SANDRA LEE GAILEY MD
NPI 1013930197
Emergency Medicine in Mount Vernon, WA
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Sandra Gailey reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Vernon, WA 98274
- Reassigned Medicare billing, Washington enrollment
- 463 clinicians in this Medicare group
Mount Vernon, WA 98274
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1144348228 (Washington)
- 142 clinicians in this Medicare group
Arlington, WA 98223
- Reassigned Medicare billing, Washington enrollment
- 519 clinicians in this Medicare group
Chelan, WA 98816
- Reassigned Medicare billing, Washington enrollment
- 134 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, WAWhidbeyhealth Medical Center
Critical Access Hospitals · Coupeville, WAPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Sandra Gailey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Gailey reassigns Medicare benefits to 4 organizations: Public Hospital Dist No 1 Skagit (Mount Vernon, WA), Whidbey Island Public Hospital District (Mount Vernon, WA), Northwest Emergency Physicians LLC (Arlington, WA) and Chelan County Public Hospital District No 2 (Chelan, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Gailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Sandra Lee Gailey, MD · NPI 1013930197
Emergency Medicine physician in Mount Vernon, Washington. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1013930197 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD60224794 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 S 5TH ST, Mount Vernon, WA 98274-3942
- **Phone:** (360) 428-6434 · **Fax:** (360) 848-4547
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Public Hospital Dist No 1 Skagit (NPI 1023332749, Mount Vernon, WA); Whidbey Island Public Hospital District (NPI 1013538230, Mount Vernon, WA); Northwest Emergency Physicians LLC (NPI 1235172370, Arlington, WA); Chelan County Public Hospital District No 2 (NPI 1578568853, Chelan, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** February 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013930197) · Data from the CMS NPPES public registry.