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LAYNE C. SANDRIDGE M.D.
NPI 1063689909
Surgery - Vascular Surgery in Glendale, AZ

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment
18700 N 64TH DR STE 105A, GLENDALE, AZ 85308(623) 688-5075(623) 688-5075 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 4, 2019, Aug 16, 2016, Feb 10, 2016 (3 updates tracked since 2016).

About Layne C. Sandridge M.d. NPPES

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

LAYNE C. SANDRIDGE M.D. (NPI 1063689909) is an individual vascular surgery provider in Glendale, Arizona, licensed in Arizona (40861) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1999).

NPPES Registry Identity

NPI1063689909
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameLAYNE C. SANDRIDGECredential: M.D.
Location Address18700 N 64TH DR STE 105AGlendale, AZ 85308-7110
Mailing Address19801 N 59th Ave Unit 11659Glendale, AZ 85318-5068 · (623) 688-5075 · Fax (623) 688-5075
Phone(623) 688-5075
Fax(623) 688-5075
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1999
Enumeration DateMay 9, 2008
Last NPPES UpdateJanuary 4, 20193 updates tracked since enumeration
✔ NPI 1063689909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in AZ · 40861
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
18700 N 64TH DR STE 105A, Glendale, AZ 85308
Open in Google Maps ↗

Other Identifiers 2

Medicaid398159AZ
OtherZ216660AZ · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..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

Layne C. Sandridge 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 ID5395809511
PECOS Enrollment IDI20090202000525
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Layne Sandridge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

District Medical Group, Inc
17 mi
Surgery
2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1174856280 (602) 344-1095
Pulse Cardiovascular Institute LLC
20 mi
Multi-Specialty
7285 E EARLL DR BLDG C
Scottsdale, AZ 85251
  • Reassigned Medicare billing, Arizona enrollment
  • 7 clinicians in this Medicare group
NPI 1730675547 (480) 912-4747

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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

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

LAYNE SANDRIDGE MD, PLC
Surgery (Vascular Surgery)
18700 N 64TH DR STE 105A
GLENDALE, AZ 85308
Maricopa County (623) 688-5075

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 Layne Sandridge's NPI number?

The NPI number for Layne Sandridge is 1063689909. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Layne Sandridge located?

Layne Sandridge practices at 18700 N 64th Dr Ste 105A, Glendale, AZ 85308. The listed phone number is (623) 688-5075.

What is Layne Sandridge's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Layne Sandridge enrolled in Medicare?

Yes. Layne Sandridge 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 Layne Sandridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Layne Sandridge reassigns Medicare benefits to 2 organizations: District Medical Group, Inc (Phoenix, AZ) and Pulse Cardiovascular Institute LLC (Scottsdale, AZ). 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 Layne Sandridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Layne Sandridge accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Layne Sandridge 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.

When was this NPI record last updated?

The NPPES record for Layne Sandridge was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.