SANDRA LEE GAILEY MD
NPI 1013930197
Emergency Medicine in Mount Vernon, WA

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
71.76/100
CMS Quality Rating
901 S 5TH ST, MOUNT VERNON, WA 98274(360) 428-6434(360) 848-4547 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandra Lee Gailey Md NPPES

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

SANDRA LEE GAILEY MD (NPI 1013930197) is an individual emergency medicine provider in Mount Vernon, Washington, licensed in Washington (MD60224794) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and maintains a secondary practice location in Anchorage.

NPPES Registry Identity

NPI1013930197
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSANDRA LEE GAILEYCredential: MD
Location Address901 S 5TH STMount Vernon, WA 98274-3942
Mailing Address1400 E Kincaid StMount Vernon, WA 98274-4127
Fax(360) 848-4547
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2002
Enumeration DateJuly 26, 2006
Last NPPES UpdateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
NPI 1013930197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in WA · MD60224794 Licensed in AK · 5591
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
901 S 5TH ST, Mount Vernon, WA 98274

Other Names 1

Former Name (1)Sandra Lee Vedvick M.d.

Secondary Practice Location 1

Location 14315 Diplomacy DrAnchorage, AK 99508-5926 · Phone (907) 729-1729 · Fax (907) 729-1759

Accepted 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

Sandra Lee Gailey Md 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 ID4183645435
PECOS Enrollment IDI20111011000048
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Whidbeyhealth Medical Center

Critical Access Hospitals · Coupeville, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501339
Location101 North Main StreetCoupeville, WA 98239 · Island County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

71.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.6
Promoting Interoperability92
Improvement Activities40
Cost35.95

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
901 S 5TH ST
MOUNT VERNON, WA 98274
Orthopaedic Surgery
901 S 5TH ST
MOUNT VERNON, WA 98274
Psychiatry & Neurology (Psychiatry)
901 S 5TH ST
MOUNT VERNON, WA 98274
Family Medicine
901 S 5TH ST
MOUNT VERNON, WA 98274
Family Medicine
901 S 5TH ST
MOUNT VERNON, WA 98274
Orthopaedic Surgery
901 S 5TH ST
MOUNT VERNON, WA 98274
Family Medicine
901 S 5TH ST
MOUNT VERNON, WA 98274
Nurse Practitioner (Family)
901 S 5TH ST
MOUNT VERNON, WA 98274

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 Sandra Gailey's NPI number?

The NPI number for Sandra Gailey is 1013930197. It was assigned to this individual provider in the NPPES registry on July 26, 2006. The provider is also known as Sandra Lee Vedvick M.D..

Where is Sandra Gailey located?

Sandra Gailey practices at 901 S 5th St, Mount Vernon, WA 98274. The listed phone number is (360) 428-6434.

What is Sandra Gailey's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sandra Gailey enrolled in Medicare?

Yes. Sandra Gailey 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 Sandra Gailey accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Sandra Gailey 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 Sandra Gailey affiliated with any hospitals?

According to CMS data, Sandra Gailey is affiliated with Skagit Valley Hospital and Whidbeyhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Sandra Gailey was last updated on February 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.