Sidharth Sharma, M.D
NPI 1568790848ActiveIndividual· Family Medicine· Milton, GA
Opted out of Medicare from April 2025 to April 2027. Family Medicine (M.D) in Milton, Georgia, licensed in GA, with an NPI issued in November 2009. Their prescriptions cost Medicare Part D more than their services did: $137,363 for 1,870 claims, against $31,829 paid for services in 2024. Lilly USA, LLC was the largest of 4 companies reporting payments in 2024, $144.68 in all, mostly food and beverage.
Overview
| NPI | 1568790848 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Nov 25, 2009 |
| Last updated in NPPES | Apr 26, 2021 |
| Certified by provider | Apr 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 064967 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 1, 2025 – Apr 1, 2027 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 127 |
|---|---|
| Services billed | 511 across 28 procedure codes |
| Paid by Medicare | $31,829 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,870 · 4,696 30-day fills |
|---|---|
| Patients | 185 |
| Total drug cost | $137,363 |
| Generic share | 88% of claims |
Industry payments (Open Payments)
- 2024$144.68 · 7 payments from 4 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $59.48 | 3 |
| Astrazeneca Pharmaceuticals LP | $39.94 | 2 |
| Mannkind Corporation | $23.51 | 1 |
| Pfizer Inc. | $21.75 | 1 |
What the 2024 payments were for
- Food and Beverage$144.68 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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