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RICHARD J SANDERS M.D.
NPI 1013130699
Family Medicine in Cincinnati, OH

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
3645 STONECREEK BLVD UNIT D, CINCINNATI, OH 45251(513) 923-2300 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Richard J Sanders M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD J SANDERS M.D. (NPI 1013130699) is an individual family medicine provider in Cincinnati, Ohio, licensed in Ohio (35051345) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - West Hospital, and maintains a secondary practice location in Milford.

NPPES Registry Identity

NPI1013130699
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD J SANDERSCredential: M.D.
Location Address3645 STONECREEK BLVD UNIT DCincinnati, OH 45251-1469
Mailing Address2415 Auburn AveCincinnati, OH 45219-2701 · (513) 221-4949 · Fax (513) 241-4191
Phone(513) 923-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 16, 2023
NPPES CertifiedJune 19, 2023
✔ NPI 1013130699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35051345
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3645 STONECREEK BLVD UNIT D, Cincinnati, OH 45251
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Secondary Practice Location 1

Location 11064 State Route 28 Ste FMilford, OH 45150-4940 · Phone (513) 981-4050

Other Identifiers 2

Medicaid0875325OH
OtherP00665515OH · Medicare Rr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard J Sanders M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961421136
PECOS Enrollment IDI20051116000862
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
74 services74 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
34 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services28 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
22 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45251 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
0%149 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%701 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%30 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
100%97 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%103 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%1,315 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,617 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 374 patients
0%374 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 114 patients
Patients totalRate: 0% · 114 patients
0%114 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADEL YASSIN SALAM
Family Medicine
3645 STONECREEK BLVD UNIT D
CINCINNATI, OH 45251
Hamilton County (513) 923-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Sanders's NPI number?

The NPI number for Richard Sanders is 1013130699. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Richard Sanders located?

Richard Sanders practices at 3645 Stonecreek Blvd Unit D, Cincinnati, OH 45251. The listed phone number is (513) 923-2300.

What is Richard Sanders's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Sanders enrolled in Medicare?

Yes. Richard Sanders is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Sanders accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 1 other insurer list Richard Sanders as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Richard Sanders affiliated with any hospitals?

According to CMS data, Richard Sanders is affiliated with Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Richard Sanders was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.