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FRANCISCO JOSE SANFIEL MD
NPI 1053380899
Surgery in Zachary, LA

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
4801 MCHUGH RD, SUITE C, ZACHARY, LA 70791(225) 570-2489(225) 570-2986 Get Directions Write a Review

NPPES record last updated: January 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Francisco Jose Sanfiel Md NPPES

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

FRANCISCO JOSE SANFIEL MD (NPI 1053380899) is an individual surgery provider in Zachary, Louisiana, licensed in Louisiana (203180) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Lane Regional Medical Center, and is a graduate of Meharry Medical College School Of Medicine (1998).

NPPES Registry Identity

NPI1053380899
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameFRANCISCO JOSE SANFIELCredential: MD
Location Address4801 MCHUGH RD, SUITE CZachary, LA 70791-5364
Mailing Address2335 Church St, Suite EZachary, LA 70791-2700 · (225) 654-3607 · Fax (225) 658-2262
Phone(225) 570-2489
Fax(225) 570-2986
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1998
Enumeration DateMarch 15, 2006
Last NPPES UpdateJanuary 26, 2020
✔ NPI 1053380899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in LA · 203180
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4801 MCHUGH RD, Zachary, LA 70791
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Other Identifiers 1

Medicaid1899984LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia 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

Francisco Jose Sanfiel 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 ID6103896493
PECOS Enrollment IDI20091109000641
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 3

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.

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.
14 services14 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
13 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Lane Regional Medical Center

Acute Care Hospitals · Zachary, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190020
Location6300 Main StreetZachary, LA 70791 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70791 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DANNY P BOURGEOIS JR. MD
Surgery
4801 MCHUGH RD, SUITE H
ZACHARY, LA 70791
East Baton Rouge Parish (225) 570-2489
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Surgery
4801 MCHUGH RD, SUITE H
ZACHARY, LA 70791
East Baton Rouge Parish (225) 570-2489
CHRISTOPHER DAVID DEDON APRN
Nurse Practitioner
4801 MCHUGH RD, SUITE C
ZACHARY, LA 70791
East Baton Rouge Parish (225) 570-2489

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 Francisco Sanfiel's NPI number?

The NPI number for Francisco Sanfiel is 1053380899. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Francisco Sanfiel located?

Francisco Sanfiel practices at 4801 Mchugh Rd Suite C, Zachary, LA 70791. The listed phone number is (225) 570-2489.

What is Francisco Sanfiel's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Francisco Sanfiel enrolled in Medicare?

Yes. Francisco Sanfiel 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 Francisco Sanfiel accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Francisco Sanfiel 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 Francisco Sanfiel affiliated with any hospitals?

According to CMS data, Francisco Sanfiel is affiliated with Lane Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Francisco Sanfiel was last updated on January 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.