
99215Established patient office or other outpatient visit, 40-54 minutes7928$0
99214Established patient office or other outpatient visit, 30-39 minutes4118$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4125$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4118$0
View full utilization report →

Insurance plans in this area (ZIP 92877)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325551997View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for SUSAN M SHARP?
SUSAN M SHARP — NPI 1366401580 — is the standard way to identify this listing.
Does the file indicate SUSAN M SHARP is practicing under active NPI?
Directory data currently reports SUSAN M SHARP as active.
What taxonomy line describes SUSAN M SHARP?
For research purposes, treat SUSAN M SHARP as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does SUSAN M SHARP list a practice location?
Patients near Corona, California may find SUSAN M SHARP in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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